Birth Preparedness and Complication Readiness Among Pregnant Women Attending an Urban Health Centre in Surat, India

Geeta Patel; Harshad Patel; Anjali Modi; Abhishek Mukherjee; J K Kosambiya

doi:10.55489/njcm.131120222364

Authors

Geeta Patel Government Medical College, Surat, India
Harshad Patel Government Medical College, Surat, India
Anjali Modi AIIMS, Rajkot, India
Abhishek Mukherjee Government Medical College, Surat, India
J K Kosambiya Government Medical College, Surat, India

DOI:

https://doi.org/10.55489/njcm.131120222364

Keywords:

Birth preparedness and complication readiness, Maternal Mortality Ratio, Antenatal women

Abstract

Background: Birth preparedness is strategy to reduce MMR. It includes knowledge of key danger signs; identification of: birth place; birth attendant, fund, transport and compatible blood donor for emergency use. This study aims to explore birth preparedness in Surat and determine factors associated with it.

Methods: Study conducted facility based cross-sectional study among 310 antenatal women at Urban Health Training Centre attached to Government Medical College, Surat, Gujarat. Predesigned, semi- structured, pretested questionnaire was used for data collection after informed written consent.

Result: A total of 310 women participated in the study. Mean age of participants was 22.9+ 3.6 years. Almost one-third (30.3%) participants were illiterate. Almost six-tenth (61.9%) participants were involved in unskilled or semi-skilled work and two-fifth (38.1%) participants were homemakers. Majority of participants (96.7%) were registered in first trimester. Most known factor during pregnancy as danger sign was bleeding (81.9%). BPACR index was calculated as ∑Indicator/7 which was observed to be 62.3%. There was statistically significant association between awareness about health problems during pregnancy and type of family.

Conclusion: Raising awareness regarding components of BPACR among antenatal women will help to reduce morbidity and mortality in antenatal women and achieve the sustainable development goal.

References

Faizi N, Kazmi S. Universal health coverage - There is more to it than meets the eye. J Family Med Prim Care. 2017 Jan-Mar; 6(1):169-170. doi: 10.4103/jfmpc.jfmpc_13_17. Doi: https://doi.org/10.4103/jfmpc.jfmpc_13_17 PMid:29026777 PMCid:PMC5629889

Mutiso SM, Qureshi Z, Kinuthia J. Birth preparedness among antenatal clients. East Afr Med J. 2008 Jun; 85(6):275-83. Doi: https://doi.org/10.4314/eamj.v85i6.9625 PMID: 18817024

Jayanna K, Mony P, B M R, Thomas A, Gaikwad A, H L M, Blanchard JF, Moses S, Avery L. Assessment of facility readiness and provid-er preparedness for dealing with postpartum haemorrhage and pre-eclampsia/eclampsia in public and private health facilities of northern Karnataka, India: a cross-sectional study. BMC Pregnancy Childbirth. 2014 Sep 4; 14:304. Doi: https://doi.org/10.1186/1471-2393-14-304 PMid:25189169 PMCid:PMC4161844

Akshaya KM, Shivalli S (2017) Birth preparedness and complication readiness among the women beneficiaries of selected rural primary health centers of Dakshina Kannada district, Karnataka, India. PLoS ONE 12(8): e0183739. Doi: https://doi.org/10.1371/journal.pone.0183739 PMid:28837683 PMCid:PMC5570276

Swain D, Parida SP, Jena SK, Das M, Das H. Impact of Community-Based Continuous Training on Promoting Birth Preparedness and Pregnancy Outcome in Rural Odisha, India: An Interventional Study. J Obstet Gynecol India [Internet]. 2019;69(6):520-8. Doi: https://doi.org/10.1007/s13224-019-01255-x PMid:31844367 PMCid:PMC6889116

JHPIEGO. Maternal and Neonatal Health Programme . Monitoring Birth Preparedness and complication readiness. Tools and indicators for maternal and newborn health. Baltimore: JHPIEGO. 2004;I(November 2013):14-8.

Mbalinda SN, Nakimuli A, Kakaire O, Osinde MO, Kakande N, Kaye DK. Does knowledge of danger signs of pregnancy predict birth preparedness? A critique of the evidence from women admitted with pregnancy complications. Heal Res Policy Syst. 2014;12(1):1-7. Doi: https://doi.org/10.1186/1478-4505-12-60 PMid:25300499 PMCid:PMC4197291

Koblinsky MA, Campbell O, Heichelheim J. Organizing delivery care: what works for safe motherhood? Bull World Health Organ. 1999; 77(5):399-406. PMID: 10361757; PMCID: PMC2557673.

Solnes Miltenburg A, Roggeveen Y, Shields L, van Elteren M, van Roosmalen J, Stekelenburg J, et al. (2015) Impact of Birth Prepared-ness and Complication Readiness Interventions on Birth with a Skilled Attendant: A Systematic Review. PLoS ONE 10(11): 1-21. e0143382. Doi: https://doi.org/10.1371/journal.pone.0143382 PMid:26599677 PMCid:PMC4658103

Sample registration system, Office of the Registrar General India. Special Bulletin on Maternal Mortality in India 2017-19. New Delhi, India: Vital statistics Division; 2022.p1-4.

Maternal Death Surveillance Response | Maternal Health | RMNCH+A | Programmes | NHM [Internet]. [cited 2021 Sep 21]. Available from: https://nrhm.gujarat.gov.in/maternal-death-review.htm

Acharya AS, Kaur R, Prasuna JG, Rasheed N. Making pregnancy safer-birth preparedness and complication readiness study among antenatal women attendees of a primary health center, Delhi. Indian J Community Med. 2015 Apr-Jun;40(2):127-34. Doi: https://doi.org/10.4103/0970-0218.153881 PMid:25861175 PMCid:PMC4389500

Sharma N, Kumar N, Singh S, Malik JS, Jangra A. Status and determinants of birth preparedness and complication readiness in a rural block of Haryana. J Fam Med Prim Care. 2019;8(2):482-6. Doi: https://doi.org/10.4103/jfmpc.jfmpc_372_18 PMid:30984659 PMCid:PMC6436243

Patil M, Vedpathak V, Aswar N, Deo D, Dahire P. Birth preparedness and complication readiness among primigravida women attending tertiary care hospital in a rural area. Int J Community Med Public Heal. 2016;3(8):2297-304. Doi: https://doi.org/10.18203/2394-6040.ijcmph20162587

Gupta S, Yadav R, Malhotra AK. Birth Preparedness and Complication Readiness Plans among Antenatal Attendees at Primary Health Centre of District Jhansi, U.P, India. Int J Integr Med Sci. 2016;3(4):258-64. Doi: https://doi.org/10.16965/ijims.2016.112

Mukhopadhyay DK, Mukhopadhyay S, Bhattacharjee S, Nayak S, Biswas AK, Biswas AB. Status of birth preparedness and complica-tion readiness in Uttar Dinajpur District, West Bengal. Indian J Public Health. 2013 Jul-Sep;57(3):147-54. Doi: https://doi.org/10.4103/0019-557X.119827 PMid:24125929

Anikwe CC, Okorochukwu BC, Ikeoha CC, Asiegbu OGK, Nnadozie UU, Eze JN, Obuna JA, Okoroafor FC. Birth Preparedness and Com-plication Readiness among Pregnant Women in a Secondary Health Facility in Abakaliki, Ebonyi State, Nigeria. Biomed Res Int. 2020 Jul 25;2020: 9097415. Doi: https://doi.org/10.1155/2020/9097415 PMid:32775449 PMCid:PMC7399737

Smeele P, Kalisa R, van Elteren M, van Roosmalen J, van den Akker T. Birth preparedness and complication readiness among pregnant women admitted in a rural hospital in Rwanda. BMC Pregnancy Childbirth. 2018;18(1):1-7. Doi: https://doi.org/10.1186/s12884-018-1818-x PMid:29848311 PMCid:PMC5977552

Hailu M, Gebremariam A, Alemseged F, Deribe K. Birth preparedness and complication readiness among pregnant women in South-ern Ethiopia. PLoS One. 2011; 6(6):e21432. Doi: https://doi.org/10.1371/journal.pone.0021432 PMid:21731747 PMCid:PMC3120869

Gebre M, Gebremariam A, Abebe TA (2015) Birth Preparedness and Complication Readiness among Pregnant Women in Duguna Fango District, Wolayta Zone, Ethiopia. PLoS ONE. 2015;10(9):1-12: e0137570. Doi: https://doi.org/10.1371/journal.pone.0137570 PMid:26379231 PMCid:PMC4574761

Florence M, Atuhaire C, Nkfusai CN, Shirinde J, Cumber SN. Knowledge and practice of birth preparedness and complication readi-ness among pregnant women attending antenatal clinic in Openzinzi Hciii, Adjumani District, Uganda. Pan Afr Med J. 2019 Sep 24; 34:46. Doi: https://doi.org/10.11604/pamj.2019.34.46.16869 PMid:31803342 PMCid:PMC6876897

Kiataphiwasu N, Kaewkiattikun K. Birth preparedness and complication readiness among pregnant women attending antenatal care at the Faculty of Medicine Vajira Hospital, Thailand. Int J Womens Health. 2018 Dec 5; 10:797-804. Doi: https://doi.org/10.2147/IJWH.S185589 PMid:30584377 PMCid:PMC6287423

Kakaire, O., Kaye, D.K. & Osinde, M.O. Male involvement in birth preparedness and complication readiness for emergency obstetric referrals in rural Uganda. Reprod Health. 2011;8(1):1-7. Doi: https://doi.org/10.1186/1742-4755-8-12 PMid:21548976 PMCid:PMC3118172

Anache, T.A., Wodajo, L.T. Birth preparedness complication readiness and determinants among pregnant women: a community-based survey from Ethopia. BMC Pregnancy Childbirth 20, 631 (2020). Doi: https://doi.org/10.1186/s12884-020-03297-w PMid:33076871 PMCid:PMC7574236