Perinatal Mortality and Associated Risk Factors among Singleton Babies in Unguja Island, Zanzibar

Bakar, Rukia Rajab; Manongi, Rachel; Mmbaga, Blandina T.; Nielsen, Birgitte Bruun

doi:10.4236/health.2019.111010

“…However, a normal pregnancy may be accompanied by certain problems and complications that endanger the life of the mother and fetus. [1][2][3][4] Nearly 15% of all pregnant women develop a specific obstetric complication. 5 According to the 2015 World Health Organization (WHO) 6 report, approximately 10.7 million mothers died from 1990 to 2015 as a result of obstetric complications.…”

Section: Introductionmentioning

confidence: 99%

“…However, a normal pregnancy may be accompanied by certain problems and complications that endanger the life of the mother and fetus. 1–4 Nearly 15% of all pregnant women develop a specific obstetric complication. 5…”

Section: Introductionmentioning

confidence: 99%

Pregnancy danger signs: Knowledge and health-seeking behavior among reproductive age women in southwest Ethiopia

Yosef

¹

,

Tesfaye

²

2021

Womens Health (Lond Engl)

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Background: Warning signs of pregnancy are not reliably predictable. But, knowing these early warning signs is very important for pregnant women to eliminate serious complications and start treatment immediately. The higher level of maternal mortality can be reduced by providing quality maternity service and empowering women with good knowledge of the danger signs of pregnancy and promoting appropriate health-seeking behavior. Therefore, this study aimed to assess the knowledge of pregnancy danger signs and health-seeking behavior among reproductive age women in southwest Ethiopia. Method: A cross-sectional study was carried out with 526 randomly selected women from 1 to 30 January 2019. The data were collected through face-to-face interviews and analyzed using Statistical Package for the Social Sciences version 21. Both bivariate and multivariable logistic regression analyses were conducted to determine factors associated with the outcome variable. The level of significance was declared at a p-value < 0.05. Results: The proportion of mothers who had good knowledge of pregnancy danger signs were 43.2%. The majority (65%) of those surveyed mentioned vaginal bleeding as a pregnancy danger sign. The factors associated with good knowledge of pregnancy danger signs were husbands with secondary education and above (adjusted odds ratio = 2.52, 95% confidence interval (1.08–5.91) monthly income ⩾ 1000 Ethiopian Birr (adjusted odds ratio = 2.64, 95% confidence interval (1.48–4.71) being multigravida (adjusted odds ratio = 2.14, 95% confidence interval (1.17–3.94) and last delivery at the health facility (adjusted odds ratio = 6.84, 95% confidence interval (4.02–11.63) The proportion of mothers who experienced pregnancy danger signs and had good health-seeking behavior was 72.7%. Conclusion: The knowledge of pregnancy danger signs among reproductive age women was low in the study area. This indicates the large proportions of women who do not know the danger signs are likely to delay in deciding to seek care when they face the problem. Therefore, empowering women, improving the quality of health information about danger signs during antenatal care follow-up, and promoting institutional delivery are the recommended interventions.

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“…A study in Africa reported that ODS was perceived as a natural process of pregnancy or related to witchcraft. 39 This attitude was a significant barrier, preventing the women facing ODS from seeking proper help.…”

Section: Discussionmentioning

confidence: 99%

Knowledge of obstetric danger signs and associated factors among pregnant women attending antenatal care services at Thai community hospital

Koovimon¹,

Kaikaew

²

,

Mahoree³

et al. 2023

F1000Res

0

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Background: To decrease preventable maternal mortality, providing health education to all parties is mandatory. Good knowledge, including awareness of pregnant women regarding obstetric danger signs (ODS), leads to appropriate practices and services. The knowledge of ODS varies among countries and regions. Since the data in rural regions of Thailand remains unavailable, this study aimed to identify the prevalence of good ODS knowledge and associated factors among pregnant women attending antenatal services at a Thai community hospital. Methods: We performed a cross-sectional, analytical study in 415 singleton pregnant women who visited the antenatal clinic at Wang Saphung Hospital, Loei, Thailand. A well-trained research assistant interviewed all participants using the data record form containing twenty items on the demographic and obstetric data and sixteen items on ODS knowledge. An ODS score of at least 75% (12 points) was considered a good level of knowledge. Results: A total of 275 participants (66.27%) had good knowledge of ODS. The most recognized ODS was vaginal bleeding whereas the least recognized ODS during pregnancy was convulsion; the least recognized ODS during labor and delivery was retained placenta. Multivariate regression analysis showed that the predictive factors of good OBS knowledge included a higher education level, maternal age of at least 20 years, and having medical personnel as a source of knowledge. Conclusions: In a rural setting of Thailand, two-thirds of pregnant women had good ODS knowledge. Identifying those at risk for fair and poor ODS knowledge and prompt management for the vulnerable subgroups might help decrease maternal mortality.

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“…A study in Africa reported that ODS was perceived as a natural process of pregnancy or related to witchcraft. 39 This attitude was a significant barrier, preventing the women facing ODS from seeking proper help.…”

Section: Discussionmentioning

confidence: 99%

Knowledge of obstetric danger signs and associated factors among pregnant women attending antenatal care services at Thai community hospital

Koovimon,

Kaikaew,

Mahoree

et al. 2023

F1000Res

0

View full text Add to dashboard Cite

Background: To decrease preventable maternal mortality, providing health education to all parties is mandatory. Good knowledge, including awareness of pregnant women regarding obstetric danger signs (ODS), leads to appropriate practices and services. The knowledge of ODS varies among countries and regions. Since the data in rural regions of Thailand remains unavailable, this study aimed to identify the prevalence of good ODS knowledge and associated factors among pregnant women attending antenatal services at a Thai community hospital. Methods: We performed a cross-sectional, analytical study in 415 singleton pregnant women who visited the antenatal clinic at Wang Saphung Hospital, Loei, Thailand. A well-trained research assistant interviewed all participants using the data record form containing twenty items on the demographic and obstetric data and sixteen items on ODS knowledge. An ODS score of at least 75% (12 points) was considered a good level of knowledge. Results: A total of 275 participants (66.27%) had good knowledge of ODS. The most recognized ODS was vaginal bleeding whereas the least recognized ODS during pregnancy was convulsion; the least recognized ODS during labor and delivery was retained placenta. Multivariate regression analysis showed that the predictive factors of good OBS knowledge included a higher education level, maternal age of at least 20 years, and having medical personnel as a source of knowledge. Conclusions: In a rural setting of Thailand, two-thirds of pregnant women had good ODS knowledge. Identifying those at risk for fair and poor ODS knowledge and prompt management for the vulnerable subgroups might help decrease maternal mortality.

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Perinatal Mortality and Associated Risk Factors among Singleton Babies in Unguja Island, Zanzibar

Cited by 3 publications

References 26 publications

Pregnancy danger signs: Knowledge and health-seeking behavior among reproductive age women in southwest Ethiopia

Pregnancy danger signs: Knowledge and health-seeking behavior among reproductive age women in southwest Ethiopia

Knowledge of obstetric danger signs and associated factors among pregnant women attending antenatal care services at Thai community hospital

Knowledge of obstetric danger signs and associated factors among pregnant women attending antenatal care services at Thai community hospital

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