Birth preparedness: studying its effectiveness in improving maternal health in urban slums of Jamnagar, Gujarat
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20175332Keywords:
Birth preparedness, Maternal morbidity, Verbal autopsyAbstract
Background: Maternal health and healthy outcome of a pregnancy are the core focus of all the programmes related to maternal and child health. Most of the causes of maternal morbidity and mortality are preventable. So we need to introduce new strategies according to the need of beneficiaries to reduce the underlying causes which ultimately lead to morbidities or complications during pregnancy. Birth preparedness is a kind of strategy which can help the mothers to plan out their pregnancy to combat the complications arising during pregnancy, childbirth or puerperium. The aims and objectives were to study the birth preparedness amongst the women, to study effect of various socio demographic determinants on birth preparedness and to find out relation between maternal morbidity and mortality with birth preparedness.
Methods: Cross sectional study was conducted in Jamnagar. 450 women were selected by 30 cluster sampling. Data analysis was done with Microsoft office Excel and SPSS 20, Chi square test was applied.
Results: 11.33% women were fully prepared, 67.33% were partially prepared while 96 women were not prepared at all. Education, place of delivery, parity and knowledge of danger signs has statistically significant association with birth preparedness in cases of both maternal mortalities, women were not at all prepared.
Conclusions: Birth preparedness practices need to be improved. Education, parity, place of delivery, knowledge about danger signs are associated with birth preparedness practices. Birth preparedness can help in decreasing maternal morbidities and mortalities.
References
Birth and emergency Readiness in antenatal care: Standards for Maternal and Neonatal care. Geneva, Switzerland: WHO, 2006.
Special bulletin on Maternal Mortality in India, 2004-2006. s.l.: SRS, Office of Registrar, India, 2009.
Hogan MC, Foreman KJ, Naghavi M, Ahn SY, Wang M, Makela SM. Maternal Mortality for 181 countries, 1980-2008: a systemic analysis of progress towards millenium developement goal 5. Lancet. 2010;375:1609-23.
Maternal and neonatal health. Monitoring birth preparedness and complication readiness, tools and indicators for maternal and newborn health., JHPIEGO. Johns Hopkins, Bloomberg school of Public Health, Center for communication programs, Family Care International; 2004.
Thaddeus S, Maine D. Too far to walk: maternal mortality in context. Soc Sci Med. 1994;38:1091–110.
Methods in Biostatistics. B.K. Mahajan. s.l.: 6th Edition.
Lule E, Ramana GNV, Oomman N, Epp J, Huntington D, Rosen JE. Achieving the Millenium Developement Goal of improving Maternal Health: Determinants,Interventions and Challanges. 2005.
Birth preparedness: An essential part of ANC counselling, the skilled care initiative. New York. Available at: http://www.familycareintl.org/issues/ sm_skilled_care.php. Accessed on 3 August 2017.
Surviving childbirth and pregnancy in South Asia, Regional Office for South Asia. s.l.: UNICEF, 2004.
Lwanga SK, Lemeshow S. Sample size determination in health studies, Geneva: WHO, A practical Manual, 1991.
Maternal Health and Safe Motherhood programme: Autopsies for Maternal deaths. London: World Health Organisation, 1994.
Hiluf M, Fantahun M. Birth Preparedness and Complication Readiness among women in Adigrat town, north Ethiopia. Ethiop J Health Development. 2008;22(1):14-20.
Agarwal SV, Sethi SK, Jha PK, Bagui AH. Birth preparedness and complication readiness among slum women in Indore city. Indian J Health Population Nutr. 2010;28(4):383-91.
Hailu M, Gebremariam A, Alemseged F, Deribe K. Birth Preparedness and Complication readiness among pregnant women in Southern Ethiopia. PLoS One. 2011;6:e-21432.
Robert BK, Razak D, Ladi K. Birth Preparedness and complication readiness: A study of post partum women in a rural district of Ghana. Public Health Res. 2014;4:225-33.
ul Haq Z, Hafeez A, Khanum A, Southall D. Birth preparedness and the role of the private sector: a community survey. J Pak Med Assoc. 2009;59(5):302-6.
Affipunguh PK, Laar AS. Assessment of knowledge and practice towards birth preparedness and complication readiness among women in Northern Ghana: a cross-sectional study. Int J Sci Reports. 2016;2:121-9.
Deokinandan, Khuswant SS, Dubey DK. A Study For Assessing Birth Preparedness And Complication Readiness Intervention In Rewa District Of Madhya Pradesh. NIHFW; 2008-2009.
Shameem A. Maternal morbidity in Rural Bangladesh: Where Do Women Go For Care?. B working paper no.113. ICDDR, 1998.
National Family Health survey 3, National Fact Sheet India. Ministry of Health and Family Welfare, GOI, 2005-2006.
DLHS- 3, Jamnagar District. 2007-2008.
Estimates of Maternal Mortility ratios in India and its states: A pilot study sponsered by dept. of Family Welfare, Ministry of H&FW, GOI report.. New Delhi: Institute for Research in Medical Statistics, ICMR, J2003.
Zabeen S, Ahmed A, Zaman B, uz zaman S. Maternal Mortality. Professional Med J. 2010;17(4):679-85.
Mayank S, Bahl R, Bhandari N. Reproductive track infection in pregnant women in Delhi, India. Delhi: Int J Gynecol Obstetr. 2001;75(1):81-2.
Pembe AB, Urassa DP, Carlstedt A, Lindmark G, Nyström L, Darj E. Rural Tanzanian women's awareness of danger signs of obstetric complications; 2009: 12.
Idowu A, Deji SA, Arem OA, Bojuwoye OM. Birth preparedness and Complication readiness among women attending antenatal clinics in Ogbomoso, South West, Nigeria. Int J MCH AIDS. 2015;4:47-56.
Mandal T, Biswas R, Bhattacharya S, Das DK. Birth Preparedness Nad Complication Readiness amongst the recently delivered women in a rural area of Darjiling, West Bengal, India. AMSRJ. 2015;2(1):14-20.
National Rural Health Mission. Maternal Death Review. Dept of Health & Family Welfare, Govt Of Punjab, 2010.
