Birth Preparedness and Complication Readiness and Associated Factors Among Recently Delivered Mothers in Mizan-Aman Town, Southwest Ethiopia, 2019

Abstract

Background Pregnancy and childbirth-related deaths have become a global public health issue and the burden is more prevalent in sub-Saharan Africa, including Ethiopia. While several attempts have been made to minimize maternal mortality, the practice of birth preparedness and complication readiness is still inadequate in Ethiopia. As a result, this study was initiated to identify the gaps in birth preparedness and complication readiness practice in Southwest Ethiopia. Objective Aimed to assess the magnitude of birth preparedness, anticipated complication practices, and associated factors among recently delivered women in Mizan-Aman Town, southwestern Ethiopia, 2019. Methods A community-based cross-section study was conducted on 491 recently delivered mothers between May and June 2019. A multistage sampling technique was employed and data were collected via face-to-face interviews using a structured questionnaire. The result was analyzed via SPSS version 25 and binary logistic regression was used to determine the association. Finally, the results were deemed significant when the P-value was <0.05. Results Out of 491 mothers, only 109 (22.2%) of respondents were well prepared for birth and its complications. Having a history of stillbirth 3.646 (AOR: 95% CI: 1.72, 5.65), being informed the term BP/CR from their friends 3.05 (AOR: 95% CI: 1.04, 8.89), being aware of pregnancy danger signs 2.82(AOR: 95% CI: 1.21,6.57) and being aware of two out of four postpartum danger signs 3.571(AOR: 95% CI: 1.511,8.443) were found to be important predictors of birth preparedness and its complication practice. In addition, having infants birth order between 4–6 and being a housewife mother by occupation were considered as protective factors. Conclusions and Recommendations The status of birth preparedness and its complication was found to be low in this study and, therefore, intensive awareness-raising and promotion activities shall be implemented at the community and health facility level.

Factors influencing birth preparedness and complication readiness among childbearing age women in Thatta district, Sindh

“…In contrast, similar findings were seen in Rwanda (22.3%) and Ethiopia (22.2%) [29,30]. Such findings were also found in a local study conducted in Pakistan (23.6%) [31].…”

Practice of Birth Preparedness and Complication Readiness and Its Associated Factors:A Health Facility-Based Cross-Sectional Study Design

“…However, the finding of this study is higher than studies done in the Wolayta zone (18.3%), 44 Agnuak zone, Gambella region (23.4%) (25.8% in urban and 18.5% in rural women, 27 South Wollo (24.1%), 23 Mizan-Aman Town (22.2%), 45 and Jimma Zone, Southwest Ethiopia (23.3%). 46 This could be due to the differences in study design, the majority of these studies are community-based, while our study was institutional-based.…”

“… 25 This is also supported by another study, which indicates that women who were informed of the term were more likely to practice BPCR. 45 …”

Maternal Third Delay and Associated Factors among Women Admitted for Emergency Obstetric Care in Public Hospitals in Sidama Regional State, Ethiopia

“…However, none of the sociodemographic variables were associated with maternal third delay in a study done in Bahir Dar City [ 27 ]. The reason for the lower maternal delay among self-employed and government employees might be these groups of women might have ANC follow-up and well prepare for birth and its complication [ 32 ]. Additionally, they might identify and report obstetric danger signs early.…”