Abstract
Maternal mortality is a substantial public health burden in developing countries. Birth preparedness and complication readiness is a safe motherhood strategy which addresses delays that could increase the risk of dying in pregnancy, child birth and the immediate postpartum period. The main aim of this study was to assess magnitude and factors associated with birth preparedness and complication readiness among pregnant women attending antenatal care clinic in Adama town government health facilities, central Ethiopia, 2015. A facility based cross-sectional study was conducted by interviewing 642 pregnant mothers from December 2014 to January 2015 in ANC clinic of Adama town government health facilities. Systematic random sampling was employed to select the study subject. Data were collected using structured questionnaire. Descriptive statistics were used to describe the study variables. Multivariate logistic regression analysis was used to identify factors associated with birth preparedness and complication readiness practice. P-value < 0.05 was used as cut of value for statistical significance. Out of 642 mothers only 29.1% (95% C/I: 25.9, 32.7) of the respondents were prepared for birth and its complications. Preparation for birth and its complication was associated with respondent who attended secondary and above educational level (AOR=2.76, 95%C/I: 1.41, 5.41). Women who had experience of one still birth (AOR=2.3, 95%C/I: 1.20, 4.63) and those pregnant women who heard the term birth preparedness (AOR=1.56, 95%C/I: 1.03, 2.38) were found to be factors associated with birth preparedness and complication readiness practice. The magnitude of birth preparedness and complication readiness was low in the study area. Knowledge on birth preparedness and complication readiness was identified as low as danger sign. Counseling related to knowledge on birth preparedness and complication readiness with especial emphasis to danger sign during pregnancy, labour and delivery needs due attention.
Highlights
Health care during pregnancy is essential to ensure the normal, healthy evolution of the pregnancy and to prevent, detect or predict potential complications during pregnancy and/or delivery
The objective of this study was to assess magnitude and to identify factors associated with birth preparedness and complication readiness practice among pregnant women attending antenatal care clinic in Adama town government health facilities
The finding of this study revealed that the magnitude of birth preparedness and complication readiness was 29.1%
Summary
Health care during pregnancy is essential to ensure the normal, healthy evolution of the pregnancy and to prevent, detect or predict potential complications during pregnancy and/or delivery. Good quality care must be provided by skilled health personnel’s who are well trained and equipped to detect potential complications and provide the necessary attention or referral [1]. The maternal mortality ratio dropped by 45% between 1990 and 2013, from 380 to 210 deaths per. 33 Abel Girmay Mekuaninte et al.: Assessment of Magnitude and Factors Associated with Birth Preparedness and Complication Readiness Among Pregnant Women Attending Antenatal Care Clinic of Adama Town Health Facilities, Central Ethiopia. This statics still falls far short of the MDG target to reduce the maternal mortality ratio by three quarters by 2015. In 2013 alone, an estimated 289,000 women died during pregnancy, childbirth, or within 42 days of termination of the pregnancy, from causes (excluding accidental or incidental causes) related to or aggravated by pregnancy or its management [3]
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