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Pregnant women’s knowledge of obstetrical danger signs: A cross-sectional survey in Kigali, Rwanda

Maternal mortality remains critically high in low- and middle-income countries (LMIC), particularly in sub-Saharan Africa. Rwanda’s leading causes of maternal death include postpartum hemorrhage and obstructed labor. Maternal recognition of obstetrical danger signs is critical for timely access to e...

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Autores principales: Uwiringiyimana, Emmanuel, Manirambona, Emery, Byiringiro, Samuel, Nsanzimana, Albert, Uhawenayo, Neophyte, Ufitinema, Pacifique, Bayizere, Janviere, Moreland, Patricia J., Meharry, Pamela, Ntasumbumuyange, Diomede
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10021381/
https://www.ncbi.nlm.nih.gov/pubmed/36962632
http://dx.doi.org/10.1371/journal.pgph.0001084
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author Uwiringiyimana, Emmanuel
Manirambona, Emery
Byiringiro, Samuel
Nsanzimana, Albert
Uhawenayo, Neophyte
Ufitinema, Pacifique
Bayizere, Janviere
Moreland, Patricia J.
Meharry, Pamela
Ntasumbumuyange, Diomede
author_facet Uwiringiyimana, Emmanuel
Manirambona, Emery
Byiringiro, Samuel
Nsanzimana, Albert
Uhawenayo, Neophyte
Ufitinema, Pacifique
Bayizere, Janviere
Moreland, Patricia J.
Meharry, Pamela
Ntasumbumuyange, Diomede
author_sort Uwiringiyimana, Emmanuel
collection PubMed
description Maternal mortality remains critically high in low- and middle-income countries (LMIC), particularly in sub-Saharan Africa. Rwanda’s leading causes of maternal death include postpartum hemorrhage and obstructed labor. Maternal recognition of obstetrical danger signs is critical for timely access to emergency care to reduce maternal mortality.To assess maternal knowledge of obstetrical danger signs among pregnant women attending antenatal care services in Kigali, Rwanda. We conducted a cross-sectional study between September and December 2018. The outcome of interest was maternal knowledge of ODS during pregnancy, labor and delivery, and the immediate postpartum period. We recruited pregnant women at five health centers, one district hospital, and one referral hospital, and we had them complete a structured questionnaire. Reporting three correct ODS was defined as having good knowledge of ODS. A total of 382 pregnant women responded to the survey. Most women (48.9%) were aged 26–35, and 50.5% had completed secondary or higher education. The knowledge of ODS was 56%, 9%, and 17% during pregnancy, labor and delivery, and postpartum, respectively. Women aged 26 to 35 had two times (OR: 1.80, 95% CI: 1.05, 3.06) higher odds of ODS knowledge during pregnancy than women aged 16 to 25. Attending three antenatal care visits was associated with 2.6 times (OR: 2.59, 95% CI: 1.17, 5.66) higher odds of ODS knowledge during pregnancy than not attending any visit. Longer distances to the nearby health facility were associated with significantly lower knowledge during pregnancy, and Muslim women had substantially higher postpartum ODS knowledge than any other religion. In conclusion, women’s knowledge of ODS associated with labor and delivery and postpartum was low. Antenatal care must be encouraged and its content revised to ensure it covers potential late pregnancy complications.
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spelling pubmed-100213812023-03-17 Pregnant women’s knowledge of obstetrical danger signs: A cross-sectional survey in Kigali, Rwanda Uwiringiyimana, Emmanuel Manirambona, Emery Byiringiro, Samuel Nsanzimana, Albert Uhawenayo, Neophyte Ufitinema, Pacifique Bayizere, Janviere Moreland, Patricia J. Meharry, Pamela Ntasumbumuyange, Diomede PLOS Glob Public Health Research Article Maternal mortality remains critically high in low- and middle-income countries (LMIC), particularly in sub-Saharan Africa. Rwanda’s leading causes of maternal death include postpartum hemorrhage and obstructed labor. Maternal recognition of obstetrical danger signs is critical for timely access to emergency care to reduce maternal mortality.To assess maternal knowledge of obstetrical danger signs among pregnant women attending antenatal care services in Kigali, Rwanda. We conducted a cross-sectional study between September and December 2018. The outcome of interest was maternal knowledge of ODS during pregnancy, labor and delivery, and the immediate postpartum period. We recruited pregnant women at five health centers, one district hospital, and one referral hospital, and we had them complete a structured questionnaire. Reporting three correct ODS was defined as having good knowledge of ODS. A total of 382 pregnant women responded to the survey. Most women (48.9%) were aged 26–35, and 50.5% had completed secondary or higher education. The knowledge of ODS was 56%, 9%, and 17% during pregnancy, labor and delivery, and postpartum, respectively. Women aged 26 to 35 had two times (OR: 1.80, 95% CI: 1.05, 3.06) higher odds of ODS knowledge during pregnancy than women aged 16 to 25. Attending three antenatal care visits was associated with 2.6 times (OR: 2.59, 95% CI: 1.17, 5.66) higher odds of ODS knowledge during pregnancy than not attending any visit. Longer distances to the nearby health facility were associated with significantly lower knowledge during pregnancy, and Muslim women had substantially higher postpartum ODS knowledge than any other religion. In conclusion, women’s knowledge of ODS associated with labor and delivery and postpartum was low. Antenatal care must be encouraged and its content revised to ensure it covers potential late pregnancy complications. Public Library of Science 2022-11-14 /pmc/articles/PMC10021381/ /pubmed/36962632 http://dx.doi.org/10.1371/journal.pgph.0001084 Text en © 2022 Uwiringiyimana et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Uwiringiyimana, Emmanuel
Manirambona, Emery
Byiringiro, Samuel
Nsanzimana, Albert
Uhawenayo, Neophyte
Ufitinema, Pacifique
Bayizere, Janviere
Moreland, Patricia J.
Meharry, Pamela
Ntasumbumuyange, Diomede
Pregnant women’s knowledge of obstetrical danger signs: A cross-sectional survey in Kigali, Rwanda
title Pregnant women’s knowledge of obstetrical danger signs: A cross-sectional survey in Kigali, Rwanda
title_full Pregnant women’s knowledge of obstetrical danger signs: A cross-sectional survey in Kigali, Rwanda
title_fullStr Pregnant women’s knowledge of obstetrical danger signs: A cross-sectional survey in Kigali, Rwanda
title_full_unstemmed Pregnant women’s knowledge of obstetrical danger signs: A cross-sectional survey in Kigali, Rwanda
title_short Pregnant women’s knowledge of obstetrical danger signs: A cross-sectional survey in Kigali, Rwanda
title_sort pregnant women’s knowledge of obstetrical danger signs: a cross-sectional survey in kigali, rwanda
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10021381/
https://www.ncbi.nlm.nih.gov/pubmed/36962632
http://dx.doi.org/10.1371/journal.pgph.0001084
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