Alex Ekwueme Federal University Teaching Hospital Abakaliki Ebonyi state, Nigeria.
Department of Obstetrics and Gynaecology, Federal Medical Centre, Owerri, Imo State, Nigeria.
Biomed Res Int. 2020 Jul 25;2020:9097415. doi: 10.1155/2020/9097415. eCollection 2020.
Birth preparedness and complication readiness (BP/CR) concept is based on the premise that preparing for birth and being ready for complications reduce all three phases of delay to a bad obstetric outcome.
To determine the knowledge of BP/CR with its determinants and BP/CR index among pregnant women in Abakaliki, southeast Nigeria.
A cross-sectional survey was done between 1 March 2019 and 31 July 2019 among 450 randomly selected antenatal attendees at Mile Four Hospital, Abakaliki, Nigeria. The data were obtained using a pretested interviewer-administered structured questionnaire adapted from the maternal and neonatal health program handbook of the Johns Hopkins Program for International Education in Gynaecology and Obstetrics (JHPIEGO). The data obtained were analyzed using percentages, chi-square, and odds ratios. The level of significance is at value < 0.05.
The birth preparedness and complication readiness index was 41.9%. Only 44.9% and 36.9% of the study population had adequate knowledge of birth preparedness (BP) and complication readiness (CR), respectively. Upper social class, lower educational level, urban residence, and less than 30 years of age were associated with increased odds of respondents having adequate knowledge of BP and CR ( > 0.05). However, only booking in the 1 or 2 trimester was a significant determinant of the respondent's adequate knowledge of BP (AOR = 0.63, 95% CI 0.40-0.98) and CR (AOR = 0.62, 95% CI 0.39-0.97). Identification of transport and saving of money was the commonest birth plan while the commonest danger sign known to the participants was bleeding.
This study revealed that knowledge of BP/CR is suboptimal. The determinant of this knowledge is antenatal booking. It is recommended that women should have adequate antenatal care education to improve their knowledge of BP/CR. This will help to increase the low BP/CR index seen in our study.
生育准备和并发症准备（BP/CR）概念基于这样一个前提，即准备分娩和应对并发症可以减少导致不良产科结局的三个延迟阶段。
在尼日利亚东南部阿巴卡利基的孕妇中，确定 BP/CR 的知识及其决定因素和 BP/CR 指数。
2019 年 3 月 1 日至 7 月 31 日期间，在尼日利亚 Mile Four 医院进行了一项横断面调查，共纳入 450 名随机选择的产前就诊者。数据是使用从约翰霍普金斯国际妇产科教育项目（JHPIEGO）孕产妇和新生儿保健计划手册改编的经过预测试的访谈者管理的结构化问卷获得的。使用百分比、卡方检验和优势比进行数据分析。显著性水平为 值<0.05。
生育准备和并发症准备指数为 41.9%。只有 44.9%和 36.9%的研究人群对生育准备（BP）和并发症准备（CR）有足够的了解。社会上层、教育程度较低、城市居住和年龄小于 30 岁与受访者对 BP 和 CR 的了解增加有关（>0.05）。然而，只有在第 1 或第 2 孕期预约是受访者对 BP 有足够了解的重要决定因素（AOR=0.63，95%CI 0.40-0.98）和 CR（AOR=0.62，95%CI 0.39-0.97）。确定交通和储蓄金钱是最常见的分娩计划，而参与者最了解的危险信号是出血。
本研究表明，BP/CR 的知识不足。该知识的决定因素是产前预约。建议对妇女进行充分的产前保健教育，以提高她们对 BP/CR 的认识。这将有助于提高我们研究中所见的 BP/CR 低指数。
