Providing information on pregnancy complications during antenatal visits: unmet educational needs in sub-Saharan Africa

Nikiéma, Béatrice; Beninguissé, Gervais; Haggerty, Jeannie

doi:10.1093/heapol/czp017

Cited by 89 publications

(85 citation statements)

References 21 publications

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“…Knowledge of maternal and newborn danger signs is reported to promote active preparation for the delivery of the baby and quicken the decision-making process with regard to accessing appropriate care [11–13]. Hence, birth preparedness interventions help to address key bottlenecks to delays in deciding to seek care and reaching the place of care [6–9].…”

Section: Introductionmentioning

confidence: 99%

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Effect of a participatory multisectoral maternal and newborn intervention on birth preparedness and knowledge of maternal and newborn danger signs among women in Eastern Uganda: a quasi-experiment study

Kananura

Tetui

Bua

et al. 2017

Global Health Action

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Background: Knowledge of obstetric danger signs and adequate birth preparedness (BP) are critical for improving maternal services utilization. Objectives: This study assessed the effect of a participatory multi-sectoral maternal and newborn intervention on BP and knowledge of obstetric danger signs among women in Eastern Uganda. Methods: The Maternal and Neonatal Implementation for Equitable Systems (MANIFEST) study was implemented in three districts from 2013 to 2015 using a quasi-experimental pre–post comparison design. Data were collected from women who delivered in the last 12 months. Difference-in-differences (DiD) and generalized linear modelling analysis were used to assess the effect of the intervention on BP practices and knowledge of obstetric danger signs. Results: The overall BP practices increased after the intervention (DiD = 5, p < 0.05). The increase was significant in both intervention and comparison areas (7–39% vs. 7–36%, respectively), with a slightly higher increase in the intervention area. Individual savings, group savings, and identification of a transporter increased in both intervention and comparison area (7–69% vs. 10–64%, 0–11% vs. 0–5%, and 9–14% vs. 9–13%, respectively). The intervention significantly increased the knowledge of at least three obstetric danger signs (DiD = 31%) and knowledge of at least two newborn danger signs (DiD = 21%). Having knowledge of at least three BP components and attending community dialogue meetings increased the odds of BP practices and obstetric danger signs’ knowledge, respectively. Village health teams’ home visits, intervention area residence, and being in the 25+ age group increased the odds of both BP practices and obstetric danger signs’ knowledge. Conclusions: The intervention resulted in a modest increase in BP practices and knowledge of obstetric danger signs. Multiple strategies targeting women, in particular the adolescent group, are needed to promote behavior change for improved BP and knowledge of obstetric danger signs.

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Section: Introductionmentioning

confidence: 99%

“…Hence, birth preparedness interventions help to address key bottlenecks to delays in deciding to seek care and reaching the place of care [6–9]. Comprehensive birth preparedness therefore enhances the ability of women, their partners, and families to engage in safe motherhood initiatives [10,12,13]. …”

Section: Introductionmentioning

confidence: 99%

Effect of a participatory multisectoral maternal and newborn intervention on birth preparedness and knowledge of maternal and newborn danger signs among women in Eastern Uganda: a quasi-experiment study

Kananura

Tetui

Bua

et al. 2017

Global Health Action

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“…This study revealed that 51(8.1%) who experienced obstetric danger signs 44(7.0%) had Good practice seek medical care when they faced problem. A study done in Indonesia, revealed that among the pregnant women who attended ANC, 36.6% of the respondents gave correct answers to a question on common practice such as, it is necessary to go to the hospital when severe headache or vision problems happen in pregnancy [11][12][13][14]. The difference might be due to small sample size.…”

Section: Discussionmentioning

confidence: 99%

Knowledge, Attitude and Practice of Obstetric Danger Signs during Pregnancy in Debre Berhan, Ethiopia

Nurgi¹,

Tachbele²,

Dibekulu³

et al. 2017

Health Sci J

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“…It comprised of five sections: Section A -Demographic Data Inventory; Section B: Sources of Information on Antenatal Care -13 items; Section C: Information Seeking Needs -12 items; Section D: Perceived Problems Inhibiting Information Seeking Needs -10 items; Section E: Information Seeking Types -10 items. The levels of information-need and information-seeking were categorized as high (35-50), moderate/average (18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32)(33)(34) and Low (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17). Maximum attainable score was 50.…”

Section: Instrument For Data Collectionmentioning

confidence: 99%

Pregnancy-Related Information Need and Information-Seeking Pattern Among Pregnant Women Attending Antenatal Clinic at Ikorodu General Hospital, Lagos State, Nigeria

Ojewole

Oludipe

2017

ESJ

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Background: Pregnant women attending antenatal care have a need for quality pregnancy-related information. Purpose: To describe the pregnancy-related information seeking patterns among pregnant women attending antenatal clinic in Ikorodu. Methods and Design: The study was carried out using a descriptive correlational design. A purposive sample of 228pregnant women were recruited from an antenatal clinic in Lagos State to complete pregnancy-related information seeking pattern questionnaire (PRISPQ)." Descriptive analysis and inferential statistics (logic regression) was used to analyse the information generated. Result: Over 50% respondents are in third trimester, age range 26-35years. Majority of the pregnant women in the study area had moderate level of pregnancy information needs (58.3%, mean = 28.007) and information-seeking (52.2%, mean = 26.119). Long wait to see the healthcare personnel (64.5%) and having knowledge of pregnancy (60.5%) are perceived barriers to seeking pregnancy-related information. The most potent predictor of information seeking pattern among the predictor variables of the study is religion (β = .372; t = 8.419; p < .05), followed by age (β= .300; t = 6.335; p <.05), and lastly by marital status (β= .261; t = 4.456; p <.05). Conclusion: Pregnancy outcomes could be improved if pregnant women are provided with pregnancy-related information necessary to empower them to overcome pregnancy challenges. Thus, nurses and midwives should offer quality information that could assist the pregnant women to make rightful healthcare decision during antenatal.European Scientific Journal August 2017 edition Vol.13, No.24 ISSN: 1857 -7881 (Print) e -ISSN 1857 437 Keywords: Pregnancy-related information, seeking pattern, pregnant women, and antenatal clinic. IntroductionComplications from pregnancy is a number one cause of death among women of reproductive age. About 287,000 women dieof pregnancy-related complications each year (World Health Organization, 2015). In Nigeria, 36,000 women experience childbirth related death per year, accounting for about 13 percent of the global maternal death rates (Demographic Health Survey, 2015). As a result, several pregnant women are experiencing pregnancy related fears, concern, and uncertainty. Thus, they settle for the need to acquire more information about the pregnancy. Pregnancy period is a period that women experience physiological changes and eventually role change (Das2013). Therefore, women are prone to seek out information necessary to meet the demand posed during pregnancy. This information is delivered during the antenatal visits. Complications are detected during the antenatal care and professionals deliver this care using the World Health Organization antenatal guidelines. During the visit, there is exchange of information between the nurses/midwives and the pregnant mothers. In Nigeria, healthcare professionals have a legal responsibility to focus on the health and well-being of pregnant women. Accurate and timely information exchange must take...

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Providing information on pregnancy complications during antenatal visits: unmet educational needs in sub-Saharan Africa

Cited by 89 publications

References 21 publications

Effect of a participatory multisectoral maternal and newborn intervention on birth preparedness and knowledge of maternal and newborn danger signs among women in Eastern Uganda: a quasi-experiment study

Effect of a participatory multisectoral maternal and newborn intervention on birth preparedness and knowledge of maternal and newborn danger signs among women in Eastern Uganda: a quasi-experiment study

Knowledge, Attitude and Practice of Obstetric Danger Signs during Pregnancy in Debre Berhan, Ethiopia

Pregnancy-Related Information Need and Information-Seeking Pattern Among Pregnant Women Attending Antenatal Clinic at Ikorodu General Hospital, Lagos State, Nigeria

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