IJIMS.2016.112

Type of Article: Original Research

Volume 3; Issue 4: April 2016

Page No.: 258-264

DOI: 10.16965/ijims.2016.112

 

Birth Preparedness and Complication Readiness Plans among Antenatal Attendees at Primary Health Centre of District Jhansi, U.P, India

Shubhanshu Gupta *1 , Rashmi Yadav 2, A.K.Malhotra 3.

*1,2 Post Graduate Department Of Community Medicine, MLBMC, Jhansi (UP), India.

3 Professor and Head- Department Of Community Medicine, MLBMC, Jhansi (UP), India.

CORRESPONDING AUTHOR ADDRESS: Dr. Shubhanshu Gupta, Post graduate, department of community medicine, MLBMC, Jhansi (UP), India. Mobile no.: +919999310142 E-Mail: guptashubhanshu1@gmail.com

ABSTRACT

Background: Birth preparedness & complication readiness (BPACR) is a strategy that effectively plan birth and deals with emergencies.

Objectives: 1. To assess the status of BPACR among antenatal women,   2.  To study the factors associated with BPACR,   3.  To assess the level of male participation in the birth plan.

Materials and Methods: A facility based cross sectional study was conducted from June 2015 to November 2015 among 527 antenatal women attending at primary health centre at Jhansi. No sampling was done. A pretested, semi- structured interview questionnaire was used which includes socio- demographic profile,  knowledge about danger signs, identified a trained birth attendant, identified a health facility, arranged for transport, and saved money for emergency.

Statistical Analysis: Data were entered and analysed in Epi-info software. Descriptive statistics was used to describe the distribution of all variables. Multivariate logistic regression analysis was conducted to analyze factors that were independently associated with having a birth plan.

Results: Status of BPACR index in our study is low (46.2%). Mean age was 21.8± 4.4 years, while that of husband is 27.2± 6.6 years. Awareness about early registration was low (47%), majority of women (83%) identified skilled attendant at birth for delivery.

Conclusion: As the level of awareness regarding BPACR is low. Individual women, families and communities need to be empowered to contribute positively to making pregnancy safer by making a birth plan.

Implication of study: To reduce the morbidity and mortality in pregnant women.

Key words: BPACR, primary health centre, danger signs, birth attendant.

REFERENCES

  1. WHO, UNICEF and UNFPA. (2007). Maternal Mortality in 2005: Estimates Developed by WHO, UNICEF, UNFPA. Geneva: WHO. Available from: http://www.who.int/whosis/mme_2005.pdf [Last accessed on 2013 Oct 30].
  2. Special Bulletin on Maternal Mortality in India 2009-11. (2013) Office of Registrar General of India. Available from: http:// www.censusindia.gov.in/vital_statistics/SRS_Bulletins/Final- MMR%20Bulletin-2007-09_070711.pdf [Last accessed on 2013 Oct 30].
  3. Maternal and Neonatal Health Programme. (2004) Monitoring birth preparedness and complication readiness .Tools and indicators for maternal and newborn health. Baltimore: JHPIEGO. Available from: http://www.jhpiego.org/files/ BPACRtoolkit.pdf [Last accessed on 2013 Nov 1].
  4. RA McPherson, N Khadka, JM Moore, M Sharma, Are birth-preparedness programmes effective? Results from a field trial in Siraha district, Nepal. Journal of Health Population and Nutrition. 2006;24(4):479–88.
  5. Maternal and Neonatal health (MNH) Program, Birth preparedness and complication readiness. A matrix of shared responsibilities. Maternal and Neonatal Health. 2001;23–31.
  6. Moran AC, Sangli G, Dineed R, Rawlins B, Yaméogo M, Baya B. Birth-preparedness for maternal health: findings from Koupéla district, Burkina Faso. J Health Pop Nutr2006;24:489-97.
  7. Ekabua JE, Ekabua KJ, Odusolu P, Agan TU, Iklaki CU, Etokidem AJ. Awareness of birth preparedness and complication readiness in southeastern Nigeria. ISRN ObstetGynecol 2011.
  8. Onayade AA, Akanbi OO, Okunola HA, Oyeniyi CF, Togun OO, Sule SS. Birth preparedness and emergency readiness plans of antenatal clinic attendees in Ile-Ife, Nigeria. Niger Postgrad Med J 2010;17:30-9.
  9. NIHFW, UNFPA, SS Medical College, Rewa. A study for assessing birth preparedness and complication readiness intervention in Rewa district of Madhya Pradesh. 2008-9. Available from: http:// nihfw.org/pdf/RAHI-II%20Reports/REWA.pdf [Last accessed on 2013 Oct 30].
  10. Agarwal S, Sethi V, Srivastava K, Jha PK, Baqui A. Birth preparedness and complication readiness among slum women in Indore city, India. J Health PopulNutr 2010;28:383-91.
  11. 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;40:127-34.
  12. Kakaire O, Kaye DK, Osinde MO. Male involvement in birth preparedness and complication readiness for emergency obstetric referrals in rural Uganda. Reprod Health 2011;8:12.
  13. Mutiso SM, Qureshi Z, Kinuthia J. Birth preparedness among antenatal clients. East Afr Med J 2008;85:275-83.
  14. Uganda Bureau of Statistics (UBOS) and ORC Macro, Uganda Demographic and Health Survey 2006. (Entebbe, Uganda and Calverton, Maryland, USA: Uganda Bureau of Statistics and ORC Macro, 2006)
  15. A Adisasmita, PE Deviany, F Nandiaty, Stanton, Obstetric near miss and deaths in public and private hospitals in Indonesia. BMC Pregnancy Childbirth. 2008;8:10. doi:10.1186/1471-2393-8-10.
  16. V Filippi, R Ganaba, RF Baggaley, T Marshall, KT Storeng, I Sombié., et al, Health of women after severe obstetric complications in Burkina Faso: a longitudinal study. Lancet. 2007;370(9595):1329–1337. doi:10.1016/S0140- 6736(07)61574-8
  17. U Onwudiegwu, OC Ezechi, Emergency obstetric admissions: late referrals, misdiagnoses and consequences. Journal of Obstetric
  18. R Tweheyo, J Konde-Lule, NM Tumwesigye, JN Sekandi, Male partner attendance of skilled antenatal care in peri-urban Gulu district, Northern Uganda. BMC Pregnancy and Childbirth. 2010;10:53. doi:10.1186/1471- 2393-10-53
  19. BC Mullany, S Becker, MJ Hindin, The impact of including husbands in antenatal health education services on maternal health practices in urban Nepal: results from a randomized controlled trial urban Nepal: results from a randomized controlled trial. Health Education Research. 2007l;22(2):166–176.
  20. SS Bloom, D Wypij, GM Das, Dimensions of women’s autonomy and the influence on maternal health care utilization in a north Indian city. Demography. 2001;38:67–78. doi:10.1353/dem.2001.0001.
Download Full Text TOC