Kiptulon Evans Kasmai, Galgalo Dahabo Adi, Elmadani Mohammed, Orsolya Mate, Siket Adrienn Ujváriné
Doctoral School of Health Sciences, Faculty of Health Sciences, University of Pécs, Pécs, Hungary.
Doctoral School of Health Sciences, Faculty of Health Sciences, University of Debrecen, Debrecen, Hungary.
BMC Pregnancy Childbirth. 2025 May 10;25(1):555. doi: 10.1186/s12884-025-07532-0.
Maternal mortality in Kenya remains unacceptably high. Mobile pastoralist communities, Pokot community included take the greatest burden of these maternal deaths. Knowledge of obstetric danger signs is important for the prevention of pregnancy and birth complications as it influences pregnant women to prepare for birth and complications. The aim of this study was to assess the level of knowledge of obstetrics danger signs and their effect on Birth Preparedness and complications Readiness among mobile Pokot nomadic pastoralist in Kenya.
A descriptive cross-sectional study was conducted among 275 pregnant Pokot nomadic pastoralist women using a multistage sampling technique. Chi-square (X) was used to test the association between categorical variables and a P-value of < 0.05 was considered significant.
Majority of the women demonstrated a high level of knowledge regarding obstetric danger signs, with 80% (n = 220) recognizing these danger signs during pregnancy and 69.1% (n = 190) during labour. However, despite this awareness, the overall Birth Preparedness and Complication Readiness (BPCR) remained low, with only 28% (n = 77) adequately prepared and 77% (n = 212) were unprepared.
High awareness of obstetric danger signs among Pokot pastoralist women has not translated into adequate birth preparedness and complication readiness. To reduce maternal mortality especially in these pastoralists and unsettled communities where services are unpredictable and disrupted by frequent movements, government and other stakeholders must implement powerful, targeted actions that address their unique challenges such as robust mobile clinics and outreach services, community based birth preparedness programs, emergency transport networks, maternity waiting homes, improved referral systems, culturally sensitive health education and policy and infrastructural investments. These bold, community-centered interventions can significantly reduce maternal deaths and improve maternal health outcomes among Kenya's pastoral populations.
肯尼亚的孕产妇死亡率仍然高得令人无法接受。流动牧民社区，包括波科特社区，承担了这些孕产妇死亡的最大负担。了解产科危险信号对于预防妊娠和分娩并发症很重要，因为它会影响孕妇为分娩和并发症做好准备。本研究的目的是评估肯尼亚流动波科特游牧牧民对产科危险信号的了解程度及其对分娩准备和并发症准备的影响。
采用多阶段抽样技术，对275名怀孕的波科特游牧牧民妇女进行了描述性横断面研究。卡方检验（X）用于检验分类变量之间的关联，P值<0.05被认为具有统计学意义。
大多数妇女对产科危险信号有较高的了解程度，80%（n = 220）的妇女在孕期能识别这些危险信号，69.1%（n = 190）的妇女在分娩时能识别。然而，尽管有这种认识，总体的分娩准备和并发症准备（BPCR）仍然很低，只有28%（n = 77）的妇女准备充分，77%（n = 212）的妇女未做好准备。
波科特牧民妇女对产科危险信号的高知晓率并未转化为充分的分娩准备和并发症准备。为了降低孕产妇死亡率，特别是在这些牧民和不稳定社区，那里的服务不可预测且因频繁流动而中断，政府和其他利益相关者必须采取有力的、有针对性的行动，应对他们面临的独特挑战，如强大的流动诊所和外展服务、基于社区的分娩准备计划、紧急运输网络、产妇候产之家、改进的转诊系统、具有文化敏感性的健康教育以及政策和基础设施投资。这些大胆且以社区为中心的干预措施可以显著降低肯尼亚牧民人口中的孕产妇死亡，并改善孕产妇健康结果。
