Knowledge of obstetric danger signs among child bearing age women in Goba district, Ethiopia: a cross-sectional study

BMC Pregnancy and Childbirth

Desalegn Markos²  Daniel Bogale¹ 

[1] Department of Public Health, College of Medicine and Health Sciences, Madawalabu University, Bale Goba, Ethiopia;Department of Nursing, College of Medicine and Health Sciences, Madawalabu University, Bale Goba, Ethiopia

关键词: Ethiopia;    Goba district;    Postpartum;    Child birth;    Pregnancy;    Obstetric danger signs;   

Others  :  1161103
DOI  :  10.1186/s12884-015-0508-1

 received in 2014-08-25, accepted in 2015-03-19,  发布年份 2015

【 摘 要 】

Background

Awareness of the danger signs of obstetric complications is the essential first step in accepting appropriate and timely referral to obstetric and newborn care. Ethiopia is a country where maternal morbidity and mortality is high and little is known about knowledge level of reproductive age women on obstetric danger signs. The aim of the study was to assess knowledge of obstetric danger signs among mothers delivered in the last 12 months in Goba district, Ethiopia.

Methods

A community based cross-sectional study was conducted in Goba district. The study included 562 recently delivered women from 9 kebeles (the smallest administrative unit). A safe motherhood questionnaire developed by the Maternal and Neonatal Program of JHPIEGO, an affiliate of John Hopkins University was used to collect data. Binary and multiple logistic regressions were done to explore factors determining maternal knowledge on obstetric danger signs. Variables having P-value of less than or equal to 0.05 on binary logistic regression were the candidate for multiple logistic regressions. Statistical significance was declared at P < 0.05.

Result

One hundred seventy nine (31.9%), 152 (27%) and 124 (22.1%) of study participants knew at least three key danger signs during pregnancy, delivery and postpartum period, respectively. As compared to women who did not attended Anti Natal Care service during their pregnancy, those who attend ANC were 2.56 times and 2.54 times more likely to know obstetric danger signs during pregnancy and child birth (AOR = 2.56 and 95% CI: 1.24-5.25) and (AOR = 2.54 and 95% CI: 1.14-5.66), respectively.

Conclusion

This study showed low level of knowledge of obstetric danger signs during pregnancy, child birth and postpartum period among women in Goba district. This indicates the large proportions of pregnant women who do not have the knowledge are likely to delay in deciding to seek care. ANC follow up was a significant factor for knowledge about obstetric danger signs occurring during pregnancy and child birth. Every woman should be made aware of the likelihood of complications during pregnancy, childbirth/labour and the postpartum periods.

【 授权许可】

   
2015 Bogale and Markos; licensee BioMed Central.

【 图 表 】

Figure 1.

【 参考文献 】

• [1]Kakaire O, Kaye DK, Osinde MO: Male involvement in birth preparedness and complication readiness for emergency obstetric referrals in rural Uganda. Reprod Health. 2011, 8(12).
• [2]ECSA, ICF. Ethiopian Demographic and Health Survey 2011. Edited by International. CSAaI. Addis Ababa, Ethiopia and Calverton, Maryland, USA; 2011.
• [3]JHPIEGO: Maternal and Neonatal Health Pro-gram. Birth Preparedness and Complication Readiness: A Matrix of Shared Responsibilities. JHPIEGO, Maryland, USA; 2004.
• [4]Thaddeus S, Maine D: Too far to walk: maternal mortality in context. Soc Sci Med 1994, 38:1091-110.
• [5]WHO: Standards for Maternal and Neonatal Care: Birth and emergency preparedness in antenatal care: Department of Making Pregnancy Safer (MPS). World Health Organization, Geneva; 2006.
• [6]JHPIEGO: Maternal and Neonatal health (MNH) Program, Birth preparedness and complication readiness. A matrix of shared responsibilities. Maternal and Neonatal Health. JHPIEGO, Baltimore; 2001.
• [7]Hiluf M, Fantahun M: Birth Preparedness and Complication Readiness among women in Adigrat town, north Ethiopia. Ethiop J Health Dev 2007, 22(1):14-20.
• [8]Federal Democratic Republic of Ethiopia, Ministry of Health: National Reproductive Strategy, 2006-2015. FMOH, Addis Ababa, Ethiopia; 2006.
• [9]Hailu M, Gebremariam A, Alemseged F: Knowledge about obstetric danger signs among pregnant women in Aleta Wondo district, Sidama Zone, Southern Ethiopia. Ethiop J Health Sci 2010, 20(1):25-32.
• [10]Moore M, Copeland R, Chege I, Pido D, Griffiths M: A behavior change’s approach to investigating factors influencing women’s use of skilled care in Homa Bay District Kenya. The CHANGE project, Academy for Educational Development/ The Manoff Group, Washington, D.C; 2002.
• [11]Pembe AB, Urassa DP, Carlstedt A, Lindmark G, Nyström L, Darj E: Rural Tanzanian women’s awareness of danger signs of obstetriccomplications. BMC Pregnancy Childbirth. 2009, 9(12).
• [12]Mutiso SM, Qureshi Z, Kinuthia J: Birth preparedness among antenatal clients. East Afr Med J 2008, 85(6):275-83.
• [13]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, 14(1):21-32.
• [14]Nigatu D: Women’s autonomy regarding their own and children’s Health care utilization and associated factors in Goba Woreda, Bale zone, south east Ethiopia. Unpublished. Public health; 2011
• [15]Kabakyenga JK, Östergren P-O, Turyakira E, Pettersson KO: Knowledge of obstetric danger signs and birth preparedness practices among women in rural Uganda. Reprod Health. 2011, 8(33).
• [16]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, 17(1):27-40.