Department of Respiratory and Critical Care Technology, Dow Institute of Medical Technology, Karachi, Pakistan.
Faculty of Life Sciences, Shaheed Zulfikar Ali Bhutto Institute of Science and Technology, Dubai, United Arab Emirates.
PLoS One. 2022 Sep 29;17(9):e0275243. doi: 10.1371/journal.pone.0275243. eCollection 2022.
Birth preparedness and complication readiness (BPCR) is a broad system to increase the practice of trained health provision at the time of childbirth and the key interventions to decrease mothers' and newborns' death. However, its status and influencing factors have not been well studied at different levels in the study area. The current study aimed to assess the BPCR status and explore its associated factors influencing BPCR among childbearing age women in Thatta, District of Sindh.
This community-based cross-sectional study was conducted among 770 recently delivered mothers from October 2016 -September 2017, recruited using a multistage cluster sampling technique. A structured validated close-ended questionnaire measuring BPCR knowledge and practices was used for the interviews. The results were analyzed by means of the Chi-square test, and a binary logistic regression model was used to determine the factors influencing BPCR.
The overall response rate was 94.6%, with a low BPCR status. Out of 770 participants, only 163 (21.2%) were well prepared, while 607 (78.8%) were not prepared for safe childbirth and its complications. A small proportion of women knew about the serious warning signs of pregnancy, labour, childbirth and the postpartum period (16.2%), (15.3%) and (22.7%) respectively. Antenatal care (ANC) checkup (P < 0.001), cost of ANC checkup (p = 0.016), place of birth (p = 0.014), awareness of serious warning signs during pregnancy (p = 0.001) and awareness of serious warning signs during the postpartum period (p < 0.001) were found to be significant predictors of BPCR.
The proportion of women who were well prepared for birth and its complications was low. It is recommended to organize community-based education campaigns and improve the quality of MNCH services at every level to increase BPCR among women in Sindh.
生育准备和并发症准备（BPCR）是一个广泛的系统，旨在提高分娩时训练有素的卫生服务的实践，并采取关键干预措施来降低母婴的死亡。然而，在研究区域的不同层次上，其状况及其影响因素尚未得到很好的研究。本研究旨在评估生育准备和并发症准备状况，并探讨影响信德省萨塔地区育龄妇女生育准备和并发症准备的相关因素。
本项基于社区的横断面研究于 2016 年 10 月至 2017 年 9 月期间进行，采用多阶段聚类抽样技术从 770 名最近分娩的母亲中招募参与者。使用结构化的、经过验证的封闭式调查问卷来衡量生育准备和并发症准备的知识和实践情况。使用卡方检验对结果进行分析，并使用二元逻辑回归模型来确定影响生育准备和并发症准备的因素。
总体应答率为 94.6%，生育准备状况较差。在 770 名参与者中，只有 163 名（21.2%）为安全分娩和并发症做好了充分准备，而 607 名（78.8%）则没有做好准备。一小部分妇女了解妊娠、分娩和产后期间的严重警告信号（分别为 16.2%、15.3%和 22.7%）。产前护理（ANC）检查（P<0.001）、ANC 检查费用（p=0.016）、分娩地点（p=0.014）、对妊娠期间严重警告信号的认识（p=0.001）和对产后期间严重警告信号的认识（p<0.001）是生育准备的重要预测因素。
准备充分应对分娩和并发症的妇女比例较低。建议组织基于社区的教育运动，并在各级提高母婴健康服务的质量，以提高信德省妇女的生育准备和并发症准备状况。
