Factors associated with birth preparedness and complication readiness among pregnant women in Nepal
Journal Title: International Journal of Public Health Asia Pacific (IJPHAP) - Year 2023, Vol 2, Issue 3
Abstract
Background: Maternal and neonatal mortality is major problem especially affecting newly industrialized and developing countries. Birth preparedness and complication readiness is a strategy used in maternal and new-born health to promote safe and healthy pregnancy and delivery by preparing women and families to avoid complications. This includes utilization of prenatal care, identifying health worker and health facilities, managing budget and transportation, identifying potential complications, and receiving health services. Objectives: The study aimed to assess the factors associated with birth preparedness and complication readiness among pregnant women in Nepal. Method: A quantitative, community based cross sectional analytical study was conducted between January and July 2023 among 221 pregnant women who completed 14 weeks of gestational age. Birth preparedness and complication readiness were measured using standard tool of JIPIEGO. Epi-data version 3.1 for data entry and SPSS version 20 was used for further analysis. Chi-square test was used to observe the statistical association, similarly, predictors of birth preparedness and readiness were assessed using binary logistic regression analysis. Results: The study revealed only one quarter (26.6%) of pregnant women were prepared. Among the participants, 50.7% had selected health facilities, 40% had arranged transportation, 38% saved money, 12.2% identified health workers and 10% identified possible blood donor. Education of mother (AOR=15.275, 95% CI: 1.775-131.421), family income (AOR=4.977, 95% CI: 1.263-19.608) and gestational age (AOR=3.716, 95% CI: 1.200-11.504) were found to be predictors of birth preparedness and complication readiness. Conclusion: The study showed only about one fourth of the pregnant women were well prepared for birth complications and readiness. Birth preparedness and complication readiness play a vital role in the prevention of maternal and neonatal mortality. Health workers should emphasize to increase awareness and provide counselling during antenatal visits.
Authors and Affiliations
Rajendra Sapkota, Dipendra Kumar Yadav, Rajesh Kumar Yadav, Ajaya Paudel
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