Onoh R C, Egede J O, Lawani L O, Ekwedigwe K C, Aja L O, Anozie B O
Department of Obstetrics and Gynaecology, Federal Teaching Hospital Abakaliki, Ebonyi State, Nigeria.
National Obstetrics Fistula Centre, Abakaliki, Ebonyi State, Nigeria.
Niger J Clin Pract. 2020 Mar;23(3):362-370. doi: 10.4103/njcp.njcp_670_18.
Birth preparedness and complication readiness (BPCR) reduces delays in obstetric care, improves health-seeking behavior during an obstetric emergency, and improves knowledge on danger signs of pregnancy.
To assess the knowledge, perception, and practice of women on BPCR.
This was a cross-sectional study conducted at Federal Teaching Hospital in Ebonyi state, Nigeria at the postnatal ward from June to December 2016. Women who delivered were recruited consecutively on discharge from the postnatal ward. Their knowledge, perception, and practice of BPCR in the last pregnancy were sought. Information obtained were analyzed using 2008 Epi-info™ software version 3.5.1 (Atlanta Georgia USA).
A total of 438 of 445 questionnaires were correctly filled and analyzed giving a response rate of 98.4%. Most of the women knew about birth preparedness 384 (87.7%) and complication readiness 348 (79.5%). A significant number of women did not access antenatal care within the first trimester 236 (53.9%), did not know that family planning is important in BPCR 216 (49.3%), and did not identify means of transport in the event of emergency 354 (80.8%). No provision of blood during antenatal care for the blood banking system was a common finding 258 (58.9%). In multivariate logistic regression analysis, choosing a health care provider was a common finding among literate mothers (OR = 2.8,95% CI = 1.02,7.72), woman within 25-29 years (OR = 1.09, 95%CI = 1.02,1.16), and multiparas (OR = 0.82, 95% CI = 0.67,0.99).
There is increased knowledge and awareness of BPCR but the comprehensive components and practices of BPCR are still not optimal in our setting.
分娩准备与并发症应对（BPCR）可减少产科护理中的延误，改善产科紧急情况期间的就医行为，并提高对妊娠危险信号的认识。
评估女性对BPCR的知识、认知和实践情况。
这是一项横断面研究，于2016年6月至12月在尼日利亚埃邦伊州联邦教学医院的产后病房进行。产后病房出院的产妇被连续招募。了解她们在上次妊娠中对BPCR的知识、认知和实践情况。使用2008版Epi-info™软件3.5.1（美国佐治亚州亚特兰大）对获得的信息进行分析。
445份问卷中共有438份填写正确并进行了分析，回复率为98.4%。大多数女性了解分娩准备384人（87.7%）和并发症应对348人（79.5%）。相当数量的女性在孕早期未接受产前护理236人（53.9%），不知道计划生育在BPCR中很重要216人（49.3%），并且在紧急情况下未确定交通方式354人（80.8%）。产前护理期间血库系统未提供血液是常见情况258人（58.9%）。在多因素逻辑回归分析中，选择医疗服务提供者在识字母亲中很常见（OR = 2.8，95%CI = 1.02，7.72），25 - 29岁的女性（OR = 1.09，95%CI = 1.02，1.16），以及经产妇（OR = 0.82，95%CI = 0.67，0.99）。
对BPCR的知识和认识有所提高，但在我们的环境中，BPCR的综合组成部分和实践仍不理想。
