Knowledge of obstetric danger signs and its associated factors among pregnant women in Angolela Tera District, Northern Ethiopia

Woldeamanuel, Gashaw Garedew; Lemma, Gorems; Zegeye, Betregiorgis

doi:10.1186/s13104-019-4639-8

Cited by 42 publications

(83 citation statements)

References 19 publications

(31 reference statements)

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“…Regardless, it was found that women who had a good BPCR had an improved level of maternal healthcare utilization than those who were not. A prior arrangement made on part of the mother such as identi cation of the birth attendant and facility gives expectant mothers an impulse to utilize delivery and postnatal care (23,24). Our nding agrees with previous studies that reported BPCR predicted better use of maternal healthcare services (14,25).…”

Section: Discussionsupporting

confidence: 90%

Maternal Healthcare Services Utilization Trajectories in Four Regions of Ethiopia: A Latent Class Analysis

Higi

Tura

Sena

et al. 2020

Preprint

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Background: Globally, in 2015 as result of complications related to pregnancy, childbirth, or the postnatal period, 303,000 women died. Among these mortality the lion share burden were in sub-Saharan and Southern Asian countries. To avert the preventable maternal mortality, providing the recommended pregnancy care, delivery and postnatal cares in a continuum manner is imperative. This study aims to assess the trajectories and determinants of maternal healthcare services utilization in four major regions of Ethiopia. Methods: Seven indicator variables were used to construct the maternal healthcare utilization variable. Latent class analysis was used to identify subgroups of maternal healthcare utilization along the continuum of care. Further, ordinal logistic regression was utilized to identify the determinants of the trajectories of maternal healthcare utilization. STATA 14 was used for data management and analysis and 5% level of significance was used to declare statistical significance. Result: There were 590 mothers who delivered a live-birth in the 12 months period before the interview date. The result of latent class analysis indicates that a little more than two in five of the mothers (43.9%) did not attempt to visit a health facility during pregnancy or for delivery or for postnatal checkup. While women with a good practice of maternal healthcare accounted 6.1%, half (50%) of the women had an inadequate maternal healthcare practice. The trajectory of maternal healthcare utilization has shown a marked difference by region and religious affiliation of women. Whereas older women and women of lowest socio-economic status tend to be in the lowest classes of maternal healthcare utilization, educated women, women of highest socio-economic status and women having a better birth preparedness and complication readiness are found to be in the highest classes of maternal health care service utilization. Conclusions: Women of lower socio-economic status and women of below secondary level of education should be targeted to intensify awareness of the benefit of maternal healthcare services utilization and plan births and deal with complications that arise with pregnancy and childbirth.

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Section: Discussionsupporting

confidence: 90%

Maternal Healthcare Services Utilization Trajectories in Four Regions of Ethiopia: A Latent Class Analysis

Higi

Tura

Sena

et al. 2020

Preprint

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“…This finding is inconsistent with other studies which showed that urban residence had a significant association with knowledge of ODS. (19,(23)(24)(25) This may be because 82.3% of study participants in this study were rural.…”

Section: Discussionmentioning

confidence: 94%

“…This study showed that there was a statistically significant association between women's knowledge of ODS and multiparity, which is in line with previous studies. (25,27) This may be because multiparous women have more experience with pregnancy and labor than others due to their multiple deliveries. 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.…”

Section: Discussionmentioning

confidence: 99%

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

Ali

Mohamed

Arief

et al. 2020

Journal of High Institute of Public Health

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Background & Objective(s): The present study aimed to assess women's knowledge and attitude towards ODS (obstetric danger signs) among pregnant women in Upper Egypt and improve women's knowledge through the implementation of an educational program. Methods: a quasi-experimental study was conducted among 300 pregnant women attending antenatal clinics. Data collection was done using structured questionnaires which were distributed to the participants during face to face interview with the researchers. An educational program was implemented to enhance women's knowledge of ODS. Data analysis was done using the SPSS program, version (24). Results: A total of 300 pregnant women were enrolled in the present study. Socio-demographic factors such as increased age, higher educational level, rural residence, and larger family size were shown to significantly influence knowledge about obstetric danger signs. Furthermore, antenatal and obstetric risk factors such as high parity, more number of antenatal visits, history of abortion or medical disease and previous exposure to ODS were shown to be significantly associated with more knowledge about ODS. Logistic regression analysis revealed that the significant predictors that influence the participants' knowledge were women's education and the number of antenatal visits. Most of the study participants had a positive attitude towards ODS (82.3%). The overall knowledge score was increased significantly after the implementation of the educational program from 9.4±4.97 to 27.93±4.4. Conclusion: The study revealed that most of the study participants had a positive attitude towards ODS. The implementation of an education program had a positive effect on increasing women's knowledge about ODS. Health care providers should educate the women about ODS during their antenatal visits as they are the primary source of women's knowledge.

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“…Studies elsewhere reported increased knowledge with more ANC visits [15] and utilizing ANC services [18]. Health education increases awareness of danger signs [17,24] and is reported to have doubled the odds of knowing about danger signs [9].…”

Section: Factors Associated With Levels Of Knowledgementioning

confidence: 99%

Knowledge and Understanding of Obstetric Danger Signs Among Pregnant Women Attending the Antenatal Clinic at the National Referral Hospital in Thimphu, Bhutan: A Cross-Sectional Study

Tamang

Dorji

Yoezer

et al. 2020

Preprint

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Background: The third Sustainable Development Goal aims to reduce maternal and newborn deaths. Pregnant women’s understanding of danger signs is an important factor in seeking timely care during emergencies. We assessed knowledge of obstetric danger signs using both recall and understanding of appropriate action required during obstetric emergencies.Methods: This was a cross-sectional study among pregnant women attending antenatal clinic at Bhutan’s largest hospital in Thimphu. Recall was assessed against seven obstetric danger signs outlined in the Mother and Child Health Handbook (7 points). Understanding of danger signs was tested using 13 multiple choice questions (13 points). Knowledge was scored out of 20 points and reported as “good” (≥80%), “satisfactory” (60 – 79%) and “poor” (<60%). Association between knowledge score and participant characteristics were tested using Chi-square, Fisher’s Exact and t-tests. Corresponding non-parametric tests were performed where appropriate. Correlation between participant characteristics and knowledge score as well as number of danger signs recalled was tested using Pearson’s correlation coefficient. Results with p<0.05 were considered significant.Results: Four hundred and twenty-two women responded to the survey (response rate = 96.0%). Mean (±SD) knowledge score was 12 (±2.5). Twenty women (4.7%) had “good knowledge”, 245 (58.1%) had “satisfactory knowledge” and 157 (37.2%) had “poor knowledge”. The median number of danger signs recalled was 2 (IQR 1, 3) while 68 (20.3%) women could not recall any danger signs. Women were most knowledgeable about pre-labour rupture of membranes (96.0%) and least knowledgeable about spotting during pregnancy (19.9%). Knowledge level was significantly associated with reading Mother and Child Health Handbook, mother’s education level, husband’s education level, number of antenatal care visits, gestational age and past surgery on reproductive tract. Both knowledge score and number of danger signs recalled significantly correlated with the period of gestation. Conclusions: Most pregnant women had satisfactory knowledge score but recognized the appropriate actions warranted during obstetric emergencies. The MCH Handbook has played a significant role in improving knowledge and understanding of danger signs.

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Knowledge of obstetric danger signs and its associated factors among pregnant women in Angolela Tera District, Northern Ethiopia

Cited by 42 publications

References 19 publications

Maternal Healthcare Services Utilization Trajectories in Four Regions of Ethiopia: A Latent Class Analysis

Maternal Healthcare Services Utilization Trajectories in Four Regions of Ethiopia: A Latent Class Analysis

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

Knowledge and Understanding of Obstetric Danger Signs Among Pregnant Women Attending the Antenatal Clinic at the National Referral Hospital in Thimphu, Bhutan: A Cross-Sectional Study

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