Comparative assessment of birth preparedness and complication readiness among women in rural and urban areas of Bangladesh

Pervin Akther; Farzana Sharmin; Jinnat Ara Islam; Hasina Begum; Khadija; Dalia Nasreen; Zeba Ahmed; Md Iqbal Mahmud Choudhury; Nilufar Shabnam

doi:10.3329/brc.v8i2.60640

Authors

Pervin Akther Department of Obstetrics and Gynecology, Mugda Medical College and Hospital, Dhaka
Farzana Sharmin Bangabandhu Sheikh Mujib Medical University Hospital (BSMMU), Dhaka
Jinnat Ara Islam Shaheed Suhrawardy Medical College & Hospital Sher-e-Bangla Nagar, Dhaka
Hasina Begum Shaheed Suhrawardy Medical College & Hospital Sher-e-Bangla Nagar, Dhaka
Khadija Shaheed Suhrawardy Medical College & Hospital Sher-e-Bangla Nagar, Dhaka
Dalia Nasreen Sir Salimillah Medical College & Mitford Hospital, Sher-e-Bangla Nagar, Dhaka
Zeba Ahmed Mugda Medical College and Hospital, Dhaka
Md Iqbal Mahmud Choudhury Department of Surgery, Bangabandhu Sheikh Mujib Medical University ,Shahbag, Dhaka
Nilufar Shabnam Department of Surgery, BIRDEM Hospital And Ibrahim Medical college, Shahbag, Dhaka

DOI:

https://doi.org/10.3329/brc.v8i2.60640

Keywords:

Birth preparedness, Complication readiness, Child-birth, Rural, Urban

Abstract

Background: Birth preparedness and complication readiness is an imperative intervention which has proven to reduce delays in care seeking behavior in case of obstetric emergencies. Although, many pregnant women and their families do not take the suggested steps to prepare for childbirth, despite of being known of them. Additionally, marked disparities often have been observed between rural and urban areas, with more maternal and neonatal deaths occurring in the rural areas owing to the unpreparedness. This study thus set out to assess and compare the knowledge, practice and factors associated with birth preparedness and complication readiness among women from rural and urban areas in Bangladesh. Methodology: A cross-sectional comparative study design have been undertaken among 250 rural and 240 urban women in the Department of Obstetrics and Gynecology, Shaheed Suhrawardy Medical College and Hospital, Dhaka, Bangladesh and Shaheed Sayed Nazrul Islam Medical College and Hospital, Kishoreganj, Dhaka over a period of 6 months from 1st October 2020 to 30th March 2021. All pregnant women who attended in the antenatal clinic of SSNIMCH and SSMCH for the first time during the study period was include in the study. Quantitative data was collected by the use of semi structured questionnaires adapted from the safe motherhood questionnaire, developed by maternal and neonatal Programme of Johns Hopkins Programme for International Education in Gynaecology and Obstetrics (JHPIEGO) an affiliate of John Hopkins University. Result: Birth preparedness and complication readiness was evident in 34.17% of the urban and 30.4% of the rural respondents. Urban women were statistically significantly more aware of the danger signs of pregnancy, labour and postpartum period (p<0.001). Selection of place of delivery, arrangement of transportation, emergency fund and blood donor was the most important actions taken as part of birth preparedness both in rural and urban respondents. Null birth preparedness was observed among 28.0% of the rural respondents compared to 2.50% of the urban respondents. The decision regarding the place of delivery was taken mostly by their husband both in urban and rural sub sets. Thus, this study findings showed low practice of BPACR both among urban and rural community while rural people showed more inaction than urban people.

References

Islam S, Perkins J, Siddique MdAB, Mazumder T, Haider MR, Rahman MM, et al. Birth preparedness and complication readiness among women and couples and its association with skilled birth attendance in rural Bangladesh. PLoS One. 2018 Jun 7;13(6):e0197693.

Campbell OM, Graham WJ. Strategies for reducing maternal mortality: getting on with what works. The Lancet. 2006 Oct 7;368(9543):1284–99.

Islam MM, Masud MS. Determinants of frequency and contents of antenatal care visits in Bangladesh: Assessing the extent of compliance with the WHO recommendations. Akinyemi AI, editor. PLoS ONE. 2018 Sep 27;13(9):e0204752.

Thaddeus S, Maine D. Too far to walk: maternal mortality in context. Soc Sci Med. 1994 Apr;38(8):1091–110.

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.

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 Aug;28(4):383–91.

Kabakyenga JK, Östergren P-O, Turyakira E, Pettersson KO. Knowledge of obstetric danger signs and birth preparedness practices among women in rural Uganda. Reproductive Health. 2011 Nov 16;8(1):33.

Hailu D, Berhe H. Knowledge about Obstetric Danger Signs and Associated Factors among Mothers in Tsegedie District, Tigray Region, Ethiopia 2013: Community Based Cross-Sectional Study. PLoS One. 2014 Feb 6;9(2):e83459.

Markos D, Bogale D. Birth preparedness and complication readiness among women of child bearing age group in Goba woreda, Oromia region, Ethiopia. BMC Pregnancy and Childbirth. 2014 Aug 18;14(1):282.

Iliyasu Z, Abubakar IS, Galadanci HS, Aliyu MH. Birth preparedness, complication readiness and fathers’ participation in maternity care in a northern Nigerian community. Afr J Reprod Health. 2010 Mar;14(1):21–32.

Nyande FK, Ricks E, Williams M, Jardien-Baboo S. Socio-cultural barriers to the delivery and utilisation of child healthcare services in rural Ghana: a qualitative study. BMC Health Services Research. 2022 Mar 3;22(1):289.

Biswas A, Halim A, Md Abdullah AS, Rahman F, Doraiswamy S. Factors Associated with Maternal Deaths in a Hard-To-Reach Marginalized Rural Community of Bangladesh: A Cross-Sectional Study. Int J Environ Res Public Health. 2020 Feb 13;17(4):E1184.

Moshi FV, Ernest A, Fabian F, Kibusi SM. Knowledge on birth preparedness and complication readiness among expecting couples in rural Tanzania: Differences by sex cross-sectional study. PLoS One. 2018 Dec 28;13(12):e0209070.

Dimtsu B. ASSESSMENT OF KNOWLEDGE AND PRACTICE TOWARDS BIRTH PREPAREDNESS AND COMPLICATION READINESS AMONG WOMEN IN MEKELLE, NORTHERN ETHIOPIA: DESCRPTIVE CROSSECTIONAL. IJPSR. 2014 Sep 1;5:4293–301.

Anikwe CC, Okorochukwu BC, Ikeoha CC, Asiegbu OGK, Nnadozie UU, Eze JN, et al. Birth Preparedness and Complication Readiness among Pregnant Women in a Secondary Health Facility in Abakaliki, Ebonyi State, Nigeria. BioMed Research International. 2020 Jul 26;2020:e9097415.

Perreira KM, Bailey PE, de Bocaletti E, Hurtado E, Recinos de Villagrán S, Matute J. Increasing awareness of danger signs in pregnancy through community- and clinic-based education in Guatemala. Matern Child Health J. 2002 Mar;6(1):19–28.

Kaso M, Addisse M. Birth preparedness and complication readiness in Robe Woreda, Arsi Zone, Oromia Region, Central Ethiopia: a cross-sectional study. Reproductive Health. 2014 Jul 20;11(1):55.

Udofia EA, Obed SA, Calys-Tagoe BNL, Nimo KP. Birth and emergency planning: a cross sectional survey of postnatal women at Korle Bu Teaching Hospital, Accra, Ghana. Afr J Reprod Health. 2013 Mar;17(1):27–40.

Tsegay Y, Gebrehiwot T, Goicolea I, Edin K, Lemma H, Sebastian MS. Determinants of antenatal and delivery care utilization in Tigray region, Ethiopia: a cross-sectional study. International Journal for Equity in Health. 2013 May 14;12(1):30.

Hailu M, Gebremariam A, Alemseged F, Deribe K. Birth Preparedness and Complication Readiness among Pregnant Women in Southern Ethiopia. PLOS ONE. 2011 Jun 22;6(6):e21432.

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.

Akshaya KM, Shivalli S. Birth preparedness and complication readiness among the women beneficiaries of selected rural primary health centers of Dakshina Kannada district, Karnataka, India. PLOS ONE. 2017 Aug 24;12(8):e0183739.