Knowledge of obstetric danger signs and associated factors: a study among mothers in Shashamane town, Oromia region, Ethiopia

Abstract

Background: Child birth which is a special moment for parents, families and communities is also a time of intense vulnerability. In many developing countries including Ethiopia, maternal morbidity and mortality still pose a substantial burden. Raising awareness of women about the danger signs of pregnancy and childbirth is the first essential step in appropriate and timely obstetric care. Objective: To assess the knowledge of obstetric danger signs among mothers and associated factors in Shashamane town, oromia region, Ethiopia. Methods: A community based cross sectional study design was employed. All kebeles were included in study; the number of households was determined using proportionate-to-population size then systematic random sampling technique to select 422 women who gave birth in Shashamane town between April and May 2018. A structured questionnaire was used to collect data. Data was checked and entered into Epi data version 3.1 then exported to Statistical Package for Social Science version 23 for analysis. Univariate, bivariate and multivariable analysis with 95% CI was carried out. Women who spontaneously mentioned at least two danger signs of pregnancy from eight items were considered to have good knowledge of the obstetric danger signs. Result: A total of 422 mothers were involved in the study. The mean age of the respondent was 25 with a standard deviation of 4.3 year. 59.5% of the respondents were found to have poor knowledge of obstetric danger signs. Majority of respondents mentioned vaginal bleeding (64.7%) as a danger sign of pregnancy. According to the result of the multivariable analysis, antenatal care was significantly associated with the knowledge of obstetric danger sign. Respondents who attended antenatal care were 1.26 times more likely to have good knowledge of obstetric danger signs than those who had no antenatal care [AOR = 1.26, 95%CI (1.08-1.85)]. Respondents who gave birth at health center were 3.57 time more likely to have good knowledge of obstetric danger signs than those who gave birth at home [AOR = 3.57, 95%CI (1.23-10.39)]. Conclusion: According to this study, the knowledge of obstetric danger signs was poor. Some of the factors associated with this knowledge were antenatal care attendance and place of delivery; therefore, it is recommended that mothers should have at least four antenatal visits; this may create good relationship with the providers and enhance their knowledge. In addition to this providing compassionate and respectful maternity care in health facility is also crucial steps to attract more women to health facilities, and to reduce home deliveries.

KAP on Obstetrics Danger Signs of Pregnancy Among ANC Attending Pregnant Mother in Gununno Health Center, Gununo Town, Wolaita Zone, Southern Ethiopia April: 2019

“…This difference might be due to socio-cultural difference and difference of sample size used. This study is higher than study conducted in Shashemane stated that (64.7%) [18].…”

“…The cross section study conducted in Kenya stated that the mother included under study only (4.7%) know about Obstetric danger which was Vaginal bleeding and the same study conducted in Uganada stated that (52%) as well as study conducted in Ethiopia in Adama city stated 44% and the same study conducted Ethiopia in Dire Dawa stated 24.4 knew about Obstetric danger signs, it's low when compare to this study [16,[18][19][20][21]. It due to educational status and Age of the mothers during that time.…”

Effectiveness of Health Education Program on the Level of Knowledge and Attitude of Pregnant Women Regarding Obstetric Danger Signs in Upper Egypt

“…In this study, respondents who had more antenatal visits were more knowledgeable than those who had less number and this is consistent with other studies. (28,29) Antenatal care provides an opportunity to counsel pregnant women about serious ODS during pregnancy. However, Mwilike et al, 2018 found that there was not any statistically significant association between women's knowledge of danger signs during pregnancy and the number of antenatal visits.…”

The Determinant of Health Insurance Ownership Among Pregnant Women in Indonesia

“…This nding is in line with the previous variable, parity. Better knowledge of the danger signs of pregnancy makes pregnant women more aware and better prepared for labor [36][37][38] .…”