Birth preparedness complication readiness and determinants among pregnant women: a community-based survey from Ethiopia

Abstract

Background Maternal death related to obstetric complications remains a great challenge in developing countries. Since these complications are not consistently predictable, it is important to plan different preventive approaches to overcome them when. As the information on birth preparedness, complication readiness, and predictors were limited in the study area, we conducted this study. Methods A Cross-sectional study involving 396 pregnant women was conducted from 1st April to 1st May 2018. Data were collected using a pre-tested structured questionnaire. Descriptive, binary and multiple logistic regression analyses were conducted in SPSS for windows version 20. P values < 0.05 were considered significant. Results Of 361 women interviewed (91% response rate), birth preparedness and complication readiness were present in 24.10% (87/361) of women. Maternal factors, age 18–19 (AOR = 0.18; 95% CI (0.04,0.94)), 20–34 (AOR = 0.40; 95% CI (0.20,0.78)), education, not able to read/write (AOR = 0.36;95% CI (0.15,0.85),read/write (AOR = 0.41;95% CI (0.19,0.89)), Muslim religion (AOR = 0.40; 95% CI (0.18,0.85)) income ETB, < 1000 (AOR = 0.21; 95% CI (0.07,0.67)),1000–2000, (AOR = 0.38; 95% CI (0.19,0.76)), and the mothers’ knowledge on key danger signs of postpartum (AOR = 0.48; 95% CI (0.26,0.90)) were independent predictors of birth preparedness and complication readiness. Conclusions Educational status, age, religion, family income, and knowledge of obstetric danger signs were significantly associated with birth preparedness and complication readiness. The Government and other health sector partners should work to improve women’s education, income, and focus on young age groups on pregnancy danger signs.

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].…”

Birth preparedness and related factors: a cross-sectional study in Tanzania City area

“…These might have been influenced by the unique developmental stage of the city area of Tanzania, which recently became a middle-income country. Although ANC more than four times [ 21 – 23 ], first ANC within the first trimester [ 22 ], income [ 24 ], and age [ 24 – 26 ].showed significant relationships with BPR in previous studies, they were not found to be associated in this study.…”

Birth Preparedness and Complication Readiness Among Pregnant Women Attending an Urban Health Centre in Surat, India

“…Participants belonging to age group of 28-32 years and Occupation of Spouse were the independent predictor for birth preparedness in this study which is similar with the study done by Ananche et al age 18-19 years (AOR = 0.18; 95% CI (0.04,0.94)). 24 and Akshaya et al age >26 years (adj OR = 2.97; 95%CI: 1.15-7.7). 3 In Developing Countries, knowledge related to pregnancy and preparedness is passed on across generations or gained through experience.…”