Knowledge of Danger Signs for Major Obstetric Complications Among Pregnant KwaZulu-Natal Women

Hoque, Monjurul; Hoque, Muhammad

doi:10.1177/1010539511428698

Cited by 35 publications

(39 citation statements)

References 7 publications

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“…The finding of the present study also indicated that 285 (58.8%) of the respondents were knowledgeable about the danger signs of pregnancy. This finding is consistent with previous evidence from Kwazulu-Natal, province in South Africa [21]. However, it was lower than the report from India (79.2%) [22].…”

Section: Discussionsupporting

confidence: 92%

“…23, 95%CI: [1.53, 2.88]) more likely to have higher knowledge of danger signs of pregnancy as compared to their counterparts. This is comparable with reports from KwaZulu-Natal, Tanzania, Alexandria, Egypt, and Jordan [21], [23], [24], [25] and most FGD discussants and in-depth interview participants . The possible explanations might be educated women have better access to health service information, improved perceptions of the causes of disease and treatment and can utilize such information optimally.…”

Section: Discussionsupporting

confidence: 86%

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Knowledge about Obstetric Danger Signs and Associated Factors among Mothers in Tsegedie District, Tigray Region, Ethiopia 2013: Community Based Cross-Sectional Study

2014

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BackgroundIn many developing countries including Ethiopia, maternal morbidity and mortality still pose a substantial burden and thus progress towards the fifth Millennium Development Goal (MDG) remains slow. Raising awareness of women about the danger signs of pregnancy and childbirth is the first essential step in accepting appropriate and timely referral to obstetric care. However, in Ethiopia little is known about the knowledge level of mothers about obstetric danger signs. The objective of this study was to assess the status of knowledge of danger signs of pregnancy and childbirth among mothers who gave birth in the past two years prior to the survey in Tsegedie district, Tigray regional state, Ethiopia.MethodsA Community based cross-sectional study was conducted from November 20, 2012 to June 30, 2013 on a randomly selected sample of 485 women who had at least one delivery in the past two years. Multistage sampling technique was employed to select the study participants. A pre-tested structured questionnaire was used to collect quantitative data. Focus group discussion and in-depth interviews were utilized to supplement the Quantitative data. Bivariate and multivariate data analysis was performed using SPSS version 17.0 software.ResultFour hundred eighty five mothers participated in the study making a response rate of 100%. Vaginal bleeding was the most commonly mentioned danger signs of pregnancy (49.1%) and childbirth (52.8%). Two hundred eighty five (58.8%) and 299 (61.6%) of respondents mentioned at least two danger signs of pregnancy and childbirth respectively. One hundred seventy (35.1%) and 154 (31.8%) of respondents didn't know any danger signs of pregnancy and childbirth respectively. Educational status of the mother, place of delivery and having functional radio were found to be independent predictors of knowledge of women about the danger signs of pregnancy and childbirth.ConclusionEducational status of the mother, place of delivery and having functional radio were independently associated with knowledge of women about obstetric danger signs. Thus, provision of information, education and communication targeting women, family and the general community on danger signs of pregnancy and childbirth and associated factors was recommended.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 86%

Knowledge about Obstetric Danger Signs and Associated Factors among Mothers in Tsegedie District, Tigray Region, Ethiopia 2013: Community Based Cross-Sectional Study

2014

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“…This statement confirms that virtually all deliveries (over 95%) in the district are conducted at health facilities. 8,10,12 The predominance of males for both admissions (58%) and deaths (63%) in our study raises the issues of biological vulnerability of male neonates as it is found universally in other studies. [13][14][15][16] Prematurity and low birthweight continue to be the major public health problems observed in our setting as is the case in many other developing countries.…”

Section: Discussionmentioning

confidence: 61%

“…1 This is not the case in our situation as most of the deliveries are conducted in the health facilities. 12 Thus, we need to ensure that sterile practices during delivery are ensured optimally in this health facility to reduce neonatal infections.…”

Section: Discussionmentioning

confidence: 99%

Causes of neonatal admissions and deaths at a rural hospital in KwaZulu-Natal, South Africa

Hoque¹,

Haaq

Islam

2011

Southern African Journal of Epidemiology and Infection

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One of the Millennium Development Goals (MDG-4) is to reduce child mortality by up to two-thirds by 2015. In most developing countries, a higher proportion of neonatal deaths are observed. We quantify the causes of neonatal morbidity and mortality at a rural hospital. A retrospective review of consecutive neonatal admissions to Empangeni Hospital, between January and December 2005, was conducted. Of 1,573 admissions, male babies made up 57.8% of admissions and 63% of the deaths. The most common causes of admission were birth asphyxia (38.2%), prematurity (23.5%), and infection (21%). The average length of stay was 9.2 days (SD 12 days). The overall mortality rate was 13.8% but higher (23.4%) among the referred babies. Admission and death rates of low birthweight babies (<2,500g) were 53% and 84%, respectively. Two-thirds (67.7%) of those babies who died were born preterm. Over half (56.6%) of the deaths took place within the first three days of life. Logistic regression showed that extremely low birthweight (OR=13.923, 95% CI:5.759; 33.656), male sex of the babies (OR=1.633, 95% CI:1.132; 2.356), and preterm delivery (OR=2.975, 95% CI: 1.296; 6.836) were significant predictors of neonatal death. A substantial proportion of neonatal mortality occurs in the hospital neonatal unit. Asphyxia, prematurity, low birthweight and neonatal infection are the leading cause of neonatal hospitalisation and deaths. Several simple and effective interventions exist to minimise neonatal admissions and deaths in South Africa.Peer reviewed.

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“…It is well documented that adequate nutritional status of women especially during pregnancy is crucial for child survival because an undernourished mother is more likely to deliver an infant with low birth weight, significantly increasing its risk of dying (Abu‐Saad & Fraser, ; Black et al., ; El‐Farrash, Abdel Rahman Ismail, & Shafik Nada, ; Hoque & Hoque, ; Kavosi et al., ; Kinyoki et al., ; Kumar et al., ; Scholl, ; Singh & Patra, ; Zangmo, de Onis, & Dorji, ). Food insecurity adversely affects individuals in both resource‐poor and resource‐rich environments (FAO, ).…”

Section: Introductionmentioning

confidence: 99%

Household food insecurity, coping strategies, and nutritional status of pregnant women in rural areas of Northern Ghana

Saaka

Oladele

Larbi

et al. 2017

Food Science & Nutrition

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There is limited information on the magnitude and determinants of household food insecurity (HFI) and how it relates to the nutritional status of pregnant women in Northern Ghana. The magnitude, determinants of HFI, and how it relates to the nutritional status of pregnant women were evaluated in the Africa RISING West Africa project intervention communities in Northern Ghana. The prevalence of moderate and severe household hunger was 25.9% (95% CI: 19.0, 34.3) and 6.8% (95% CI: 4.2, 10.9) respectively. The independent predictors of maternal thinness were region of residence, gestational age and maternal age. Compared to women in the first trimester, women in the third trimester were 2.2 times more likely of being underweight adjusted odds ratio (AOR = 2.19, CI: 1.02, 4.70). Women who were under 20 years of age were 11.9 times more likely of being thin compared to women aged more than 35 years (AOR = 11.97, CI: 2.55, 5. 67). Food insecurity was highly prevalent but it was not associated with maternal thinness of pregnant women. The risk of maternal thinness increased as the gestational age increased and this has a great potential of adversely influencing pregnancy outcomes and overall quality of life.

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Knowledge of Danger Signs for Major Obstetric Complications Among Pregnant KwaZulu-Natal Women

Abstract: Low level of knowledge on "danger signs" of pregnancy and their HIV status are observed among pregnant women. This warrants an urgent attempt to introduce health education strategies to rural population of South Africa.

Cited by 35 publications

References 7 publications

Knowledge about Obstetric Danger Signs and Associated Factors among Mothers in Tsegedie District, Tigray Region, Ethiopia 2013: Community Based Cross-Sectional Study

Knowledge about Obstetric Danger Signs and Associated Factors among Mothers in Tsegedie District, Tigray Region, Ethiopia 2013: Community Based Cross-Sectional Study

Causes of neonatal admissions and deaths at a rural hospital in KwaZulu-Natal, South Africa

Household food insecurity, coping strategies, and nutritional status of pregnant women in rural areas of Northern Ghana

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