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Rural Tanzanian women's awareness of danger signs of obstetric complications

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. The objectives of this study were to assess women's awareness of danger signs of obstetric complications and to identify a...

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Autores principales: Pembe, Andrea B, Urassa, David P, Carlstedt, Anders, Lindmark, Gunilla, Nyström, Lennarth, Darj, Elisabeth
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2009
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2667432/
https://www.ncbi.nlm.nih.gov/pubmed/19323836
http://dx.doi.org/10.1186/1471-2393-9-12
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author Pembe, Andrea B
Urassa, David P
Carlstedt, Anders
Lindmark, Gunilla
Nyström, Lennarth
Darj, Elisabeth
author_facet Pembe, Andrea B
Urassa, David P
Carlstedt, Anders
Lindmark, Gunilla
Nyström, Lennarth
Darj, Elisabeth
author_sort Pembe, Andrea B
collection PubMed
description 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. The objectives of this study were to assess women's awareness of danger signs of obstetric complications and to identify associated factors in a rural district in Tanzania. METHODS: A total of 1118 women who had been pregnant in the past two years were interviewed. A list of medically recognized potentially life threatening obstetric signs was obtained from the responses given. Chi- square test was used to determine associations between categorical variables and multivariate logistic regression analysis was used to identify factors associated with awareness of obstetric danger signs. RESULTS: More than 98% of the women attended antenatal care at least once. Half of the women knew at least one obstetric danger sign. The percentage of women who knew at least one danger sign during pregnancy was 26%, during delivery 23% and after delivery 40%. Few women knew three or more danger signs. According to multivariate logistic regression analysis having secondary education or more increased the likelihood of awareness of obstetric danger signs six-fold (OR = 5.8; 95% CI: 1.8–19) in comparison with no education at all. The likelihood to have more awareness increased significantly by increasing age of the mother, number of deliveries, number of antenatal visits, whether the delivery took place at a health institution and whether the mother was informed of having a risks/complications during antenatal care. CONCLUSION: Women had low awareness of danger signs of obstetric complications. We recommend the following in order to increase awareness of danger signs of obstetrical complications: to improve quality of counseling and involving other family members in antenatal and postnatal care, to use radio messages and educational sessions targeting the whole community and to intensify provision of formal education as emphasized in the second millennium development goal.
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spelling pubmed-26674322009-04-10 Rural Tanzanian women's awareness of danger signs of obstetric complications Pembe, Andrea B Urassa, David P Carlstedt, Anders Lindmark, Gunilla Nyström, Lennarth Darj, Elisabeth BMC Pregnancy Childbirth Research Article 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. The objectives of this study were to assess women's awareness of danger signs of obstetric complications and to identify associated factors in a rural district in Tanzania. METHODS: A total of 1118 women who had been pregnant in the past two years were interviewed. A list of medically recognized potentially life threatening obstetric signs was obtained from the responses given. Chi- square test was used to determine associations between categorical variables and multivariate logistic regression analysis was used to identify factors associated with awareness of obstetric danger signs. RESULTS: More than 98% of the women attended antenatal care at least once. Half of the women knew at least one obstetric danger sign. The percentage of women who knew at least one danger sign during pregnancy was 26%, during delivery 23% and after delivery 40%. Few women knew three or more danger signs. According to multivariate logistic regression analysis having secondary education or more increased the likelihood of awareness of obstetric danger signs six-fold (OR = 5.8; 95% CI: 1.8–19) in comparison with no education at all. The likelihood to have more awareness increased significantly by increasing age of the mother, number of deliveries, number of antenatal visits, whether the delivery took place at a health institution and whether the mother was informed of having a risks/complications during antenatal care. CONCLUSION: Women had low awareness of danger signs of obstetric complications. We recommend the following in order to increase awareness of danger signs of obstetrical complications: to improve quality of counseling and involving other family members in antenatal and postnatal care, to use radio messages and educational sessions targeting the whole community and to intensify provision of formal education as emphasized in the second millennium development goal. BioMed Central 2009-03-26 /pmc/articles/PMC2667432/ /pubmed/19323836 http://dx.doi.org/10.1186/1471-2393-9-12 Text en Copyright © 2009 Pembe et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( (http://creativecommons.org/licenses/by/2.0) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Pembe, Andrea B
Urassa, David P
Carlstedt, Anders
Lindmark, Gunilla
Nyström, Lennarth
Darj, Elisabeth
Rural Tanzanian women's awareness of danger signs of obstetric complications
title Rural Tanzanian women's awareness of danger signs of obstetric complications
title_full Rural Tanzanian women's awareness of danger signs of obstetric complications
title_fullStr Rural Tanzanian women's awareness of danger signs of obstetric complications
title_full_unstemmed Rural Tanzanian women's awareness of danger signs of obstetric complications
title_short Rural Tanzanian women's awareness of danger signs of obstetric complications
title_sort rural tanzanian women's awareness of danger signs of obstetric complications
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2667432/
https://www.ncbi.nlm.nih.gov/pubmed/19323836
http://dx.doi.org/10.1186/1471-2393-9-12
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