Birth Preparedness And Complication Readiness Index Research Articles

How much do we follow birth preparedness? A community-based snapshot study from rural Delhi, India.

Maternal healthcare remains a challenging public health problem in low and middle-income countries like India. The comprehension and services regarding practices related to birth preparedness and its complications in rural areas of India remain poor and underused. In view of this, we conducted this study to explore the preparedness of the pregnant women in the community residing in rural settlements of Delhi. This cross-sectional community-based study was carried out in 165 currently pregnant women selected through proportionate sampling from rural Delhi. A semi-structured questionnaire adapted from Birth Preparedness and Complication Readiness (BPCR) tool kit was used. Binary and multivariate regression analysis was applied to identify the predictors of BPCR. In our study, BPCR index was found to be 25.78%. Only 17.6% pregnant women were well prepared. Multigravida, literacy, and higher socioeconomic status were found significant predictors for well preparedness for child birth and complication readiness in bivariate analysis. In multivariate logistic regression, multigravida and literacy were found to be predictors for well preparedness. The skill and knowledge level of the mother-in-laws and other women along with husband in the family needs to be improved in context of pregnancy and child birth. Frontline health workers can assist the to-be mothers and their family members in informed decision-making for better feto-maternal outcomes.

Birth Preparedness and Complication Readiness among Pregnant and Recently Delivered Women in Gandhinagar District, Gujarat, India: A Community-based Cross-sectional Study

Background: Birth Preparedness and Complication Readiness (BPCR) helps in improving the effective utilization of available maternal and newborn health care services through knowledge of danger sign, identifying birth place and attendant, means of transportation, managing fund for an emergency, birth companion and identification of blood donor. Aim: To find the association between socio-demographic characteristics and BPCR index indicators. Settings and Design: A cross-sectional study was conducted among the recently delivered and pregnant women in urban and rural areas of the Gandhinagar district of Gujarat. Methods and Material: Total 420 pregnant and recently delivered women from urban and rural areas were interviewed for study. A pretested semi-structured questionnaire was used to interview women at household setting. BPCR index is estimated by set of 7 quantifiable indicators and expressed in the percentage of women with specific characteristics. Results: Regarding ANC registration within 12th weeks of pregnancy and skilled birth attendant for delivery. Significant difference was observed with variable like APL/BPL status, education of women and their husband, parity and type of family. Conclusions: Hindu religion, APL economic status, higher education level, joint family, high parity and joint family were found important predictor of better BPCR practice.

Evaluation of Birth Preparedness and Complication Readiness Index among Women of Central India

Background: Chhattisgarh is one of the worst performing states of India in terms of maternal mortality ratio figures. Slums carry the unfortunate burden of maximum maternal deaths. Birth Preparedness and Complication Readiness(BPCR) advocates planning of birth and being ready for any obstetric complications. Aim: To evaluate the BPCR index among first and second trimester pregnant women and those delivered within 6 months living in urban slums of Raipur city. Methods: A population-based, cross-sectional descriptive study was conducted among 160 pregnant and 70 recently delivered women residing in urban slums of Raipur city selected by multistage random sampling using an interview method. BPCR index was calculated using Johns Hopkins Program for International Education in Gynaecology and Obstetrics guidelines. BPCR components were correlated for any association with sociodemographic variables of the participants using Z test. Results: BPCR index came out to be 34.1%, which was very low. Factors associated with ≥4 antenatal care visits were general category women (P = 0.0375) and homemakers (P = 0.0057). Identifying skilled provider was higher in educated women (P = 0.0001), those with educated husbands (P = 0.0085), working (P = 0.0167) and with higher socioeconomic status (P = 0.0013). Saving money for childbirth was more among general category (P = 0.0067), educated (P = 0.0094) and women with low socioeconomic status (P = 0.0004). Conclusions: BPCR index of the study area was found to be very low.

BIRTH PREPAREDNESS AND COMPLICATION READINESS AMONG PREGNANT WOMEN ATTENDING A MATERNAL AND CHILD CARE HOSPITAL OF GOVERNMENT MEDICAL COLLEGE IN SOUTH KASHMIR, INDIA: A CROSS-SECTIONAL STUDY

Background: Maternal death is an issue of great concern especially when these deaths can be prevented by appropriate management of the delays causing it. To prevent these delays, the Johns Hopkins Program for International Education in Gynecology and Obstetrics (JHPIEGO) has put forward the concept of Birth preparedness and complication readiness (BPCR). BPCR matrix comprises several core elements covering antenatal, intrapartum, postpartum, and neonatal care. Objective: The objective of the study was to assess BPCR status and its associated factors among pregnant women attending an antenatal clinic in a rural tertiary care hospital. Methods: A hospital-based cross-sectional study was conducted among 568 pregnant women attending antenatal clinic of Department of Obstetrics and Gynecology of GMC, Anantnag from October 2021 to March 2022. After giving informed consent, participants were interviewed regarding BPCR using a questionnaire adapted from the JHPIEGO. Results: BPCR index in our study was 42.34%. Almost half of the pregnant women (49.8%) were “well prepared” and remaining half (50.2%) were “less prepared”. The association between level of preparedness was statistically significant with educational status of mother (p=0.017), primi parous (p=0.04), and multiple ANC visits (p=0.014). Conclusion: Overall BPCR index was on the lower side with knowledge regarding various key danger signs, identification of a skilled health care provider and a health-care facility being very unsatisfactory.

Safer motherhood - birth preparedness and complication readiness assessment among pregnant women residing in urban slums of Marathwada region.

Birth Preparedness and Complication Readiness (BPACR) is the intervention for planning of normal birth and anticipating the actions needed in case of complications. It is a comprehensive strategy to improve the use of skilled providers at birth, the key measure to reduce maternal mortality. To assess the status of BPACR and associated sociodemographic factors among pregnant women in community. A community-based descriptive longitudinal study undertaken at urban slums among 156 pregnant women with >28 weeks of gestation. They were interviewed for BPACR components. BPACR index was observed to be lower 48.3%. About 88% were aware about any one danger signs of pregnancy. Nearly, 77% of women availed antenatal care service in first trimester. About 85% women identified skilled birth attendant and mode of transport for delivery, 66% women saved money for delivery. Most common danger sign noted was abdominal pain (65.38%). Mother's education, occupation, parity, and socioeconomic condition were significantly associated with three out of four components of BPACR. Low level of BPACR index was attributed to low level of awareness regarding government sponsored schemes and danger signs of pregnancy. This highlights need of more efforts in services provided by health care providers and workers. There is need of intense Information, Education and Communication activity focused on pregnant women and their family members.

Assessment of Birth Preparedness and Complication Readiness among Postnatal Mothers in Tertiary Care Hospital, West Bengal

Introduction: Maternal mortality still remains a major public health challenge in India. Delays in seeking, reaching and obtaining to appropriate intranatal care are the crucial factors determining maternal mortality. Birth Preparedness and Complication Readiness (BPACR) is the process of planning for normal birth and anticipating the actions needed in case of an emergency. It is a logical process of addressing delays in delivery. Aim: To assess BPACR status of postnatal mothers using BPACR index and to determine association between socio demographic and other variables and BPACR status among them. Materials and Methods: The cross-sectional, observational study was conducted on 200 post-natal mothers of Indoor Patient Department (IPD), Department of Gynaecology and Obstetrics, in a tertiary care hospital in West Bengal. Socio demographic information and information on antenatal history, decision makers during pregnancy, type and distance of nearest health facility, knowledge of danger signs, identification of the skilled birth attendant, mode of transport, arrangement for money and other variables were collected by interviewing the patients with a predesigned, pretested, semi structured schedule and by reviewing records. BPACR is the process of planning for normal birth and anticipated actions needed during an emergency. To assess BPACR status among postnatal women, BPACR index is measured which consists of a set of indicators. Data were analysed using Statistical Package for the Social Sciences (SPSS) version 20.0. Proportion and chi-square test were used wherever applicable. The p-value of less The p-value of less than 0.05 was taken as statistically significant. Results: The final BPACR index was 61.07. All participants identified skilled birth attendants for delivery. Almost all were aware of Janani Suraksha Yojana (JSY). Among 200 women, about 90% of them had knowledge about transportation services provided by the government. Only 63.5% of the mothers (127/200) availed Antenatal Care (ANC) by skilled provider. About 38.5% (77/200) of study participants identified the mode of transportation, and 38% (76/200) of them saved money for delivery expenses. No participant could identify more than eight danger signs of pregnancy. Overall, 75% (150/200) of participants were well prepared. On bivariate analysis, good preparedness have been found to be significantly associated (p-value <0.05) with age group, type of decision maker during pregnancy and presence of the husband accompanying their wives in any of the ANC visits. Conclusion: Majority of the population were well prepared, but awareness on danger signs was very low. Women empowerment in terms of behavior change communication at family, community and tertiary care level to be carried out through formal and informal approaches are the needs of the hour.

Birth preparedness and complication readiness among pregnant women visiting a government hospital in Delhi, India

BACKGROUND: According to the WHO, about 830 women die from pregnancy or childbirth-related complications globally and can be attributed to the three delays that influence the outcome of any pregnancy. Birth preparedness and complication readiness (BPCR) is one of the most conceptual and logical means of addressing these delays. OBJECTIVE: The objective was to study BPCR among pregnant women visiting ANC clinic at a tertiary care government hospital in Delhi. MATERIALS AND METHODS: It was a cross-sectional study conducted among 200 pregnant women, irrespective of gestational age visiting the hospital. Information was gathered using a pre-designed, pre-tested, semi-structured questionnaire by an interview about BPCR. Descriptive analysis was done and tests of significance were applied to determine association. RESULTS: Awareness about dangers signs during pregnancy and childbirth and symptoms indicating onset of labor were all found to be poor, none of subjects were aware of all the signs. About 76% believed they should identify an institution for delivery ahead of time, while 68.5% had identified one and 64 (32%) had arranged a mode of transport. One hundred sixteen women (58%) believed that they should save money for the incurring costs of pregnancy, while 105 (52.5%) were saving money for the same. Sixty-three women (31.5%) agreed that it is necessary to identify a blood donor; however, only 7.5% had identified one. The BPCR index for the current study was 37.12. CONCLUSION: Efforts should be targeted to increase the awareness about various components of BPCR along with increased involvement of community health workers and health-care providers.

Study to Assess Birth Preparedness and Complication Readiness to Promote Safe Motherhood among Women from a Rural Area of Western Maharashtra.

Background:Promotion of maternal health should be an integrated approach comprising adequate planning of pregnancy coupled with the awareness of the available maternal and child health services and its utilization.Objectives:The aim of this study is to determine birth preparedness and complication readiness (BPACR) among antenatal and postnatal women and to assess the factors related to it.Materials and Methods:This hospital-based cross-sectional study was conducted on 400 antenatal and postnatal women attending a tertiary care hospital of Karad. Antenatal women in their third trimester and postnatal women up to Postnatal day-7 were included. Institutional ethical clearance was obtained before the commencement of the study. All the women were interviewed after their informed consent using the appropriately validated and modified BPACR tool developed with respect to the Indian setup. Chi-square and multivariate logistic regression analysis were carried out to determine the various associated factors with BPACR.Results:The study population comprised 55.5% antenatal mothers and 44.5% postnatal mothers. The BPACR index was found to be 59.56, and the maximum had a good BPACR 208 (52%). There was poor knowledge regarding blood transfusion, danger signs, and available community resources. A higher level of education had a statistically significant association with BPACR (46.2%) in women educated above high school). Women belonging to the upper class had two times, and postnatal women had 2.02 times increased chances for a good BPACR.Conclusion:An inclusion of components related to BPACR during pregnancy will improve timely and adequate access to healthcare, better management of complications, and thereby improve both maternal and fetal outcomes.

<p>Birth Preparedness and Complication Readiness Practices Among Pregnant Adolescents in Bangkok, Thailand</p>

BackgroundReducing the maternal mortality ratio is one of the United Nations Sustainable Development Goals. These maternal deaths are preventable with appropriate management and care. Birth preparedness and complication readiness (BPCR) is a strategy to make prompt decisions to seek care from skilled birth attendants, resulting in reduced maternal and neonatal mortality. Despite high global rates of adolescent pregnancy, there has not yet been a study of BPCR status and associated factors among pregnant adolescents.ObjectiveTo assess the proportion of, and associated factors for, good BPCR in adolescent pregnant women attending antenatal clinic in an urban tertiary care hospital.Materials and MethodsThis cross-sectional survey was conducted among adolescent pregnant women attending antenatal clinic at the Department of Obstetrics and Gynecology, Faculty of Medicine Vajira Hospital, Thailand, from September 1st, 2018 to March 31st, 2019. A total of 134 adolescent pregnant women were recruited. The participants and their parents or legal guardians were informed of the study process at the antenatal clinic before their parents or legal guardians, granted written consent on their behalf. The participants were interviewed using the BPCR index, which was adapted from the John Hopkins Program for International Education in Gynecology and Obstetrics.ResultsThe proportion of good BPCR in adolescent pregnant women in an urban tertiary care hospital was 78.4%. The most mentioned aspect of BPCR was planning to give birth with a skilled provider (92.5%). The significant associated factor for good BPCR was the number of ANC ≥ 4 (odds ratio 3.2, 95% CI 1.13–9.05, p=0.023).ConclusionThis study demonstrated that the proportion of good BPCR among adolescent pregnant women attending an urban tertiary care hospital was high. The associated factor of good BPCR was the number of ANC ≥ 4.

Birth preparedness and complication readiness among women attending Immuno-Prophylaxis Centre, Dr. S. C. Government Medical College, Nanded

Background: As signatory to United Nation’s Sustainable Development Goals, India is striving hard to achieve these goals by end of 2030, especially for goal number 3 with targets related to maternal and child health. Birth-preparedness and complication-readiness (BPCR) is a tool to promote maternal and neonatal survival. This study was conducted to assess the perception and practices of recently delivered women on BPCR with its correlates. Methods: Hospital-based cross-sectional study was conducted at Immuno-prophylaxis centre of Dr. Shankarrao Chavan Government Medical College, Nanded, Maharashtra. Women attending IPC along with their baby within two to four months of delivery for immunization of their babies during the month of March 2014 constituted study subject of this study. After obtaining informed consent, data was obtained on socio-demographic characters like age, caste, religion, education, parity, ANC registration and questions regarding birth preparedness and complications readiness in their last pregnancy. Results: Total 117 women found to be eligible as study subject. Overall BPCR index of the study population was 67.28. Proportion of women who received first antenatal check-up within first trimester, four or more antenatal checkups, saved money for childbirth and had institutional delivery were 87.18%, 86.32%, 51.28% and 100% respectively. Around 23.08% women had knowledge of at least 3 key danger signs of pregnancy while only 19.65% identified blood donor. Awareness regarding danger signs of pregnancy and arrangement for blood donor was found poor in comparison to other indicators in study subject.Conclusion: There is need of increasing awareness regarding BPCR so that perception and practices in the community increased.

Assessment of birth preparedness and complication readiness among pregnant women in rural area of Chhattisgarh: a community based cross-sectional study

Background: Neonatal and maternal mortality are the major concerns in the country mainly due to the “three delays” in seeking, reaching, and obtaining appropriate care. Birth preparedness and complication readiness (BPACR) is one of the most important tools to assess these delays. BPACR is the process of planning for normal birth and anticipating the actions needed in case of an emergency. The current study was undertaken to assess the status of BPACR among pregnant women in rural area of Kharsiya block in Raigarh district.Methods: A community-based, cross-sectional study was conducted among 110 pregnant women in rural area of Kharsiya during January-June 2017. All the pregnant females were interviewed using a pretested and structured questionnaire. Knowledge about danger signs, planning for transport, place and delivery by skilled birth attendant, financial management were assessed. BPACR index was also calculated.Results: The BPACR index was found to be very low (27.79%). About 73.65% women identified a skilled birth attendant for delivery but, only 10% women saved money and only 2.7% women had identified a blood donor for emergency. Nearly 74.54% women had no knowledge about danger or warning signs during pregnancy while 89.09% were unaware of complications during labour and 97.27% women did not know about puerperal complications.Conclusions: BPACR index in this rural area was very low. Vast majority of women were not knowledgeable about birth preparedness and complication readiness.

Effect of focused birth preparedness and complication readiness counseling on pregnancy outcome among females attending tertiary care hospital in Barabanki district, Uttar Pradesh, India.

CONTEXT:Measures related to birth preparedness and complication readiness (BPCR) during pregnancy play an important role in producing better pregnancy outcome. If the pregnant females are properly counseled during antenatal visits, it could help in bringing out desirable behavior changes.AIMS:This study aims to study BPCR-related awareness and practices among the pregnant females and the effect of focused and structured birth preparedness counseling on complication readiness among pregnant females.SUBJECT AND METHODS:A facility-based follow-up study was conducted from July to December 2016, and a total of 130 pregnant females were enrolled. All study participants were initially assessed for various domains of BPCR index consisting of seven key indicators. The index reassessment was done again, after 1 month, during follow-up visit. Information regarding any pregnancy-related complication in due course and behavior was also recorded during successive follow-up.STATISTICAL ANALYSIS USED:The difference in pre- and postcounseling mean BPCR index was assessed using paired t-test, and McNemar's test was used for paired categorical data analysis. P < 0.05 was considered to be statistically significant.RESULTS:The postcounseling BPCR index (70.65 ± 19.18) was found to be significantly much higher as compared to pre-counseling baseline BPCR index (41.12 ± 11.34). Knowledge about danger signs of pregnancy, transportation services provided by government, financial assistance provided in Government schemes, identification of skilled birth attendant, mode of transportation, and arrangement of emergency blood donor was found to increase significantly after counseling. Abortion was found to occur significantly higher (about thrice) among those who had postcounseling BPCR index below average, i.e., <50% (P < 0.05).CONCLUSIONS:The results of the present study revealed that focused birth preparedness counseling on complication readiness could play an important role in increasing the baseline knowledge of pregnant females regarding pregnancy-related complications and bring out desirable ideal health-seeking behavior changes during pregnancy.

Birth preparedness and complication readiness among pregnant women attending antenatal care at the Faculty of Medicine Vajira Hospital, Thailand.

BackgroundMaternal and neonatal mortality is a major health problem in developing countries. Birth preparedness and complication readiness (BPCR) is a strategy to encourage pregnant women to make prompt decisions to seek care from skilled birth attendants. Reports of good BPCR vary depending on study setting and population. Most studies of BPCR have been conducted in developing countries, BPCR status and associated factors in Thailand are currently unknown.ObjectiveTo discover the proportion of good BPCR (at least four BPCR indicators), associated factors and predictive factors for good BPCR in pregnant women attending antenatal clinic.Materials and methodsThis cross-sectional study was conducted among pregnant women attending the antenatal clinic at the Department of Obstetrics and Gynecology, Faculty of Medicine Vajira Hospital, Thailand, from May 1 to December 31, 2017. The participants were interviewed using the BPCR index developed by the John Hopkins Program for International Education in Gynecology and Obstetrics.ResultsOf a total 672 pregnant women, the proportion of good BPCR was 78.6%. The association between baseline characteristics with BPCR status revealed that the good BPCR group was significantly associated with adult pregnancy, married, high education, being employed, high income, extended family, multiparity, first antenatal visit ≤12 weeks and average distance to the hospital >2 hours. Results from multiple logistic regression found that significant predictive factors for good BPCR were a diploma or a bachelor’s degree (ORadj 2.09, 95% CI 1.19–3.69, P=0.010), income more than 10,000 baht (ORadj 2.63, 95% CI 1.37–5.05, P=0.004), extended family (ORadj 2.32, 95% CI 1.41–3.82, P=0.001) and multiparity (ORadj 1.56, 95% CI 1.01–2.42, P=0.047).ConclusionThis study demonstrated that the proportion of good BPCR among pregnant women attending antenatal care was high. Associated factors of good BPCR were adult pregnancy, married status, high education, employed, high income, extended family, multiparity, first antenatal visit at ≤12 weeks and long-distance transportation. Predictive factors for good BPCR were high education, high income, multiparity and extended family.

Birth preparedness and complication readiness among primigravida women attending tertiary care hospital in a rural area

Background: Maternal mortality in developing countries is still alarming. Each pregnancy may face the risk of sudden, unpredictable complications. Birth preparedness and complication readiness (BPACR) is a strategy that encourages pregnant women and their families to effectively plan for deliveries and deal with emergencies. An objective of study was to assess the status of BPACR among primigravida women and factors affecting the status of BPACR. Methods: A Cross sectional study was conducted among 400 primigravida women attending ANC OPD at tertiary care hospital, from August-November 2015. Data was collected by interviewing the subjects using pre-tested, pre-designed structured questionnaire. BPACR index was calculated. Results: In this study BPACR index was 55.83%. Most of women (98.14%) identified skilled birth attendant for delivery. Though acceptable levels of registration of women in first trimester (79.75%) and identification of modes of transport in emergency (72.25%), TT2 coverage was very low (77.75%). About 63% women were aware about transportation provided by government & 70.25% women were aware about importance of 4 or more ANC visits during pregnancy. But only 68.50% women were aware about consumption of 100-FSFA tablets, whereas 31.50% of women had saved money to pay for expenses. Very few (29.75%) women identified compatible blood donors. 40.75% women knew about any one danger signs of pregnancy. Overall no women knew about all 8 danger signs of pregnancy. Conclusions: Age and education of women and of their husbands plays an important role in awareness regarding components of BPACR.

Birth preparedness and complication readiness among women of Bankura District, West Bengal.

Background:Birth preparedness and complication readiness (BPCR) is the process of planning for normal birth and anticipating the actions needed in case of an emergency which is critical in averting maternal morbidity and mortality.Objectives:To find out awareness and practices regarding BPCR among pregnant and recently delivered women in Bankura, West Bengal.Materials and Methods:A cross-sectional, community-based study was carried out among 120 pregnant women and 235 recently delivered women. Information on sociodemographic variables as well as awareness and practices regarding BPCR were collected through semi-structured interview. For statistical analysis Z-test was used.Results:The majority of respondents (69.3%) had registered for antenatal care within the first 12 weeks of their pregnancy and 74.0% of the recently delivered women had four or more antenatal check-ups and 81.3% had institutional delivery. The BPCR index of pregnant women and recently delivered women was 45.2 and 59.0, respectively, whereas BPCR index of the total was 52.1.Conclusion:Although the BPCR indicators are satisfying, the health system should use the opportunity during visits to health institutions to increase awareness among the pregnant women and her family on how to plan for the pregnancy and identify danger signs.

Making pregnancy safer-birth preparedness and complication readiness study among antenatal women attendees of a primary health center, delhi.

Background:Every pregnancy is a joyful moment for all mothers who dream of a safe pregnancy and a healthy baby. However, every pregnant woman faces the risk of sudden, unpredictable complications that could end in death or injury to herself or to her infant. Birth preparedness and complication readiness (BPACR) is a strategy that encourages pregnant women, their families, and communities to effectively plan for births and deal with emergencies, if they occur. It is a key component of globally accepted safe motherhood programs.Objectives:The objective of our study was to assess the status of BPACR among pregnant women and to study the socio-demographic factors affecting BPACR.Materials and Methods:We conducted a facility-based cross-sectional study among 417 antenatal attendees at a primary health center, Palam, New Delhi from January to April 2012. Knowledge about danger signs, planning for transport, place, and delivery by skilled birth attendant, financial management, and outcome were assessed. BPACR index was calculated.Results:Our study revealed that the BPACR index was very low (41%) although the preparedness level was high. Majority (81.1%) had identified a skilled attendant at birth for delivery. Nearly half of the women (48.9%) had saved money for delivery and 44.1% women had also identified a mode of transportation for the delivery. However, only 179 (42.9%) women were aware about early registration of pregnancy. Only one-third (33.1%) of women knew about four or more antenatal visits during pregnancy. Overall, only 27.8% women knew about any one danger sign of pregnancy.Conclusion:The level of awareness regarding BPACR was very low (41%). Efforts should be targeted to increase the awareness regarding components of BPACR among pregnant women and their families at the Primary Health Center (PHC) as well as at the community level. This will indeed go a long way in reducing morbidity as well as mortality in pregnant women, thus enabling us to reach the millennium development goal.

Status of birth preparedness and complication readiness in Uttar Dinajpur District, West Bengal

Birth Preparedness and Complication Readiness (BPCR) is crucial in averting maternal morbidity and mortality. To find out awareness and practices regarding BPCR among pregnant and recently delivered women in Uttar Dinajpur, West Bengal. This is a cross-sectional, community-based, mixed methods study. Two-stage, 40 cluster sampling technique was used to select three pregnant and six recently delivered women separately. Information on socio-demographic variables as well as awareness and practices regarding BPCR were collected through semi-structured interview. In-depth interviews with one respondent per cluster were also conducted. For statistical analysis Z test was used. Around 50% of the respondents planned for first antenatal check-up (ANC) within 12 weeks, four or more ANCs and institutional delivery. Proportion of women aware of at least one key danger sign each of pregnancy, labor, postpartum, and newborn ranged from 12.1% to 37.2%, whereas 58.3% knew at least one key component of essential newborn care. Around two-thirds and one-third of women, respectively, especially those from backward and below poverty line (BPL) families knew about cash incentive and referral transport schemes. Proportions of women with first ANC within 12 weeks, four or more ANCs, institutional delivery, saving money, identifying transport, and blood donor were 50.4%, 33.6%, 46.2%, 40.8%, 27.3%, and 9.6%, respectively. Hindu religion, backward castes, BPL status, and education ≥ 5 years influenced the practices except for two regarding ANC. Overall BPCR index of the study population was 34.5. Preparedness in health system, ensuring competence, and motivation of workers are needed for promoting BPCR among the study population.