Olowokere Adekemi E, Oyedele Adeola T, Komolafe Abiola O, Olajubu Aanuoluwapo O
Department of Nursing Science, College of Health Sciences, Obafemi Awolowo University, Ile-Ife, Nigeria.
Ogun State School of Nursing and Midwifery, Idi-aba, Nigeria.
Eur J Midwifery. 2020 May 28;4:22. doi: 10.18332/ejm/120116. eCollection 2020.
Birth preparedness and complication readiness (BPCR) is an approach initiated to facilitate utilization of skill birth attendants (SBAs) for improved pregnancy outcomes. Despite its usefulness, many women still did not use skilled birth attendants. The purpose of this study is to assess the level of birth preparedness and complication readiness and its association with skilled birth attendants' utilization.
A descriptive sequential mixed methods design was used. In all, 350 women in their third trimester were purposively selected from healthcare facilities. Of these, 340 completed the study yielding a 97% response rate. Structured interviewer-administered questionnaire, a checklist and an in-depth interview guide were used to collect data. Data analysis was done in Statistical Package for Social Sciences version 20 using descriptive and inferential statistics at 0.05 level of significance while qualitative data were analyzed through content analysis.
There was a significant association between level of birth preparedness and complication readiness and use of skilled birth attendants [χ(2, 340)=19.96; p=0.0001]. Some negative delivery outcomes (complications) were significantly associated with nonutilization of skill birth attendants. Cost, family members' preference, distance, industrial action and irritation from the vaginal examination were factors that prevented women from using a skilled birth attendant.
The study concluded that BPCR is significantly associated with the use of SBAs and better outcomes were observed in women that used SBAs in Nigeria.
生育准备和并发症应对（BPCR）是一种旨在促进熟练接生员（SBA）的使用以改善妊娠结局的方法。尽管其有用性，但许多妇女仍未使用熟练接生员。本研究的目的是评估生育准备和并发症应对的水平及其与熟练接生员使用的关联。
采用描述性序贯混合方法设计。总共从医疗机构中 purposively 选取了350名孕晚期妇女。其中，340名完成了研究，回复率为97%。使用结构化访谈问卷、清单和深入访谈指南收集数据。在社会科学统计软件包第20版中进行数据分析，使用描述性和推断性统计，显著性水平为0.05，而定性数据则通过内容分析进行分析。
生育准备和并发症应对水平与熟练接生员的使用之间存在显著关联[χ(2, 340)=19.96；p=0.0001]。一些不良分娩结局（并发症）与未使用熟练接生员显著相关。费用、家庭成员的偏好、距离、罢工以及阴道检查带来的不适是阻碍妇女使用熟练接生员的因素。
该研究得出结论，在尼日利亚，BPCR与熟练接生员的使用显著相关，并且使用熟练接生员的妇女观察到了更好的结局。
