Abstract

Background: Every pregnancy is risk of having life-threatening obstetric complications. A birth preparedness package promotes active preparation and assists in decision-making for healthcare seeking in case of such complication. Although its importance is fact, it is low in Ethiopia. Objective: To assess how pregnant women in Mizan Tepi University Teaching Hospital prepare for delivery and in the occurrence of complication practice and its associated factors, southwest Ethiopia. Method: A facility based cross sectional study was conducted in antenatal clinic of Mizan Tepi University Teaching Hospital on a sample of 392 pregnant women in 2016. Data was collected using pre-tested structured questionnaire which was adapted from previous similar studies. Data was collected, checked and reviewed on daily basis by supervisors. The collected data were analyzed using SPSS version 21 software. Bivariate analyses was done to identify factors associated with birth preparedness and complication readiness and those found significant (p-value ≤ 0.25) were entered in the multivariate logistic regression analysis. The results were presented in frequency table, odds ratio and 95% confidence interval. Results: Of the sample mothers, 392 making response rates of 98.7% were successfully interviewed. Among these, 51% of them were identified place for their recent birth whiles almost half of them 49% were not identified place for their recent birth. Majority of women 77.6% were heard about birth preparedness and complication Readiness. High proportions were got information from health professionals 75.8%. Among the factors considered for birth preparedness and Complication Readiness were lower monthly income, maternal and husband education, maternal occupation showed statistically significant association. Conclusion: The magnitude of birth preparedness and complication readiness was moderate in the study area. Preparedness in health system, ensuring competence, and motivations of workers are needed for promoting BPCR among the study population.

Highlights

  • Every pregnancy is risk of having life-threatening obstetric complications

  • Majority of women 77.6% were heard about birth preparedness and complication Readiness

  • The magnitude of birth preparedness and complication readiness was moderate in the study area

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Summary

Introduction

Every pregnancy is risk of having life-threatening obstetric complications. A birth preparedness package promotes active preparation and assists in decision-making for healthcare seeking in case of such complication. The birth preparedness package promotes active preparation and decision-making for delivery by pregnant women and their families This emerged from the fact that a pregnant woman faces risk of sudden and unpredictable life threatening complications that could end in death or injury to herself or to her infant [3,7,8,9,10]. This is because complications such as hemorrhage are unpredictable and highly fatal if timely treatment is not obtained. There is enough evidences from Nepal, Burkina Faso and India that promoting BPCR improves preventive behaviours, improves knowledge of mothers about danger-signs, and leads to improvement in care-seeking during obstetric emergency reducing disability and death associated with child birth [11,12,13]

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