Socio-Demographic Factors that Influence Birth Preparedness and Complication Readiness among Women attending the Antenatal Clinic at Mbagathi County Hospital, Nairobi City, Kenya

Rhoda Achieng Onono, Rosemary Okova, Nancy Maingi

Abstract


IntroductionThe risk of life threatening obstetric emergencies can be faced by any pregnant woman.  There is an association between neonatal and maternal mortality and morbidity and Lack of Birth Preparedness and Complication Readiness (BP/CR).This study was carried out in May 2016 among pregnant women attending antenatal clinic(ANC) at Mbagathi Hospital. The aim of the study was to identify socio demographic factors that influence birth preparedness and complication readiness among pregnant women aged 18-49 years attending ANC at Mbagathi Hospital.

Methods. Descriptive cross-sectional study design applyingboth quantitative and qualitative approaches to collect data from 202 purposively sampled expectant mothers (32 weeks of gestation and above) aged between 18-49 years who were attending the antenatal clinic during the study period and four nurses from the maternity department were also used as key informants. Data collection tools used were semi-structured questionnaires for the women, interview guides for one focused group discussion composed of eight mothers, and Key Informant Interviews with four nurses,

Findings.  There was aremarkable association between maternal age, marital status, and birth and emergency preparedness. Of the 85 mothers aged ≤24 years, 63 (74.1%) were adequately prepared compared to those aged 25-34 years, 75 (72.8%) and those aged 35 years and above, 13 out of 14 (92.9%) reported being adequately prepared for childbirth and its complications. Out of 178 married women 137 (77%) were adequately prepared for birth compared to 24 single women, of which 14 (58.3%) were adequately prepared, OR = 0.42 (0.17-1.01), p = 0.054. The level of education, occupation, did not show remarkable relationship with the level of birth preparedness and complication readiness

Conclusions-The study findings showed that the socio demographic factors that have a remarkable influence on birth preparedness and complication readiness are, age and marital status.


Keywords


Birth Preparedness, Complication readiness, Antenatal Care, Maternal deaths

Full Text:

PDF

References


Agarwal, S., Sethi, V., Srivastava, K., Jha, P.K. and Baqui, A. (2010) Birth preparedness and complication readiness among slum women in Indore city, India. Journal of Health, Population and Nutrition, 28(4), pp.383–391.

Asp, G., Karen, P., Jacob, S., Kabakyenga, J., Agardh A.(2014). Associations between mass media exposure and birth preparedness among women in southwestern Uganda: A community-based survey. Global Health Action, 7(1).

Hailu, M., Gebremariam, A., & Alemseged, F. (2011). Knowledge about obstetric danger signs among pregnant women in Aleta Wondo District, Sidama Zone, Southern Ethiopia. Ethiopian Journal of Health Sciences, 20(1), pp.25–32. Hiluf, M. & Fantahun, M.( 2008). Birth preparedness and complication readiness among women in Adigrat town, north Ethiopia. Ethiopian Journal of Health Development, 22(5), pp.1–7.

Hiluf, M. & Fantahun, M.( 2008). Birth preparedness and complication readiness among women in Adigrat town, north Ethiopia. Ethiopian Journal of Health Development, 22(5), pp.1–7.

Kabakyenga, J., Ostergren,O, Turyakira E, Pettersson KO(2011) Knowledge of obstetric danger signs and birth pre Kenya Demographic and Health Survey, (2012). Population and Health Dynamics. East African Medical Journal, 5(6), p.6.

Kenya Demographic and Health Survey, (2012). Population and Health Dynamics. East African Medical Journal, 5(6), p.6.

Kuganab-Lem, B., Dogudugu, R., & Kanton, L., (2015). Birth Preparedness and Complication Readiness: A Study of Postpartum Women in a Rural District of Ghana. Scientific & AcademicPublishing, 4.

Mutiso,M., Qureshi, Z., & Kinuthia, J.,(2008). Birth preparedness among antenatal clients. East African Medical Journal, 85(6), pp.275–283.

Nigatu, D., Gebremariam, A., Abera, M., Setegn, T., Deribe, K. (2014). Factors associated with women’s autonomy regarding maternal and child health care utilization in Bale Zone: a community based cross-sectional study. BMC women’s health, 14(1), p.79.

Uganda Bureau of Statistics & Macro International Inc; (2015) Uganda Bureau of Statistics and Macro International Inc119-18.: Uganda Demographic and Health Survey 2015. Calverton, Maryland, USA: Uganda.

Urassa, P., Pembe, B., & Mganga, F., (2012). Birth preparedness and complication readiness among women in Mpwapwa district, Tanzania. Tanzania Journal of Health Research, 14(1).

Wilunda, C.,Gianluca, Q., Giovanni, P., Risa, T., Federico, C., Desalegn, A., (2015). Determinants of utilisation of antenatal care and skilled birth attendant atdelivery in South West Shoa Zone, Ethiopia: A cross sectional study. Reprodive Health; 12:74


Refbacks

  • There are currently no refbacks.




Copyright (c) 2018 Kenyan Journal of Nursing & Midwifery



© Numid Publishers        ISSN:  2518-8631