In the Proceedings of the IAHCP 26th Annual Scientific Meeting and Conference, Blackpool, UK, 18 – 21 July 2015
Assessment of Birth Preparedness and Complication Readiness amongst Pregnant Women in Benin City, Edo State, Nigeria, by Dr Andrew Ifeanyichukwu Obi
Dr Andrew Obi, from the Department of Community Health at the University of Benin, Benin City, Edo State, Nigeria, informed conference that Nigeria accounts for nearly 10% of global estimates of maternal mortalities. Lack of advance planning for use of skilled attendants at birth, with inadequate preparation for rapid interventions during obstetric emergencies, are well documented factors contributing to delays in receiving obstetric care. This study was carried out to assess birth preparedness and complication readiness (BPACR) and associated factors among pregnant women in Benin City, for improved skilled attendance at birth and health facility deliveries.
He went on to apprise conference that a community based descriptive cross sectional study design was utilized in this study, involving a researcher distribution of pretested semi-structured questionnaires to 252 consenting pregnant women in Benin City. Data collected were sorted for completeness, coded, entered and analysed using SPSS version 21.0 statistical software with statistical significance set at p˂0.05 and 95% confidence interval.
Dr Obi went on to inform conference that the mean age of respondents studied was 28.9 ± 4.9 years, 243 (96.4%) of them had good knowledge of BPACR with health care providers 172 (89.1%) reported as their main source of information. Two hundred and thirty eight (94.6%) of these women had positive attitude towards BPACR. In relation to practice of BPACR, 238 (94.4%) of them had registered for antenatal care, 234 (98.3%) had identified a health facility, 233 (92.5%) identified a skilled care provider, 165 (65.5%) made transportation plans while 74 (29.4%) had savings as emergency fund and 21 (8.3%) had identified potential blood donor. As such 197 (78.2%) of these women were well prepared for birth during pregnancy and 218 (94.4%) at delivery. Awareness of BP (OR=0.337; 95%CI=0.128-0.891; p=0.028) and ANC registration (OR=0.016; 95%CI=0.002-0.127; p˂0.01) were the significant predictors identified that influenced BPACR.
Dr Obi continued by pointing out that this study identified good knowledge and positive attitude towards BPACR but that gaps existed between knowledge and practice of BPACR among pregnant women studied in Benin City. He went on to explain that there is a need to strengthen Antenatal Care (ANC) registration practices among pregnant women in these communities and to address other key birth preparedness components, such as savings plans (emergency funds) and planning for skilled attendants at birth, for improved health facility deliveries and maternofoetal outcome.
Correspondence: Dr Andrew I. Obi, Consultant Public Health Physician and Lecturer, Benin City, Nigeria
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