Faculty of Clinical Sciences, Department of Nursing, College of Medicine, University of Ibadan, Ibadan, Nigeria.
PLoS One. 2023 Jul 31;18(7):e0289414. doi: 10.1371/journal.pone.0289414. eCollection 2023.
High maternal mortality has been associated with inadequate Birth preparedness and Complication Readiness (BPCR) and non-institutional delivery in developing countries. Therefore, there is a need for proven interventions that will improve BPCR and institutional delivery to reduce maternal mortality. Therefore, this study evaluated the effects of Goal-Oriented Prenatal Education (GOPE) on pregnant women's BPCR and institutional delivery.
The study adopted a quasi-experimental two-group pre and post-test design. Two Local Government Areas (LGAs) were randomly selected from the six semi-urban LGAs in Ibadan. These LGAs were randomized into an intervention and control group. Two Primary Healthcare Centres (PHCs) were randomly selected from each LGA, and 400 pregnant women who registered for antenatal care in the selected PHCs, and met the inclusion criteria were purposively selected to participate in the study. A validated questionnaire and checklist were adapted for data collection at baseline and post-intervention. The pregnant women in the intervention group received GOPE focusing on knowledge and attitude to BPCR. Participants' place of birth was documented at delivery. Data were analyzed using descriptive statistics, and the Mann-Whitney U test at α0.05.
Good knowledge of BPCR was found in 65.5% of pregnant women at baseline and 91.8% post-intervention. Good BPCR practice was found in 95.3% and 73.1% of women in the intervention and control groups respectively. At delivery, 93.5% and 53.5% had institutional delivery in the intervention and control groups respectively. A significant difference (p<0.001) was observed in BPCR knowledge and attitude post-intervention, as well as in BPCR practice and institutional delivery between women in the intervention and control group.
Goal-oriented prenatal education improved birth preparedness and complication readiness as well as institutional delivery among pregnant women. This should be integrated into routine prenatal education in Nigeria.
在发展中国家，高孕产妇死亡率与生育准备不足和并发症应对准备不足以及非机构分娩有关。因此，需要有经过验证的干预措施来改善生育准备和并发症应对准备以及机构分娩，以降低孕产妇死亡率。因此，本研究评估了目标导向产前教育（GOPE）对孕妇生育准备和并发症应对准备以及机构分娩的影响。
本研究采用了准实验性两群组前后测试设计。从伊巴丹的六个半城市地方政府区中随机选择了两个地方政府区。这些地方政府区被随机分为干预组和对照组。从每个地方政府区中随机选择了两个初级保健中心（PHC），并从选定的 PHC 中登记产前护理的 400 名符合纳入标准的孕妇被有目的地选择参加研究。在基线和干预后使用经过验证的问卷和检查表进行数据收集。干预组的孕妇接受了重点关注生育准备和并发症应对准备知识和态度的目标导向产前教育。在分娩时记录孕妇的分娩地点。使用描述性统计数据和 Mann-Whitney U 检验（α0.05）分析数据。
在基线时有 65.5%的孕妇对生育准备和并发症应对准备有良好的认识，而在干预后有 91.8%的孕妇有良好的认识。干预组和对照组的孕妇中有 95.3%和 73.1%的孕妇有良好的生育准备和并发症应对准备实践。在分娩时，干预组和对照组的孕妇中有 93.5%和 53.5%分别在机构分娩。干预后，孕妇的生育准备和并发症应对准备知识和态度以及生育准备和并发症应对准备实践和机构分娩方面均存在显著差异（p<0.001）。
目标导向产前教育改善了孕妇的生育准备和并发症应对准备以及机构分娩。这应纳入尼日利亚常规产前教育中。
