Birth preparedness, complication readiness and associated factors among pregnant women attending public health facilities in Chelia District, Central Ethiopia (2022): a cross-sectional study

Background Birth preparedness and complication readiness (BPCR) are essential components of maternal health that encourage proactive planning and decision-making during pregnancy and childbirth. However, there is limited information available regarding the status of BPCR, particularly in our study a...

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Main Authors: Firaol Regea Gelassa, Desalegn Emana Jebena, Segni Mulugeta Tafasa, Debela Bekuma, Worku Fikadu, Ebisa Zerihun, Wakeshe Willi, Eshetu Ejeta Chaka
Format: Article
Language:English
Published: BMJ Publishing Group 2024-11-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/14/11/e084945.full
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author Firaol Regea Gelassa
Desalegn Emana Jebena
Segni Mulugeta Tafasa
Debela Bekuma
Worku Fikadu
Ebisa Zerihun
Wakeshe Willi
Eshetu Ejeta Chaka
author_facet Firaol Regea Gelassa
Desalegn Emana Jebena
Segni Mulugeta Tafasa
Debela Bekuma
Worku Fikadu
Ebisa Zerihun
Wakeshe Willi
Eshetu Ejeta Chaka
author_sort Firaol Regea Gelassa
collection DOAJ
description Background Birth preparedness and complication readiness (BPCR) are essential components of maternal health that encourage proactive planning and decision-making during pregnancy and childbirth. However, there is limited information available regarding the status of BPCR, particularly in our study area. Therefore, this study aimed to assess birth preparedness, complication readiness and associated factors among pregnant women attending public health facilities in the Chelia District.Methods A facility-based cross-sectional study was conducted among 410 pregnant women at public health facilities, using a systematic random sampling method. Descriptive statistics, such as frequencies, and summary statistics were calculated for the relevant variables. Bivariate and multivariate binary logistic regression analyses were performed to evaluate the relationship between dependent and independent variables. The strength of the association was measured using an OR with a 95% CI. Statistical significance was determined at a p value of 0.05.Results A total of 406 mothers participated in the study, resulting in a 99% response rate. The study found that 245 (60.3%) respondents were well-prepared for birth and complication readiness. Several factors such as: family size (adjusted odds ratios (AOR)=0.18; 95% CI (0.09 to 0.35)), decision-making with husbands (AOR=2.43, 95% CI (1.44 to 3.32)), parity (AOR=0.32; 95% CI (0.16 to 0.62)), lack of awareness about birth preparedness (AOR=0.30; 95% CI (0.16 to 0.57)), not knowing about the existence of a waiting home (AOR=0.31; 95% CI (0.19 to 0.48)) and not participating in a pregnant women’s conference (AOR=0.50; 95% CI (0.32 to 0.79)) were significantly associated with BPCR.Conclusion The study found that the level of BPCR is low in the study area. Family size, decision-making with husbands, awareness of maternity waiting homes, participation in pregnant women’s conferences, knowledge about BPCR and parity were significantly associated with BPCR. Therefore, strengthening pregnant women’s conferences, encouraging husband involvement in decision-making and ensuring maternity waiting homes at health facilities are important.
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institution Kabale University
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language English
publishDate 2024-11-01
publisher BMJ Publishing Group
record_format Article
series BMJ Open
spelling doaj-art-0a7c3153c23d4567b29bd2f3e1498dab2024-12-09T14:05:10ZengBMJ Publishing GroupBMJ Open2044-60552024-11-01141110.1136/bmjopen-2024-084945Birth preparedness, complication readiness and associated factors among pregnant women attending public health facilities in Chelia District, Central Ethiopia (2022): a cross-sectional studyFiraol Regea Gelassa0Desalegn Emana Jebena1Segni Mulugeta Tafasa2Debela Bekuma3Worku Fikadu4Ebisa Zerihun5Wakeshe Willi6Eshetu Ejeta Chaka7College of Medicine & Health Sciences, Ambo University, Ambo, Oromia, EthiopiaDepartment of Nursing, College of Health Sciences, Assosa University, Asosa, EthiopiaDepartment of Public Health, Institute of Health Sciences, Wollega University, Nekemte, Oromia, EthiopiaCollege of Medicine & Health Sciences, Ambo University, Ambo, Oromia, EthiopiaDepartment of Public Health, Institute of Health Sciences, Wollega University, Nekemte, Oromia, EthiopiaCollege of Health Science, Oda Bultum University, Chiro, EthiopiaCollege of Medicine & Health Sciences, Ambo University, Ambo, Oromia, EthiopiaCollege of Medicine & Health Sciences, Ambo University, Ambo, Oromia, EthiopiaBackground Birth preparedness and complication readiness (BPCR) are essential components of maternal health that encourage proactive planning and decision-making during pregnancy and childbirth. However, there is limited information available regarding the status of BPCR, particularly in our study area. Therefore, this study aimed to assess birth preparedness, complication readiness and associated factors among pregnant women attending public health facilities in the Chelia District.Methods A facility-based cross-sectional study was conducted among 410 pregnant women at public health facilities, using a systematic random sampling method. Descriptive statistics, such as frequencies, and summary statistics were calculated for the relevant variables. Bivariate and multivariate binary logistic regression analyses were performed to evaluate the relationship between dependent and independent variables. The strength of the association was measured using an OR with a 95% CI. Statistical significance was determined at a p value of 0.05.Results A total of 406 mothers participated in the study, resulting in a 99% response rate. The study found that 245 (60.3%) respondents were well-prepared for birth and complication readiness. Several factors such as: family size (adjusted odds ratios (AOR)=0.18; 95% CI (0.09 to 0.35)), decision-making with husbands (AOR=2.43, 95% CI (1.44 to 3.32)), parity (AOR=0.32; 95% CI (0.16 to 0.62)), lack of awareness about birth preparedness (AOR=0.30; 95% CI (0.16 to 0.57)), not knowing about the existence of a waiting home (AOR=0.31; 95% CI (0.19 to 0.48)) and not participating in a pregnant women’s conference (AOR=0.50; 95% CI (0.32 to 0.79)) were significantly associated with BPCR.Conclusion The study found that the level of BPCR is low in the study area. Family size, decision-making with husbands, awareness of maternity waiting homes, participation in pregnant women’s conferences, knowledge about BPCR and parity were significantly associated with BPCR. Therefore, strengthening pregnant women’s conferences, encouraging husband involvement in decision-making and ensuring maternity waiting homes at health facilities are important.https://bmjopen.bmj.com/content/14/11/e084945.full
spellingShingle Firaol Regea Gelassa
Desalegn Emana Jebena
Segni Mulugeta Tafasa
Debela Bekuma
Worku Fikadu
Ebisa Zerihun
Wakeshe Willi
Eshetu Ejeta Chaka
Birth preparedness, complication readiness and associated factors among pregnant women attending public health facilities in Chelia District, Central Ethiopia (2022): a cross-sectional study
BMJ Open
title Birth preparedness, complication readiness and associated factors among pregnant women attending public health facilities in Chelia District, Central Ethiopia (2022): a cross-sectional study
title_full Birth preparedness, complication readiness and associated factors among pregnant women attending public health facilities in Chelia District, Central Ethiopia (2022): a cross-sectional study
title_fullStr Birth preparedness, complication readiness and associated factors among pregnant women attending public health facilities in Chelia District, Central Ethiopia (2022): a cross-sectional study
title_full_unstemmed Birth preparedness, complication readiness and associated factors among pregnant women attending public health facilities in Chelia District, Central Ethiopia (2022): a cross-sectional study
title_short Birth preparedness, complication readiness and associated factors among pregnant women attending public health facilities in Chelia District, Central Ethiopia (2022): a cross-sectional study
title_sort birth preparedness complication readiness and associated factors among pregnant women attending public health facilities in chelia district central ethiopia 2022 a cross sectional study
url https://bmjopen.bmj.com/content/14/11/e084945.full
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