Women's knowledge of maternal danger signs during pregnancy: Findings from a cross-sectional survey in Papua New Guinea

Vallely, Lisa M; Emori, Rebecca; Gouda, Hebe; Phuanukoonnon, Suparat; Homer, Caroline; Vallely, Andrew

doi:10.1016/j.midw.2019.02.001

Cited by 19 publications

(35 citation statements)

References 29 publications

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“…And, when one evaluated the right of universality in the access of women during pregnancy and the puerperium it was found that the federal policy on maternal and child health has weaknesses in access to care for women in prenatal care, childbirth and the puerperium, therefore a study recommended that managers prioritize actions to improve this policy to guarantee access to health of the binomial (20) . Similar results were found in researches that showed that women who received information on pregnancy and childbirth were significantly more likely to know any danger signs, compared to women who did not receive information (21) ; and identified a low level of women's knowledge about obstetric danger signs during pregnancy, childbirth and postpartum, finding that women who were unaware were more susceptible to delay in deciding to seek care. This can be explained due to the failure in communication between the healthcare team and the patient (22) .…”

Section: A Survey That Evaluated 3 Delays Model In Asupporting

confidence: 80%

Access to care during labor and delivery and safety to maternal health

Franchi

Pelloso

Ferrari

et al. 2020

Rev. Latino-Am. Enfermagem

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Objective: to analyze the time of access to care during labor and delivery and the safety of maternal health. Method: cross-sectional analytical study, carried out in five maternity hospitals, four of which are of habitual and intermediate risk and one of high risk. For data collection, data from the maternal medical record and interviews with the puerperal woman were used. In the data analysis, the Chi-square test (p≤0.05) was performed to search for possible associations between the independent variables - model three delays and dependents [Adverse maternal outcomes], [Knowledge about labor/delivery] and [Service satisfaction]. Results: statistical significance was observed between the adverse maternal outcome and the delay in looking for a health service (p = 0.005) and the delay in transport to the maternity hospital (p = 0.050), while the outcome knowledge about labor/delivery showed statistical association with delay in looking for a health service (p = 0.048). There was no statistically significant difference between the three delays model and satisfaction with the care. Conclusion: the women’s knowledge about labor and delivery and the time of access to obstetric care negatively interferes with the maternal outcome at delivery, which directly impacts maternal health safety.

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Section: A Survey That Evaluated 3 Delays Model In Asupporting

confidence: 80%

Access to care during labor and delivery and safety to maternal health

Franchi

Pelloso

Ferrari

et al. 2020

Rev. Latino-Am. Enfermagem

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“…Studies in the past have equated women's knowledge on obstetric dangers signs with their ability to spontaneously recall varying number of danger signs [8][9][10][15][16][17][18]. These studies surveyed women in the community [8,9,16,18,19] at different times after their last pregnancy [8][9][10] and assessed danger signs by classifying them as related to antepartum-, intrapartum-and postpartum-period [9,15,16,19]. Though we cannot make direct comparisons of knowledge levels, the median number of danger signs recalled in our study is comparable to that reported elsewhere [8].…”

Section: Knowledge Of Obstetric Danger Signsmentioning

confidence: 99%

“…A pregnant woman's understanding of danger signs during pregnancy is vital to seeking timely care during obstetric emergencies and reducing the rst delay [2]. Other studies have assessed knowledge levels by women's ability to recall danger signs [7][8][9][10]. Although recall indicates that a woman has heard of danger signs, what action she would take if faced with emergency situations depends on her understanding of the danger signs.…”

Section: Introductionmentioning

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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“…Studies in the past have equated women's knowledge on obstetric dangers signs with their ability to spontaneously recall varying number of danger signs [13][14][15][19][20][21][22]. These studies surveyed women in the community [13,14,20,22,23] at different times after their last pregnancy [13][14][15] and assessed danger signs by classifying them as related to antepartum-, intrapartum-and postpartum-period [14,19,20,23]. Though we cannot directly compare the levels of knowledge, the median number of danger signs recalled in our study is comparable to that reported elsewhere [13].…”

Section: Discussionmentioning

confidence: 99%

“…In order to reduce the consequences of rst delay in seeking care during obstetric emergencies, a pregnant woman's knowledge and understanding of danger signs during pregnancy is vital in seeking timely care [2]. Studies in other settings have assessed knowledge by women's ability to recall danger signs [12][13][14][15]. Although recall indicates that a woman has heard of danger signs, what action she would take if faced with emergency situations depends on her understanding of the danger signs.…”

Section: Introductionmentioning

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. 2021

Preprint

View full text Add to dashboard Cite

Background: The third Sustainable Development Goal for 2030 development agenda 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%). Correlation between participant characteristics and knowledge score as well as number of danger signs recalled was tested using Pearson’s correlation coefficient. Association between knowledge score and participant characteristics were tested using t-tests (and Kruskal-Wallis test) for numeric variables. Socio-demographic and clinical characteristics associated with the level of knowledge (“good” versus “satisfactory and poor” combined) were assessed with odds ratios (OR) using a log-binomial regression model. All 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. Most women were knowledgeable about pre-labour rupture of membranes (96.0%) while very few women were knowledgeable about spotting during pregnancy (19.9%). Both knowledge score and number of danger signs recalled had significant correlation with the period of gestation. Women with previous surgery on the reproductive tract had higher odds of having good level of knowledge. Conclusions: Most pregnant women had satisfactory knowledge score with poor explicit recall of danger signs. However, women recognized obstetric emergencies and identified the appropriate action warranted.

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Women's knowledge of maternal danger signs during pregnancy: Findings from a cross-sectional survey in Papua New Guinea

Abstract: Objective: to explore knowledge of pregnancy related danger signs among women attending antenatal clinics in Papua New Guinea. Design: cross-sectional survey undertaken as part of a wider integrated health and demographic survey.

Cited by 19 publications

References 29 publications

Access to care during labor and delivery and safety to maternal health

Access to care during labor and delivery and safety to maternal health

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

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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