Pregnant woman awareness of obstetric danger signs in developing country: systematic review

Abstract

Background Mother's awareness of obstetric danger signs is the degree of a pregnant woman to fully utilize her knowledge of the signs and symptoms of complications of pregnancy, which helps the mother and family to seek medical help immediately. High maternal and infant mortality rates in developing countries are due to a combination of a lack of quality, resources and access to health services coupled with mother’s lack of awareness. The purpose of this study was to collect current empirical studies to describe the pregnant women awareness about the obstetric danger sign in developing country. Method This review employed the Prisma-ScR checklist. The articles searched in four electronic databases (Scopus, CINAHL, Science Direct, Google Scholar). Variables that used to search the articles (pregnant woman, knowledge, awareness, danger signs pregnancy). The Framework used to review is PICOS. Result The results of the article found 20 studies which met inclusion criteria. The determinants were high educational status, more pregnancy experience, more ANC visit, and labour in the health facility. Conclusion The level of awareness is low to medium, only some have fair awareness, in which related to determinant. The recommended effective strategy is to improve the ANC program by assess the risk of obstetric danger sign promptly, assess the barrier of health seeking related to the family support, i.e. the husband and the elderly. Additionally, use MCH handbook or mobile application to record the ANC visit and communicate with the family.

Empowering patients across the maternal-newborn care continuum: A cluster randomized controlled trial testing a digital health platform in Kenya

“…18 For example, many patients are not offered a host of essential care components, with systematic patient assessments revealing that – across poverty levels – fewer than 60% of individuals were comprehensively examined or counseled on critical topics like pregnancy complications and birth preparation. 15,18 Thus, many pregnant and postpartum women remain ill-informed about key aspects of their health and are not empowered to seek recommended care – for both routine and acute cases – at the right place and time.10 ,19,20,21 When patients are underequipped with such knowledge, it can result in delays in the decision to seek care. These delayed care decisions are often referred to as the “first delay” in the Three Delays Model of MNH care and are associated with increased maternal and neonatal morbidity and mortality.…”

Effect of Community-Based Health Education Led by Women’s Groups on Mothers’ Knowledge of Obstetric Danger Signs and Birth Preparedness and Complication Readiness Practices in Southern Ethiopia: A Cluster Randomized Controlled Trial<strong> </strong>

“…These include delays in identifying life-threatening ODS and deciding to seek health care, delaying arrival at the health facility, and delaying receiving timely, sufficient, and effective care at the health facility [11]. Due to poor knowledge of ODS, women postpone seeking obstetric treatment, contributing to high maternal morbidity and mortality in developing countries [12,13]. Studies from Ethiopia also reported that women had poor knowledge of ODS, contributing to high maternal mortality in the country and very high mortality in rural settings [14][15][16].…”

Android-based "MamaKIA" Educational Media Development Application for Pregnancy Midwifery Care

“…Every woman needs to be aware of the danger signs during pregnancy due to unpredictable complications. The dangerous signs during pregnancy include bleeding, blurred vision, seizures, dizziness, swollen feet and hands, and fever 9,10,11 .…”