Gambella Peoples' Regional National State Health Bureau, PO Box 109, Gambella, Ethiopia.
Department of Population and Family Health, Faculty of Health, Jimma University, Jimma, Ethiopia.
BMC Pregnancy Childbirth. 2020 Feb 3;20(1):72. doi: 10.1186/s12884-020-2766-9.
Birth Preparedness and Complication Readiness interventions have a significant role in the reduction of maternal and neonatal mortality risk. Inadequacy of birth and emergency preparedness were depicted as one of the major reasons for high maternal deaths in sub-Saharan Africa. The main objective of this study was to assess birth preparedness, complication readiness and associated factors among pregnant women.
A community based comparative cross-sectional study design was conducted among 411 urban and 209 rural respondents who were selected using multi-stage stratified random sampling technique. Quantitative data were collected by interviewer administered questionnaire while qualitative data were collected from purposely selected 54 members of the community by using guiding checklist and analyzed by thematic areas. Birth preparedness and complication readiness was measured using five birth preparedness and complication readiness items then women who scored at least three were considered as well prepared. Bivariate and multivariable logistic regressions were used to examine the association between independent variables and birth preparedness and complication readiness. The result were presented as Odds Ratio at 95% CI. P < 0.05 ware used to dictate statistical significance.
A total response rate of the study was 97.3%. The prevalence of birth preparedness and complication readiness was significantly higher among urban respondents (P = 25.8%; p < 0.05). Factors such as history of obstetric complication, knowledge of key danger signs, having favourable attitude towards birth preparedness and complication readiness, starting antenatal care visit within 3 months age of pregnancy, completing at least four antenatal care visits, urban residence, having occupation of government employee or merchant and being in the higher wealth quintile were variables positively associated with birth preparedness and complication readiness.
Prevalence of birth preparedness and complication readiness was low in this study, though significantly higher in urban area. Three-fourth of women planned to attend 4+ antenatal care visits indicating opportunity to counsel them on birth preparedness and complication readiness which increases its prevalence. Health workers should counsel every woman on birth preparedness and complication readiness components during her first antenatal care visit and subsequent visits.
生育准备和并发症准备干预措施在降低母婴死亡率风险方面发挥着重要作用。在撒哈拉以南非洲，生育和应急准备不足被认为是导致产妇死亡的主要原因之一。本研究的主要目的是评估孕妇的生育准备情况、并发症准备情况及其相关因素。
采用基于社区的比较性横断面研究设计，对 411 名城市受访者和 209 名农村受访者进行了研究，采用多阶段分层随机抽样技术进行选择。定量数据通过访谈者管理的问卷收集，同时通过使用指导清单从社区中特意选择的 54 名成员收集定性数据，并通过主题领域进行分析。使用五个生育准备和并发症准备项目来衡量生育准备和并发症准备情况，然后将得分至少为三个的妇女视为准备充分。使用双变量和多变量逻辑回归来检查独立变量与生育准备和并发症准备之间的关系。结果以 95%CI 的比值比表示。P<0.05 用于指示统计学意义。
该研究的总响应率为 97.3%。城市受访者的生育准备和并发症准备率明显更高（P=25.8%；p<0.05）。具有产科并发症史、了解关键危险信号、对生育准备和并发症准备持有利态度、在妊娠 3 个月龄内开始产前护理就诊、完成至少四次产前护理就诊、居住在城市、从事政府雇员或商人职业以及处于较高财富五分位数等因素与生育准备和并发症准备呈正相关。
本研究中生育准备和并发症准备的流行率较低，但在城市地区显著较高。四分之三的妇女计划参加 4 次以上的产前护理就诊，这表明有机会就生育准备和并发症准备问题对她们进行咨询，从而提高其流行率。卫生工作者应在妇女第一次产前护理就诊和随后的就诊中，向每位妇女咨询生育准备和并发症准备的组成部分。
