DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20202059

How well urban families are prepared for child birth and its complications

Pujitha Vallivedu Chennakesavulu, Cuddapah Gaurav Venkat, Suddapalli Siva Keerthana, Harika Govada, Reddivari Preethi

Abstract


Background: Globally every day, approximately 830 women die from preventable causes related to pregnancy and childbirth. 99% of all maternal deaths occur in developing countries. Care before during and after childbirth can save the lives of women and new born babies which is also known as birth preparedness and complication readiness (BPACR). The objective of this study aims to assess practice of birth preparedness and complication readiness among families of women in the field practicing area of Kamineni Academy of Medical Sciences and Research Centre, Hyderabad.

Methods: Field based descriptive study was done during August 2019 to February 2020 for a period of 6 months in urban field practising area. Sample size was 450 families, which includes, antenatal mothers 450 and their husbands 450, and 220 reproductive age group women.  

Results: Awareness of key danger signs during pregnancy (73.8%), labour/childbirth (56.7%) and postpartum (44%) were more among antenatal women whereas knowledge of danger signs of new born was highest among husbands of currently pregnant women. Planning of giving birth with a skilled provider was also high among antenatal women (98%) and in their husbands (97.5%), but saving for the same was very low in reproductive age group study population (20.4%).

Conclusions: All these findings conclude Indian husbands of urban were more concerned about problems and safety of their offspring that is new born, than antenatal mother. Awareness of danger signs in the new born was lowest.


Keywords


BPACR, Birth preparedness, Complication readiness, Antenatal care, Reproductive women, New born

Full Text:

PDF

References


Trends in maternal mortality: 2000 to 2017: Estimates by WHO, UNICEF, UNFPA, World Bank Group and the United Nations Population Division. Geneva: World Health Organization; 2019.

Alkema L, Chou D, Hogan D, Zhang S, Moller AB, Gemmill A, et al. Global, regional, and national levels and trends in maternal mortality between 1990 and 2015, with scenario-based projections to 2030: a systematic analysis by the UN Maternal Mortality Estimation Inter-Agency Group. Lancet. 2016;387(10017):462-74.

Baya B, Sangli G, Maiga A. Measuring the effects of behaviour change interventions in Burkina Faso with population-based survey results. Baltimore, Maryland, USA. JHPIEGO. 2004:18-45.

Goodburn E, Campbell O, Safe JM, Safe MD, Campbell O. Reducing maternal mortality in the developing world: sector-wide approaches may be the key. BMJ. 2001;322:917-20.

Say L, Chou D, Gemmill A, Walker G, Deneux, Chandramohan D, et al. Global causes of maternal death: A WHO systematic analysis. Lancet Glob Health. 2014;2(6):323-33.

Thaddeus S, Maine D. Too far to walk: Maternal Mortality in Context. Soc Sci Med. 1994;38(8):1091-110.

JHPIEGO. Improving safe motherhood through shared responsibility and collective action: the maternal and neonatal health program, accomplishments and results 2002±2003. Baltimore, Maryland, USA: United States Agency for International Development; 2004.

Median marriage age up: Census data. The Hindu. New Delhi 29 June 2016. Available at: https://www.thehindu.com/news/national/Median-marriage-age-up-Census-data/article14408348.ece. Accessed on 29 January 2020.

Average age for marriage in rural and urban India gone up says Govt. Outlook. New Delhi 18th July 2017. Available at: https://www.outlookindia.com/ newswire/story/average-age-for-marriage-in-rural-and-urban-india-gone-up-in-last-10-years-says-govt/972384. Accessed on 25 January 2020.

Akshaya KM, Shivalli S. Birth preparedness and complication readiness among the women beneficiaries of selected rural primary health centres of Dakshina Kannada district, Karnataka, India. PLoS ONE. 2017;12(8):0183739.

Kalliath JD, Avita RJ, Pinto P. Awareness, attitude, participation and use of technology in birth preparedness and complication readiness among husbands of women availing obstetric care at a rural maternity hospital in South Karnataka. Int J Community Med Public Health. 2019;6(8):3303-9.

ZubairuIliyasu, Adetoro, Adamuym, Mullicks. Birth Preparedness, Complication Readiness and Fathers’ Participation in Maternity Care in a Northern Nigerian Community. African J Reproductive Health Mar. 2010;14(1):21-32.

Debiso AT. Factors Associated with Men’s Awareness of Danger Signs of Obstetric Complications and Its Effect on Men’s Involvement in Birth Preparedness Practice in Southern Ethiopia, 2014. Advances in Public Health Volume. 2015:9.

Tadesse M, Boltena AT, Asamoah BO. Husbands’ participation in birth preparedness and complication readiness and associated factors in WolaitaSodo town, Southern Ethiopia. Afr J Prm Health Care Fam Med. 2018;10(1):1-8.

Furaha A, Pembe AB, Mpembeni R, Axemo P, Darj E. Men’s Knowledge of Obstetric Danger Signs, Birth Preparedness and Complication Readiness in Rural Tanzania. PLoS ONE. 2015;10(5):0125978.

Sekoni OO, Owoaje ET, Buor, Thaddeus, Mullany, Murphy, et al. Male Knowledge of Danger Signs of Obstetric Complications in an Urban City in South West Nigeria. Annals Ibadan Postgraduate Med. 2014;12:89-95.

Oguntunde. Factors associated with knowledge of obstetric danger signs and perceptions of the need for obstetric care among married men in northern Nigeria: a cross-sectional survey. BMC Pregnancy Childbirth. 2019;19:123.

Mukhopadhyay DK. Status of birth preparedness and complication readiness in Uttar Dinajpur District, West Bengal. Indian J of Public Health. 2013;57(3):147-53.

Moinuddin M, Christou A, Hoque DME, Tahsina T, Salam SS, Billah SM, et al. Birth preparedness and complication readiness (BPCR) among pregnant women in hard-to-reach areas in Bangladesh. PLoS ONE. 2017;12(12):0189365.

Agarwal S. Birth Preparedness and Complication Readiness among Slum Women in Indore City, India. J Health Popul Nutr. 2010;28(4):383-91.