Awareness of Critical Danger Signs of Pregnancy and Delivery, Preparations for Delivery, and Utilization of Skilled Birth Attendants in Nigeria

Doctor, Henry V.; Findley, Sally E.; Cometto, Giorgio; Afenyadu, Godwin Y.

doi:10.1353/hpu.2013.0032

Cited by 42 publications

(45 citation statements)

References 21 publications

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“…Having ANC follow up for the last recent pregnancy increased the likelihood of good awareness on Obstetric danger signs by 4.28 folds, 5.72 folds and 6.41 folds during pregnancy, delivery and after delivery respectively. Similarly, different study reported ANC attendance increases mothers' awareness of obstetric danger signs [28,29]. In addition having four or more ANC visit increases the odds of mothers' awareness on obstetric danger signs.…”

Section: Discussionmentioning

confidence: 99%

Awareness and Health Care Practice of Mothers’ About Obstetric Danger Signs at Haramaya District, Eastern Ethiopia

Yadeta¹

2017

JFMHC

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Abstract:Mother's awareness of potential obstetric danger signs during pregnancy, child birth and immediate post-delivery are crucial to influence their decisions to seek immediate health care. However, their awareness and health care practice were not well known in Haramaya district. Thus, this study was to assess mother's awareness of obstetric danger signs and their health care seeking practice. Community based cross sectional study was conducted in June, 2012 on 757 mothers who gave birth for the last two years and reside in Haramaya District. Sample size was estimated by using a single population proportions formula. Multistage sampling method was used to select study subjects. Data was collected by interview using structured questionnaires. Bivariate and multivariate were used to analyze predictors. Results: Only 86 (11.3%) of respondents mentioned three and above key obstetric danger signs during pregnancy. About half of 402(53%) of respondents did not aware for at least one obstetric danger signs. 234 (31%) respondents were reported to have experienced one or more key danger signs but 31.2% of them did not sought for medical treatment. Mothers who followed primary education 2.7 times [AOR 2.7; 95% CI 1.5-7.2], and secondary and above education 2.4 times [AOR 2.4; 95% CI 1.3-5.4] more likely to have awareness on obstetric danger signs during pregnancy as compared to those didn't attained formal education. Mothers who attended antenatal care were 4.28 times [AOR 4.28; 95% CI 2.01-9.12] more likely of having awareness on obstetric danger sign than mother who did not attended ANC. Similarly, the odds of giving birth at health institutions increased the level of awareness about obstetric danger signs about three fold [AOR 3.23;] than those who giving birth at home. Conclusion: Awareness of mothers on obstetric danger signs in the study area and health seeking practice were low. Thus, community education and information during antenatal Care utilization, institutional delivery services and postnatal care about obstetric danger signs and its consequence if the mother will not seeking care are important steps in improving the awareness and health seeking practice.

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Section: Discussionmentioning

confidence: 99%

Awareness and Health Care Practice of Mothers’ About Obstetric Danger Signs at Haramaya District, Eastern Ethiopia

Yadeta¹

2017

JFMHC

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“…Although bleeding was the most frequently mentioned sign, less than 10% of women had identified potential blood donors/blood bank services or a facility where they could readily receive emergency obstetric care. In northern Nigeria, [6] Ethiopia [8] and Uganda [9] researchers also found that a significant proportion of rural women did not have adequate knowledge of signs that may signal complications and the majority of pregnant women failed to take the aforementioned BPACR actions. This suggests that many pregnant women may not understand the implications or severity of these symptoms, should they occur, or the extent to which they need to make advance preparations to avoid delays that may arise if they need special care during pregnancy and delivery.…”

Section: Discussionmentioning

confidence: 99%

“…Data from this study also suggest that BPACR practices in Anegbette were remarkably better than those observed among rural women in northern Nigeria, where less than 2.5% of those surveyed had made any provision for a trip to the health facility, saved money or made transport arrangements, compared with at least 34.3% of women in this study. [6] BPACR practices have also been documented to be poor among rural women in Ethiopia [8] and Tanzania. [10] Poor BPACR has the potential to negatively influence the maternal and child health outcomes, as women who are not well prepared are less likely to utilise skilled birth attendants at delivery or respond to complications in an appropriate or timely manner.…”

Section: Discussionmentioning

confidence: 99%

“…A community-based survey in northern Nigeria among 5 083 rural women recruited from three states found that BPACR practices were generally poor, with 33.2% having made no preparation for delivery; fewer than 2.5% had made provisions for a trip to the health facility at delivery and only 32.0% knew any critical danger sign relating to pregnancy and delivery. [6] Most BPACR studies in southern Nigeria have been carried out among antenatal clinic attendees and may not necessarily provide a true representation of the actual BPACR practices of women living in rural communities where antenatal clinic attendance is suboptimal. Community-based surveys that reflect the BPACR practices of rural women appear to be lacking.…”

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confidence: 99%

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Birth preparedness and complication readiness among pregnant women in a rural community in southern Nigeria

et al. 2016

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Background. Birth preparedness and complication readiness (BPACR) has been advocated as a strategy to overcome costly delays in decision-making to seek skilled attendance at delivery, which in turn contribute significantly to maternal mortality from obstetric causes. Objective. To assess the determinants of BPACR among pregnant women in a rural community in Edo State, Nigeria. Methods. A descriptive cross-sectional study was done in Anegbette, a rural community in Etsako Central Local Government Area of Edo State. A house-to-house survey was carried out to identify pregnant women and all eligible women in the study area were included in the study. Results. A total of 277 pregnant women participated in the study. The mean age (standard deviation) of respondents was 28.7 (5.8) years. Less than half (134, 48.4%) of the respondents were well prepared while 143 (51.6%) were poorly prepared. After adjustment for confounding effect using binary logistic regression analysis, educational level (odds ratio (OR) 0.653, 95% confidence interval (CI) 0.330 -0.956), occupation (OR 0.384, 95% CI 0.148 -0.990) and utilisation of antenatal care (OR 3.407, 95% CI 1.830 -5.074) were significant predictors of BPACR. Conclusion. BPACR was poor among women in the rural community. In order to improve maternal health among rural women in Nigeria, government and donor agency funding for safe motherhood programmes should focus on female empowerment and encourage community participation towards promotion of maternal health. Birth preparedness and complication readiness (BPACR) has been advocated as a strategy to overcome costly delays in decision-making to seek skilled attendance at delivery, which in turn contribute significantly to maternal mortality from obstetric causes.[1] BPACR entails identifying a skilled provider and a birth location, learning to recognise the danger signs that may indicate life-threatening complications for the mother and baby, saving money and arranging for transportation, identifying a blood donor, identifying the nearest emer gency obstetric services should pregnant women, their families and communities need to seek assistance in case of emergencies.[2] In addition, BPACR requires health providers and facilities to be prepared to attend births and treat complications. [2] BPACR among pregnant women is significantly influenced by their socioeconomic characteristics, among other personal factors. A study conducted among women attending antenatal care in south eastern Nigeria found that although 70.6% of women were aware of BPACR, knowledge of key danger signs in pregnancy was low; educational status was identified to be the best predictor of BPACR.[3] Similarly, having a higher education, upper socioeconomic status and being married were identified as factors associated with good BPACR among women receiving antenatal care in Benin City [4] and Ile-Ife, [5] Nigeria. A community-based survey in northern Nigeria among 5 083 rural women recruited from three states found that BPACR practices were generally poor, with...

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“…For 2.2% of respondents, ANC was not important during pregnancy and another 8.7% were not sure of the importance of ANC. Women who did not attend ANC were significantly less likely to be aware of both critical and non-critical pregnancy complications when compared with those who do not know any complications (Doctor et al, 2013). Furthermore, antenatal period clearly presents opportunities for reaching pregnant women with a number of interventions that may be vital to their health and well-being and that of their infants.…”

Section: Discussionmentioning

confidence: 99%

Perception of obstetric danger signs among women living on the coastline of the Atlantic Ocean in rural Lagos, Nigeria

Afolabi¹,

Ezedinachi²,

Opara³

et al. 2016

J. Public Health Epidemiol.

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Implementation of safe motherhood programs in sub-Saharan African nations requires recognition of signs of potential emergency obstetric cases to facilitate immediate care seeking and urgent medical intervention. This questionnaire-based survey aimed to describe the perception of obstetric danger signs among women of reproductive age, living on the Atlantic coastline of rural Lagos. This crosssectional, descriptive study took place in two non-congruent communities of Lagos State, Nigeria, between October 2012 and March 2013. Epi Info 7 was used to calculate sample size for the projected population in each community. Statistical analysis was carried out using STATA 13 software. A total of 829 females (20% single, 80% married) participated in the study. Among these, about 76 and 79% disagreed that bleeding and high blood pressure were obstetric danger signs, respectively. Multivariate analysis showed a positive and significant association between awareness of bleeding as obstetric danger sign as the dependent variable and both knowledge of antenatal care (t=6.53, p=0.000) and knowing a woman who died in pregnancy (t=3.34, p=0.001) as independent variables. Rural women on Atlantic Ocean coastline of Lagos had low perception of obstetric danger signs indicating promotion of acceptable maternal health in this environment.

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Awareness of Critical Danger Signs of Pregnancy and Delivery, Preparations for Delivery, and Utilization of Skilled Birth Attendants in Nigeria

Cited by 42 publications

References 21 publications

Awareness and Health Care Practice of Mothers’ About Obstetric Danger Signs at Haramaya District, Eastern Ethiopia

Awareness and Health Care Practice of Mothers’ About Obstetric Danger Signs at Haramaya District, Eastern Ethiopia

Birth preparedness and complication readiness among pregnant women in a rural community in southern Nigeria

Perception of obstetric danger signs among women living on the coastline of the Atlantic Ocean in rural Lagos, Nigeria

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