Pregnant women's awareness of antenatal danger signs and birth preparedness in rural Gambia

Jatta, Fatou; Lu, Yu‐Ying; Chang, Cheng-Ho; Liu, Chieh‐Yu

doi:10.12968/ajmw.2014.8.4.189

Cited by 5 publications

(3 citation statements)

References 12 publications

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“…To account for this, the trim and fill metaanalysis found that only 25.2% (95% CI: 20.0, 30.6%) were well prepared for birth and related complications by practicing elements of BPCR. Our finding is higher than studies done in the rural Gambia (14%) and Kenya [48,49]. Discrepancies may be due to Ethiopia's flexible initiatives over time to bring more attention to the issue.…”

Section: Discussioncontrasting

confidence: 86%

Effects of maternal education on birth preparedness and complication readiness among Ethiopian pregnant women: a systematic review and meta-analysis

Ketema

Leshargie

Kibret

et al. 2020

BMC Pregnancy Childbirth

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Background: Birth preparedness and complication readiness are broadly endorsed by governments and international agencies to reduce maternal and neonatal health threats in low income countries. Maternal education is broadly positioned to positively affect the mother's and her children's health and nutrition in low income countries. Thus, this systematic review and meta-analysis aims to estimate the effect of maternal education on birth preparedness and complication readiness. Methods: This review was reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis. We conducted an electronic based search using data bases of PubMed /MEDLINE, Science direct and google scholar. STATA™ Version 14.1 was used to analyze the data, and forest plots were used to present the findings. I 2 test statistics and Egger's test were used to assess heterogeneity and publication bias. Pooled prevalence and pooled odd ratios with 95% confidence intervals were computed. Finally, Duval and Tweedie's nonparametric trim and fill analysis using random-effects meta-analysis was conducted to account for publication bias. Results: In this meta-analysis, 20 studies involving 13,744 pregnant women meeting the inclusion criteria were included, of which 15 studies reported effects of maternal education on birth preparedness and complication readiness. Overall estimated level of birth preparedness and complication readiness was 25.2% (95% CI 20.0, 30.6%). This meta-analysis found that maternal education and level of birth preparedness and complication readiness were positively associated. Pregnant mothers whose level of education was primary and above were more likely to prepare for birth and obstetric emergencies (OR = 2.4, 95% CI: 1.9, 3.1) than non-educated mothers. Conclusion: In Ethiopia, the proportion of women prepared for birth and related complications remained low. Maternal education has a positive effect on the level of birth preparedness and complication readiness. Therefore, it is imperative to launch programs at national and regional levels to uplift women's educational status to enhance the likelihood of maternal health services utilization.

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Section: Discussioncontrasting

confidence: 86%

Effects of maternal education on birth preparedness and complication readiness among Ethiopian pregnant women: a systematic review and meta-analysis

Ketema

Leshargie

Kibret

et al. 2020

BMC Pregnancy Childbirth

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“…This finding is relatively similar to the study conducted in Uganda (35%) [ 39 ]. But it was Higher than a study carried out in Gambia (14%) [ 40 ]. In contrast, it is lower than studies carried out in West Bengal, India (57%) [ 41 ], Dehli, India (41%) [ 4 ] and Osun State, Nigeria (61%) [ 42 ].This difference might be due to socio-cultural issues like use of traditional birth attendant, women’s educational, economical status and the difference in implementation of prenatal health programs like quality of antenatal care services.…”

Section: Discussionmentioning

confidence: 56%

Birth preparedness and complication readiness among pregnant women in Ethiopia: a systematic review and Meta-analysis

et al. 2018

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ᅟBirth preparedness and complication readiness is an essential component of safe motherhood programs that promote appropriate utilization of skilled maternal and neonatal care. Preparing for childbirth and its probable complications can reduce delays in seeking care. In Ethiopia, there were limited data on birth preparedness and complication readiness at the national level except a small scale studies conducted.This systemic review and meta-analysis study was conducted to assess the national estimates regarding the status of birth preparedness and complication readiness among pregnant women in Ethiopia.MethodsPreferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guideline was followed during systemic review and meta-anaysis. The databases used to identify studies were; MEDLINE, PubMed, Google scholar, CINAHL, EMBASE and African Journals Online. Appropriate search terms were used to retrieve published studies conducted in Ethiopia. Joanna Briggs Institute Meta-Analysis of Statistics Assessment and Review Instrument (JBI-MAStARI) was used for critical appraisal of studies. The meta-analysis was conducted using STATA 14 software. Forest plots were used to present the findings of this meta-analysis. The I2 test statistics and Egger’s test were used to test heterogeneity and publication bias respectively. The pooled prevalence with 95% confidence intervals (CI) was computed. Duval and Tweedie nonparametric trim and fill analysis using the random-effect analysis was conducted to account for publication bias and high heterogeneity.ResultThirteen studies and six thousand four hundred ninety three participants were included in this meta-analysis and overall pooled result showed 32% with 95% (25.6, 38.5) of the pregnant women were prepared for birth and its complications. In addition, 51.35% of women save money for birth and emergency case, 38.74% women identified skilled birth attendant, and only 26.33% of pregnant women were aware of danger signs during pregnancy. One fifth (20.59%) of women arranged transportation and 54.85% of women identified the place of birth. Only 8.18%pregnant women identified potential blood donor for emergency cases.ConclusionLow proportions of pregnant women were prepared for childbirth and its complications. The Ministry of health, Regional health bureaus, health facilities and other stakeholders should work to improve birth preparedness and complication readiness among pregnant women in Ethiopia.

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“…However, the outcome in this review is better compared with the meta-analysis carried out in Ethiopia which nd he he is at is he ch reported that only one-thirds of pregnant women in Ethiopia were prepared for birth and its complication 15 . Also, it is higher than the studies carried out in Uganda, Bangladesh 18 and Gambia 19 . In contrast, it is lower than the studies conducted in Accra 20 .…”

Section: Discussionmentioning

confidence: 56%

Women’s Birth Preparedness and Complication Readiness in Nigeria: A Systematic Review and Meta-Analysis

Akinwaare

Oluwatosin

Uthman

et al. 2021

Preprint

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IntroductionGlobally, efforts are being made to reduce the menace of maternal death in order to achieve the sustainable development goal. Maternal death has been associated with inadequate birth preparedness and complication readiness especially in the low and middle-income countries. Therefore, this review assessed birth preparedness and complication readiness in Nigeria.MethodsA systematic review and meta-analysis of published research articles on birth preparedness and complication readiness in Nigeria was done using PubMed, EMBASE and MEDLINE databases. All published articles from inception to November, 2018 were included in the review. A total of 8913 published articles were identified from electronic search, a total of 4440 studies were included in this review, while only 12 articles met the inclusion criteria and were included in the meta-analysis.ResultsThe pooled prevalence of ‘Good BPCR’ for all studies yielded an estimate of 58.7% (95% CI 43.9 to 72.7%). The I2 statistic was 98%, indicating statistically significant heterogeneity among the studies. The percentage of women with good birth preparedness and complication readiness increases with increasing year of publication, such that women tended to be more aware good birth preparedness and complication readiness in recent years. More than half of the women had knowledge of obstetric danger signs (52.0%, 95% CI 39.5 to 64.4%, 10 studies), arranged for transportation (59.5%, 95% CI 36.2 to 80.7, 11 studies) or saved money (63.4%, 95% CI 44.7 to 80.2%, 11 studies) as part of the BPCR.ConclusionWomen in Nigeria are better prepared for birth preparedness and complication readiness in recent years. Therefore, interventions to promote more adequate birth preparedness and complication readiness among women is recommended.PROSPERO registration numberThe study protocol was registered with PROSPERO number, CRD42019123220Key questionsWhat is already known?Globally, birth preparedness and complication readiness is a concept which has been proven to be effective at increasing skilled birth attendance. It is a strategy for reducing maternal death especially in middle and lo-income countries.What are the new findings?More pregnant women and recently delivered mothers in the Southern part of Nigeria have a better birth preparedness and complication readiness compared to their counterpart in the Northern part of the country.Number of pregnant women and recently delivered mothers with good birth preparedness and complication readiness increases with increasing year of publication.What do the new findings imply?This review provides data about women’s birth preparedness and complication readiness across different regions of Nigeria. Having a poorer BPCR in the Northern region of the country could be responsible for higher maternal death in the region.This could be used to plan interventions to improve birth preparedness and complication readiness in different regions of the country.Data availability statementNo data are available.

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Pregnant women's awareness of antenatal danger signs and birth preparedness in rural Gambia

Cited by 5 publications

References 12 publications

Effects of maternal education on birth preparedness and complication readiness among Ethiopian pregnant women: a systematic review and meta-analysis

Effects of maternal education on birth preparedness and complication readiness among Ethiopian pregnant women: a systematic review and meta-analysis

Birth preparedness and complication readiness among pregnant women in Ethiopia: a systematic review and Meta-analysis

Women’s Birth Preparedness and Complication Readiness in Nigeria: A Systematic Review and Meta-Analysis

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