Shukla Mukesh, Khan Nahid Zia, Agarwal Anjana, Dwivedi Akhilesh Dutta, Singh Jai Vir, Alam Shahnoor
Department of Community Medicine, Hind Institute of Medical Sciences, Barabanki, Uttar Pradesh, India.
Department of Obstetrics and Gynaecology, Hind Institute of Medical Sciences, Barabanki, Uttar Pradesh, India.
J Educ Health Promot. 2019 Jun 27;8:113. doi: 10.4103/jehp.jehp_451_18. eCollection 2019.
Measures related to birth preparedness and complication readiness (BPCR) during pregnancy play an important role in producing better pregnancy outcome. If the pregnant females are properly counseled during antenatal visits, it could help in bringing out desirable behavior changes.
This study aims to study BPCR-related awareness and practices among the pregnant females and the effect of focused and structured birth preparedness counseling on complication readiness among pregnant females.
A facility-based follow-up study was conducted from July to December 2016, and a total of 130 pregnant females were enrolled. All study participants were initially assessed for various domains of BPCR index consisting of seven key indicators. The index reassessment was done again, after 1 month, during follow-up visit. Information regarding any pregnancy-related complication in due course and behavior was also recorded during successive follow-up.
The difference in pre- and postcounseling mean BPCR index was assessed using paired -test, and McNemar's test was used for paired categorical data analysis. < 0.05 was considered to be statistically significant.
The postcounseling BPCR index (70.65 ± 19.18) was found to be significantly much higher as compared to pre-counseling baseline BPCR index (41.12 ± 11.34). Knowledge about danger signs of pregnancy, transportation services provided by government, financial assistance provided in Government schemes, identification of skilled birth attendant, mode of transportation, and arrangement of emergency blood donor was found to increase significantly after counseling. Abortion was found to occur significantly higher (about thrice) among those who had postcounseling BPCR index below average, i.e., <50% ( < 0.05).
The results of the present study revealed that focused birth preparedness counseling on complication readiness could play an important role in increasing the baseline knowledge of pregnant females regarding pregnancy-related complications and bring out desirable ideal health-seeking behavior changes during pregnancy.
孕期与生育准备及并发症应对准备（BPCR）相关的措施在产生更好的妊娠结局方面发挥着重要作用。如果在产前检查时对孕妇进行适当的咨询，有助于促使她们出现期望的行为改变。
本研究旨在探讨孕妇中与BPCR相关的认知和做法，以及针对性和结构化的生育准备咨询对孕妇并发症应对准备的影响。
2016年7月至12月进行了一项基于机构的随访研究，共纳入130名孕妇。所有研究参与者最初都针对由七个关键指标组成的BPCR指数的各个领域进行了评估。在随访1个月后的随访就诊时再次进行指数重新评估。在连续随访期间还记录了有关任何孕期相关并发症及行为的信息。
使用配对t检验评估咨询前后BPCR指数均值的差异，使用McNemar检验进行配对分类数据分析。P<0.05被认为具有统计学意义。
发现咨询后的BPCR指数（70.65±19.18）显著高于咨询前的基线BPCR指数（41.12±11.34）。咨询后，关于妊娠危险信号、政府提供的交通服务、政府计划提供的经济援助、熟练接生员的识别、交通方式以及应急献血者的安排等方面的知识显著增加。咨询后BPCR指数低于平均水平（即<50%）的人群中流产发生率显著更高（约为三倍）（P<0.05）。
本研究结果表明，针对并发症应对准备进行有针对性的生育准备咨询在增加孕妇对孕期相关并发症的基线知识以及促使孕期出现期望的理想健康寻求行为改变方面可发挥重要作用。
