Prevalence of Obstetric Danger Signs during Pregnancy and Associated Factors among Mothers in Shashemene Rural District, South Ethiopia

Introduction. Obstetric danger signs are those signs that a pregnant woman will see or those symptoms that she will feel which indicate that something is going wrong with her or with the pregnancy. Evidence on the prevalence of obstetric danger signs and contributing factors were crucial in designin...

Full description

Saved in:
Bibliographic Details
Main Authors: Nega Terefe, Aderajew Nigussie, Afework Tadele
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Journal of Pregnancy
Online Access:http://dx.doi.org/10.1155/2020/6153146
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832566514686885888
author Nega Terefe
Aderajew Nigussie
Afework Tadele
author_facet Nega Terefe
Aderajew Nigussie
Afework Tadele
author_sort Nega Terefe
collection DOAJ
description Introduction. Obstetric danger signs are those signs that a pregnant woman will see or those symptoms that she will feel which indicate that something is going wrong with her or with the pregnancy. Evidence on the prevalence of obstetric danger signs and contributing factors were crucial in designing programs in the global target of reducing maternal morbidity and mortality. Objective. To assess the prevalence of obstetric danger signs during pregnancy and associated factors among mothers in a Shashemene rural district, South Ethiopia. Methods. A community-based cross-sectional study design was conducted among 395 randomly selected women who gave birth in the last six months. A pretested interviewer-administered questionnaire was utilized. Data were cleaned, coded, and entered into Epi data manager version 4.1 and then exported to SPSS version 20. Bivariable and multivariable logistic regression analyses were employed to assess the association between independent variables with the outcome variable. Statistical significance was declared at p<0.05. Result. One hundred sixty-three (41.3%) of women had a history of obstetric danger signs during pregnancy. The most prevalent obstetric danger signs were vaginal bleeding (15.4%) followed by swelling of the body 12.7% and severe vomiting 5.3%. Women who have less than four times antenatal care visits were 6.7 times more likely to experience obstetric danger signs (AOR 6.7 (95% CI 3.05, 14.85)) compared to those who had antenatal care visit four times and above. Women who have inadequate knowledge of obstetric danger signs were 2.5 times more likely to experience obstetric danger signs during pregnancy (AOR 2.5 (95% CI 1.34, 4.71)), and primigravida women were 6.3 times more likely to have obstetric danger signs during pregnancy (AOR 6.3 (95% CI 2.61, 15.09)) compared to multiparous women. Conclusion. About half of the pregnant mothers have experienced at least one obstetric danger signs. Public health interventions on maternal health should give priority to the prevalent causes of obstetric danger signs, strengthening completion of four antenatal care visits and health education on obstetric danger signs for pregnant mothers at community level especially for primgravid women.
format Article
id doaj-art-ebce042487b74639957aa917fa4e53f6
institution Kabale University
issn 2090-2727
2090-2735
language English
publishDate 2020-01-01
publisher Wiley
record_format Article
series Journal of Pregnancy
spelling doaj-art-ebce042487b74639957aa917fa4e53f62025-02-03T01:03:59ZengWileyJournal of Pregnancy2090-27272090-27352020-01-01202010.1155/2020/61531466153146Prevalence of Obstetric Danger Signs during Pregnancy and Associated Factors among Mothers in Shashemene Rural District, South EthiopiaNega Terefe0Aderajew Nigussie1Afework Tadele2District Health Office, Shashemene, Oromia, EthiopiaPopulation and Family Health, Jimma University, Jimma, EthiopiaPopulation and Family Health, Jimma University, Jimma, EthiopiaIntroduction. Obstetric danger signs are those signs that a pregnant woman will see or those symptoms that she will feel which indicate that something is going wrong with her or with the pregnancy. Evidence on the prevalence of obstetric danger signs and contributing factors were crucial in designing programs in the global target of reducing maternal morbidity and mortality. Objective. To assess the prevalence of obstetric danger signs during pregnancy and associated factors among mothers in a Shashemene rural district, South Ethiopia. Methods. A community-based cross-sectional study design was conducted among 395 randomly selected women who gave birth in the last six months. A pretested interviewer-administered questionnaire was utilized. Data were cleaned, coded, and entered into Epi data manager version 4.1 and then exported to SPSS version 20. Bivariable and multivariable logistic regression analyses were employed to assess the association between independent variables with the outcome variable. Statistical significance was declared at p<0.05. Result. One hundred sixty-three (41.3%) of women had a history of obstetric danger signs during pregnancy. The most prevalent obstetric danger signs were vaginal bleeding (15.4%) followed by swelling of the body 12.7% and severe vomiting 5.3%. Women who have less than four times antenatal care visits were 6.7 times more likely to experience obstetric danger signs (AOR 6.7 (95% CI 3.05, 14.85)) compared to those who had antenatal care visit four times and above. Women who have inadequate knowledge of obstetric danger signs were 2.5 times more likely to experience obstetric danger signs during pregnancy (AOR 2.5 (95% CI 1.34, 4.71)), and primigravida women were 6.3 times more likely to have obstetric danger signs during pregnancy (AOR 6.3 (95% CI 2.61, 15.09)) compared to multiparous women. Conclusion. About half of the pregnant mothers have experienced at least one obstetric danger signs. Public health interventions on maternal health should give priority to the prevalent causes of obstetric danger signs, strengthening completion of four antenatal care visits and health education on obstetric danger signs for pregnant mothers at community level especially for primgravid women.http://dx.doi.org/10.1155/2020/6153146
spellingShingle Nega Terefe
Aderajew Nigussie
Afework Tadele
Prevalence of Obstetric Danger Signs during Pregnancy and Associated Factors among Mothers in Shashemene Rural District, South Ethiopia
Journal of Pregnancy
title Prevalence of Obstetric Danger Signs during Pregnancy and Associated Factors among Mothers in Shashemene Rural District, South Ethiopia
title_full Prevalence of Obstetric Danger Signs during Pregnancy and Associated Factors among Mothers in Shashemene Rural District, South Ethiopia
title_fullStr Prevalence of Obstetric Danger Signs during Pregnancy and Associated Factors among Mothers in Shashemene Rural District, South Ethiopia
title_full_unstemmed Prevalence of Obstetric Danger Signs during Pregnancy and Associated Factors among Mothers in Shashemene Rural District, South Ethiopia
title_short Prevalence of Obstetric Danger Signs during Pregnancy and Associated Factors among Mothers in Shashemene Rural District, South Ethiopia
title_sort prevalence of obstetric danger signs during pregnancy and associated factors among mothers in shashemene rural district south ethiopia
url http://dx.doi.org/10.1155/2020/6153146
work_keys_str_mv AT negaterefe prevalenceofobstetricdangersignsduringpregnancyandassociatedfactorsamongmothersinshashemeneruraldistrictsouthethiopia
AT aderajewnigussie prevalenceofobstetricdangersignsduringpregnancyandassociatedfactorsamongmothersinshashemeneruraldistrictsouthethiopia
AT afeworktadele prevalenceofobstetricdangersignsduringpregnancyandassociatedfactorsamongmothersinshashemeneruraldistrictsouthethiopia