Abstract
Background. Birth preparedness and complication readiness strategies aimed to promote the timely utilization of skilled maternal health care. Pregnant mother conference is viewed as one of the needed interventions to reduce delays, by promoting obstetric danger sign awareness, family support, and decision-making power on a choice of place of delivery and the use of maternal health service. Objective. To compare the effect of attending a pregnant mother conference on birth preparedness and complication readiness practice among recently delivered women. Method. A community-based comparative cross-sectional study was conducted from February 15 to March 26, 2017, among mothers who gave birth in the past 12 months. Multistage simple random sampling method was implemented and 896 participants were contacted through a face-to-face interview. Descriptive, binary, and multiple logistic regression analysis was done. Results. Well-preparedness for birth and its complication among women who attended and did not attend the pregnant mother conference were 38.9% and 25.7%, respectively. Among the mothers who did not attend the conference, those who had four or more antenatal care visits (AOR=6.8, 95%CI 1.6, 29.8) and knew two or more danger signs of pregnancy (AOR=4.7, 95%CI:1.4, 15.6) were more likely being well-prepared for birth and its complication readiness, whereas among mothers who attended the conference, those who knew two or more danger signs of pregnancy (AOR=2.1, 95%CI:1.1, 4.3), those who had discussion with partners/families about place of delivery (AOR=11.4, 95%CI:3.1, 42.2), those who had previous delivery at health facility (AOR=2.4, 95%CI:1.2, 4.8), women who lived within one-hour walk to the nearest health facility (AOR=3.6, 95%CI:1.9, 6.9), and age of women within 19-34 years (AOR=6.8, 95%CI:1.7, 26.6) were significantly associated with birth preparedness and its complication readiness. Conclusion. Birth preparedness and complication readiness practice were higher among pregnant mother conference attendant women as compared to nonattendants. The health facility has to ensure encouraging women to participate in pregnant mother conference, promoting the utilization of antenatal care service, and counselling on obstetric danger sign. Moreover, the concerned bodies should promote interventions targeting the predisposing and reinforcing behavioral factors affecting the practice of birth preparedness and its complication readiness.
Highlights
Maternal mortality (MM) is still become major public health concern
On the bivariable analysis variables like age of the women, travel time to reach nearby health facility, number of parity, previous history of PNC, previous history of ANC, Birth preparedness and complication readiness (BPCR) information during previous history of ANC follow-up, frequency of ANC visit, previous delivery at health facility, family size, discussion made with partner/families about the place of birth, and knowledge of the pregnant women of at least two danger signs of pregnancy, childbirth, and postpartum were significantly associated with well-preparedness for birth and its complication readiness at p–value
On the multivariable logistic regression analysis, variables such as four and above ANC visits and having knowledge of women for at least two pregnancy danger signs of pregnancy were found to be significantly associated with BPCR practice among PMC nonattendants whereas among PMC attendant’s variables such as age of the women, travel time to reach nearby health facility, previous delivery at health facility, discussion made with partner/families about place of birth during last pregnancy, and having knowledge of the pregnant women of at least two danger signs of pregnancy and childbirth were significantly associated with BPCR practice after adjusting possible confounding factors at p
Summary
Maternal mortality (MM) is still become major public health concern. The problem is very high especially in developing region [1]. Birth preparedness and complication readiness strategies aimed to promote the timely utilization of skilled maternal health care. Pregnant mother conference is viewed as one of the needed interventions to reduce delays, by promoting obstetric danger sign awareness, family support, and decision-making power on a choice of place of delivery and the use of maternal health service. To compare the effect of attending a pregnant mother conference on birth preparedness and complication readiness practice among recently delivered women. Birth preparedness and complication readiness practice were higher among pregnant mother conference attendant women as compared to nonattendants. The health facility has to ensure encouraging women to participate in pregnant mother conference, promoting the utilization of antenatal care service, and counselling on obstetric danger sign. The concerned bodies should promote interventions targeting the predisposing and reinforcing behavioral factors affecting the practice of birth preparedness and its complication readiness
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