Abstract
BackgroundBirth Preparedness and Complication Readiness (BP/CR) is the process of planning for normal birth and anticipating actions needed in case of emergency. Even though there is no adequate evidences on determinant factors, women and newborn need timely access to skilled care during pregnancy, childbirth, and the postpartum period. The aim of this study was to identify factors associated with the practice of birth preparedness and complication readiness plan among women who gave birth in the last 12 months in Farta District, Ethiopia, 2016.MethodA community-based cross-sectional study was conducted among 676 mothers from 1st October to December, 2016. Multistage sampling technique was used to select study participants. Data were collected using structured and pretested questionnaire. Bivariate and multivariable logistic regression models were fitted to identify factors associated with the practice of birth preparedness and complication readiness plan. An adjusted odds ratio with 95% confidence interval (CI) was computed to determine the level of significant.ResultThe percentage of women implementing complication readiness plan and practicing birth preparedness was found to be 34%. Residence [Adjusted odds ratio (AOR): 5.94, 95% CI: 2.28–15.46)]; educational status [AOR: 2.87, 95% CI: (1.27–6.49)]; Antenatal care follow up [AOR: 3.67, 95% CI: (2.10–6.41)]; history of stillbirth [AOR: 3.05, 95CI: (1.20–7.78)]; knowledge of birth preparedness and complication readiness plans [AOR: 8.83, 95% CI: (5.01–15.58)]; knowledge of key danger signs during pregnancy [AOR: 3.91, 95% CI: (2.52–6.06)], child birth [AOR: 2.22, 95CI: (1.45–3.39)] and postpartum period [AOR: 1.99, 95% CI: (1.14–3.48)] were significantly associated with practice of birth preparedness and complication readiness plan.ConclusionThe overall proportion of women who prepared for birth and its complication readiness was found to be low. Educating women, encouraging pregnant women to utilize antenatal care, creating awareness on danger signs during pregnancy and childbirth might increase women’s birth preparation and complication readiness plan.
Highlights
Birth Preparedness and Complication Readiness (BP/CR) is the process of planning for normal birth and anticipating actions needed in case of emergency
Factors associated with birth preparedness and complication readiness practice Multivariable logistic regressions revealed that residence, educational status, Antenatal Care (ANC) follow up visit, history of stillbirth, knowledge of birth preparedness and its complication readiness, knowledge of danger signs during pregnancy, childbirth and postpartum period were significantly associated with the practice of birth preparedness and complication readiness plan
This study revealed that the practice of birth preparedness and complication readiness plan was found to be 34%
Summary
Birth Preparedness and Complication Readiness (BP/CR) is the process of planning for normal birth and anticipating actions needed in case of emergency. Maternal death due to complications during pregnancy and childbirth decreased by 50% from an estimated 523,000 in 1990 to 289,000 in 2013 [1] Even though such progress is considerable, the average annual rate of decline is far below that is needed to be achieved by the Sustainable Development Goals (SDG) target 2030 of 5.5% [1]. Ethiopia had made good progress toward improving maternal and child health Despite this progress, big challenges are still within the health care system which is the basis of Ethiopia’s priorities including low utilization of maternal health services, such as skilled attendants at birth and high unmet need for family planning; limited availability of adolescent and youth sexual and reproductive health; lack of awareness of healthy behaviors; cultural
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