Assessment of Birth Preparedness and Complication Readiness in Robe Woreda, Oromia Region, Central Ethiopia
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Date
2012-06
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Addis Ababa University
Abstract
Background: Globally more than half a million women die annually as a result of complications of pregnancy and childbirth. Ninety-nine percent of these deaths occur in most developing countries like Ethiopia.
Obstetric related complications cannot be reliably predicted and it is necessary to use birth preparedness and complication readiness strategies to overcome those problems when they arise.
Objective: To assess the knowledge and practices towards birth preparedness and complication readiness and factors associated among women of reproductive age (15-49) in Robe Woreda,Oromia Region, Ethiopia.
Method: A cross-sectional community-based study supplemented by qualitative design was conducted in January, 2012. A total of 575 women from 5 kebeles were selected using proportionally allocated to population size and interviewed using structured and semi-structured, pre-tested questionnaires. Univariate and bivariate analysis was performed.Multivariate analysis was also done to control for possible confounding variables.
Results: Data were obtained from 575 mothers, yielding a response rate of 98.97%. Taking into account place of delivery identification, means of transportation, skilled attendant identification and saving money, about 16.5% of the respondents were prepared for birth and its complications.
In multivariate analysis, preparation for birth and its complication was higher among educated mothers (AOR= 6.23, 95% CI= 1.5, 25.87), monthly income >716 ETBr (AOR= 1.94, 95% CI=1.01, 3.87), ANC visit (AOR= 5.68, 95% CI= 1.27, 25.4), knowledge of obstetric complications (AOR= 2.94, 95% CI= 1.61, 5.37) and those who had given birth at health facility before their last delivery (AOR= 3.9, 95% CI= 2.04, 7.46).
Conclusion: The study identified poor knowledge and practices of preparation for birth and its complication. Community education about preparation for birth and its complication and empowerment of women through expansion of educational opportunities are important steps in improving birth preparedness. In all health facilities during antenatal care emphasis should given to preparation for birth and its complication and provide information and education to all pregnant women.
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Keywords
Birth Preparedness ,Complication