Swain Dharitri, Parida Swayam Pragyan, Jena Saubhagya Kumar, Das Mahasweta, Das Hrushikesh
1College of Nursing, AIIMS Bhubaneswar, Bhubaneswar, Odisha India.
2Department of Community Medicine and Family Medicine, AIIMS Bhubaneswar, Bhubaneswar, Odisha India.
J Obstet Gynaecol India. 2019 Dec;69(6):520-528. doi: 10.1007/s13224-019-01255-x. Epub 2019 Aug 1.
Birth preparedness and complication readiness extends the maternal and neonatal health continuum of care and thus contributes to one of the important tools for pregnant women to experience better pregnancy outcome, strengthening family and community health, creating space for other interventions. The present study aimed to evaluate community-based birth preparedness and complication readiness training on pregnancy outcome.
The study adopted a quasi-experimental time series only one experimental design which was conducted in rural south-eastern India for 1 year among the reproductive age group 15-49 years (≤ 24 weeks pregnancy), and cases were followed up till postnatal period. A standardized birth preparedness assessment index (BPAI) was used to assess preparedness level of respondents. Community-based continuous training (CBCT) was introduced, and its effect was measured on birth preparedness level, involvement of family and their pregnancy outcomes.
CBCT interventional program was effective in promoting positive behaviors on birth preparedness and complication readiness as per BPAI: 13% of women were at level 1, 15% at level 2, 19% at level 3, 49% participants were at 4th level and 5% were at 5th level which represented the best level of preparedness for their present delivery. Pregnant mothers who completed their antenatal visits and were well prepared for delivery were found to be having two times favorable pregnancy outcome than those who had not (OR 2.79).
BPCR intervention strategy can be utilized as a timely and effective community action plan for ensuring a favorable pregnancy outcome.
生育准备和并发症应对能力拓展了孕产妇和新生儿的连续护理范围，因此是帮助孕妇获得更好妊娠结局、加强家庭和社区健康以及为其他干预措施创造空间的重要手段之一。本研究旨在评估基于社区的生育准备和并发症应对能力培训对妊娠结局的影响。
该研究采用了一种准实验性时间序列单组实验设计，在印度东南部农村地区对15至49岁（妊娠≤24周）的育龄妇女进行了为期1年的研究，并对病例进行了产后随访。使用标准化的生育准备评估指数（BPAI）来评估受访者的准备水平。引入了基于社区的持续培训（CBCT），并测量其对生育准备水平、家庭参与度及其妊娠结局的影响。
根据BPAI，CBCT干预项目在促进生育准备和并发症应对能力的积极行为方面是有效的：13%的妇女处于1级，15%处于2级，19%处于3级，49%的参与者处于4级，5%处于5级，这代表了她们当前分娩的最佳准备水平。完成产前检查并为分娩做好充分准备的孕妇的妊娠结局比未做好准备的孕妇好两倍（比值比2.79）。
生育准备和并发症应对能力干预策略可作为一项及时有效的社区行动计划，以确保良好的妊娠结局。
