Birth preparedness and complication readiness practice and associated factors among pregnant women in Northwest Ethiopia: 2018

Abstract

Background Birth-preparedness and complication readiness is a comprehensive strategy aimed at promoting the timely utilization of skilled maternal and neonatal health care. Pregnancy-related complications both on the mother and the newborn could be largely alleviated if there is a well-consolidated birth preparedness and complication readiness plan developed during pregnancy and implemented at the time of delivery. Objective To determine the prevalence of birth preparedness and complication readiness practice (BPCR) and associated factors among pregnant women in North Gondar Zone, Northwest Ethiopia, 2018. Methods A community based cross-sectional study was conducted among pregnant women in North Gondar Zone from March 2017 to February 2018. A multistage clustered sampling technique was used to enroll a total of 1620 participants. The data were collected by face to face interviews using pretested and semi-structured questionnaires at baseline and following delivery. The data were entered using EPI-data version 3.1 and analyzed using STATA version 14 software. Bivariate and multivariable logistic regression model was fitted to assess factors with BPCR practice. Adjusted odds ratio (AOR) with 95% confidence interval was used to determine the association between covariates and the outcome variable. Results From a total of 1620 pregnant women only 1523 (94.0%) mothers were followed at the end line. The prevalence of BPCR plan during pregnancy was 66.1% [95% CI: 63.8, 68.5] and the practice at the time of delivery was 73.5% [95% CI 71.3, 75.7]. Of the total respondents who mentioned having a BPCR plan, 76.4% practiced at the time of delivery. Frequency of ANC visits [AOR = 1.97; 95% CI: 1.67, 2.32], larger number of family in the household [AOR = 1.14; 95%CI: 1.00, 1.30], highest wealth asset [AOR = 1.87; 95%CI: 1.16, 3.01], Multigravidity [AOR = 0.30; 95% CI: 0.15, 0.62], husband involvement in decision making [AOR = 2.2; 95% CI: 1.25, 3.82], counseled on BPCR [AOR = 2.35; 95% CI: 1.51, 3.68], were found to be significantly associated with BPCR practice. Conclusion BPCR practice at the time of delivery was higher than previous studies conducted in the country. However, BPCR practice was found to be lower than the standard that every woman should practice the plan at the time of delivery. Intersectoral collaborative interventions required to improve the economic status and living standard of families in the community as well as various awareness creation strategies should be implemented to support women to attend ANC follow-up visits.

Safer motherhood - birth preparedness and complication readiness assessment among pregnant women residing in urban slums of Marathwada region

“…Debelie et al . [ 22 ] conducted a study on 1620 pregnant women found that prevalence of BPCR plan during pregnancy and the practice at the time of delivery were 66.1% and 73.5%, respectively. Only 15% were able to tell at least three of the five basic components of BPACR in study done by Saaka et al .…”

“…Debelie et al . [ 22 ] stated that frequency of ANC visits, larger number of family in the household, highest wealth asset, multigravidity, husband involvement in decision making, counseled on BPCR were found to be significantly associated with BPCR practice. Findings of these studies are quite similar to present study.…”

The Effects of Socio-Demographic Factors on Male Partner Involvement in Antenatal Care Among Households: A Case of Kaptimbor Village Baringo Central Sub-County, Kenya

“…These issues could turn the pregnancy into a high-risk pregnancy. Obstetrical complications if there is a well-coordinated birth readiness and complication readiness plan created throughout pregnancy and put into practice at the time of delivery, both the mother and the newborn could be greatly reduced (Debbie et al, 2018). Involving male partners in antenatal care is important in improving positive maternal and newborn health outcomes.…”

Perception of Primigravida Women on Birth Preparedness for a Safe Childbirth and Complication Readiness

“…Birth preparedness and complication readiness (BPCR) is the way toward making arrangements for normal delivery and anticipating activities required in emergency cases. It assists to ensure that women can arrive at skilled delivery care when labor begins and diminish postponement to look for care and to arrive at health care facilities that occur when women experience obstetric complications (3) .…”