Utilization of individual birth plan during pregnancy and its determinants in Makueni County, Kenya

Abstract

INTRODUCTIONDespite a global decrease of maternal mortality by 44% in the past two decades, 99% of the global 830 women that die daily from preventable causes related to pregnancy and childbirth still occur in poor and rural communities in developing countries.1 Fortunately, the risk of death from a birth complication can be detected early and averted if a woman attends the minimum four quality antenatal clinic (ANC) visits often referred to as focused antenatal care (FANC). Methods:Descriptive cross-sectional design was used to study 326 postnatal mothers in three primary health facilities. Systematic sampling technique was used. We collected data using a researcher-administered structured questionnaire and focused group discussion. Quantitative data analysis was conducted using statistical package for Social Sciences (SPSS) version 20.0 and involved univariate and bivariate analysis. Chi-square were used to test the significance of the association between the dependent and independent variables (p<0.05). Qualitative data was analyzed by thematic content analysis. Results: IBP utilization was low 48.2% (95% CI (42.7%-58.6%) despite high ANC attendance. Identifying a blood donor was the least utilized component (25%

Birth Preparedness and Complication Readiness Among Women of Reproductive Age in Kenya and Tanzania: A Community-Based Cross-Sectional Survey

“…Women who attended four or more ANC visits had increased odds of being prepared for birth and its complication. This was in line with studies in Chamwimo district of Tanzania [45], Duguna Fango district of Ethiopia [20] and Makueni County, Kenya [42] where attending ANC at least four times was signi cantly associated with the BPCR. During ANC, women are counselled on the danger signs during pregnancy, childbirth and labour and postnatal period and helped to plan their birth.…”

“…Educated women tend to understand the bene ts of early birth preparation, usually have autonomy in decision-making on their health and health of their child and have the capacity to adhere to counselling sessions offered during the ANC visits. Similar ndings were observed in studies conducted in Mpwapwa and Chamwimo districts of Tanzania [23,45], Kenya [42] and Rwanda [27].…”

“…2.2% [7] to 25% [42], 8.2% in Ethiopia [1], 15% in Uganda [40], 17.5% in Tanzania [43] and 60.8% in South…”

Birth preparedness and complication readiness among women of reproductive age in Kenya and Tanzania: a community-based cross-sectional survey

“…Educated women tend to understand the bene ts of early birth preparation, usually have autonomy in decision-making on their health and health of their child and can adhere to counselling sessions offered during the ANC visits. Similar ndings were observed in studies conducted in Mpwapwa and Chamwimo districts of Tanzania [23,46], Kenya [42] and Rwanda [27].…”

Hubungan frekuensi antenatal care dengan program persiapan persalinan dan pencegahan komplikasi

“…Berdasarkan hasil uji statistik Chi Square menunjukkan terdapat hubungan antara frekuensi antenatal care dengan persiapan persalinan (p=0,000) dan didapatkan hasi OR sebesar 8,40 menunjukkan bahwa ibu hamil yang melakukan kunjungan antenatal tidak teratur akan berisiko tidak mempersiapkan P4K sebesar 8,40 kali lebih tinggi dari ibu yang melakukan kunjungan antenatal secara teratur. Hal ini serupa dengan temuan penelitian oleh Ndeto, et al, (2017) Keteraturan ibu dalam kunjungan antenatal care (ANC) dapat diartikan bahwa kepatuhan ibu hamil untuk melakukan kunjungan kehamilan ke pelayanan kesehatan untuk mendapatkan asuhan kehamilan oleh petugas kesehatan yang sesuai standar pelayanan antenatal dengan frekuensi sedikitnya empat kali selama kehamilan yang terdistribusi dalam tiga semester (Kemenkes, 2014). Kunjungan antenatall care sangat penting dilakukan pada ibu hamil secara rutin agar kondisi kesehatan ibu dan janin dapat dipantau sehingga dapat mencegah adanya penyulit pada kehamilan, hingga melahirkan dan nifas (Mintarsih, 2011).…”