Assessment of birth preparedness and complication readiness among pregnant women in rural area of Chhattisgarh: a community based cross-sectional study
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20191397Keywords:
Birth preparedness, Complication readiness, Skilled birth attendantAbstract
Background: Neonatal and maternal mortality are the major concerns in the country mainly due to the “three delays” in seeking, reaching, and obtaining appropriate care. Birth preparedness and complication readiness (BPACR) is one of the most important tools to assess these delays. BPACR is the process of planning for normal birth and anticipating the actions needed in case of an emergency. The current study was undertaken to assess the status of BPACR among pregnant women in rural area of Kharsiya block in Raigarh district.
Methods: A community-based, cross-sectional study was conducted among 110 pregnant women in rural area of Kharsiya during January-June 2017. All the pregnant females were interviewed using a pretested and structured questionnaire. Knowledge about danger signs, planning for transport, place and delivery by skilled birth attendant, financial management were assessed. BPACR index was also calculated.
Results: The BPACR index was found to be very low (27.79%). About 73.65% women identified a skilled birth attendant for delivery but, only 10% women saved money and only 2.7% women had identified a blood donor for emergency. Nearly 74.54% women had no knowledge about danger or warning signs during pregnancy while 89.09% were unaware of complications during labour and 97.27% women did not know about puerperal complications.
Conclusions: BPACR index in this rural area was very low. Vast majority of women were not knowledgeable about birth preparedness and complication readiness.
References
Ghumare JP, Padvi NV. Assessment of maternal deaths using three delay model at a tertiary care centre in rural Maharashtra, India: retrospective six years study. Int J Reprod Contracept Obstet Gynecol. 2018;7(8):3043-7.
Kamineni V, Murki AD, Kota VL. Birth preparedness and complication readiness in pregnant women attending urban tertiary care hospital. J Family Med and Primary Care. 2017;6(2):297-300.
Maternal Mortality Ratio (MMR) (per 100000 live births), 2018. Available at: https://niti.gov.in/ content/maternal-mortality-ratio-mmr-100000-live-births. Accessed on 1 January 2019.
EMTS. Avaialble at: http://cg.nic.in/healthmctscg/ newrpt2016/rptMothChildDeathInfo.aspx. Accessed on 20 June 2017.
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(2):127–34.
Kushwah SS, Dubey D, Singh G, Shivdasani JP, Adhish V, Nandan D. Status of birth preparedness and complication readiness in Rewa District of Madhya Pradesh. Indian J Public Health. 2009;53(3):128-32.
Mukhopadhyay DK, Mukhopadhyay S, Bhattacharjee S, Nayak S, Biswas AK, Biswas AB. Status of Birth Preparedness and Complication Readiness in Uttar Dinajpur District, West Bengal. Indian J Public Health. 2013;57(3):147-54
Agarwal S, Sethi V, Srivastava K, Jha PK, Baqui AH. Birth Preparedness and Complication Readiness among Slum Women in Indore City, India. J Health Popul Nutr. 2010;28(4):383-91.
