Tejineh Mengesha Solomon, Lumadi Thanyani
Department of Health Studies, College of Human Science, University of South Africa, Muckleneuk Campus, City of Tshwane 0003, South Africa.
Department of Health Studies, College of Human Science, University of South Africa, City of Tshwane, South Africa.
Ther Adv Reprod Health. 2025 Jul 16;19:26334941251345951. doi: 10.1177/26334941251345951. eCollection 2025 Jan-Dec.
Birth preparedness and complication readiness (BPCR) is a strategy that promotes the timely use of skilled maternal and neonatal care among pregnant women. Positive pregnancy outcomes can be achieved by appropriate birth preparedness and emergency complication readiness planning.
To explore the perceptions, benefits, awareness, and barriers of BPCR among pregnant women and health professionals at the antenatal care (ANC) clinic in the Oromia Region, Ethiopia.
An exploratory, phenomenological descriptive qualitative study conducted from March 20 to April 24, 2022.
Three focus group discussion (FGD) sessions were conducted with 36 purposefully selected pregnant women attending ANC clinics. Key informant in-depth interviews (KIIs) were held with nine health professionals in Arsi Zone, Oromia, Ethiopia, using an interview guide. The data were analyzed using an inductive thematic analysis approach.
Among the FGD participants, 19 reside in urban areas and 17 in rural areas. The KII participants comprised six midwives, two health officers, and a nurse. The participants mentioned their perception of BPCR during pregnancy, childbirth, the postpartum period, obstetric danger signs, and barriers to BPCR. Different sources of information on BPCR were mentioned, including friends, neighbors, health professionals, and family. The study showed that the participants were unfamiliar with the major BPCR components. The health professionals planned to educate pregnant women during ANC visits to enhance the adequacy of their BPCR plans. Facilitating husband support, increasing health facility accessibility, economic empowerment, and transport access will enable pregnant women to develop adequate BPCR plans.
This study's findings indicated that most participants did not focus strongly on BPCR plans because of low awareness, lack of support from husbands, family, and the community, poor infrastructure, and improper handling by health professionals. To increase service utilization, husbands, families, and the community should be informed about the benefits of the BPCR plan for pregnant women.
生育准备和并发症应对（BPCR）是一项促进孕妇及时获得熟练的孕产妇和新生儿护理的策略。通过适当的生育准备和紧急并发症应对计划可以实现良好的妊娠结局。
探讨埃塞俄比亚奥罗米亚地区产前保健（ANC）诊所的孕妇和卫生专业人员对BPCR的看法、益处、认识及障碍。
2022年3月20日至4月24日进行的一项探索性、现象学描述性定性研究。
与36名有目的地挑选出的到ANC诊所就诊的孕妇进行了3次焦点小组讨论（FGD）。使用访谈指南对埃塞俄比亚奥罗米亚阿尔西地区的9名卫生专业人员进行了关键信息人深入访谈（KII）。采用归纳主题分析法对数据进行分析。
在FGD参与者中，19人居住在城市地区，17人居住在农村地区。KII参与者包括6名助产士、2名卫生官员和1名护士。参与者提到了他们在孕期、分娩期、产后、产科危险信号以及BPCR障碍方面对BPCR的看法。提到了BPCR的不同信息来源，包括朋友、邻居、卫生专业人员和家人。研究表明，参与者不熟悉BPCR的主要组成部分。卫生专业人员计划在ANC就诊期间对孕妇进行教育，以提高其BPCR计划的充分性。促进丈夫的支持、增加卫生设施的可及性、经济赋权和交通便利将使孕妇能够制定充分的BPCR计划。
本研究结果表明，由于认识不足、缺乏丈夫、家人和社区的支持、基础设施差以及卫生专业人员处理不当，大多数参与者没有强烈关注BPCR计划。为了提高服务利用率，应向丈夫、家人和社区宣传BPCR计划对孕妇的益处。
