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Prevalence and predictors of birth preparedness and complication readiness in the Kassena-Nankana district of Ghana: an analytical cross-sectional study

OBJECTIVES: To assess birth preparedness and complication readiness (BPACR) and associated factors among mothers who had given birth in the past 12 months prior to the study. DESIGN: An analytical cross-sectional study. SETTING: The study was carried out in the rural areas of Kassena-Nankana distric...

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Autores principales: Saaka, Mahama, Alhassan, Lawal
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8016085/
https://www.ncbi.nlm.nih.gov/pubmed/33789849
http://dx.doi.org/10.1136/bmjopen-2020-042906
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author Saaka, Mahama
Alhassan, Lawal
author_facet Saaka, Mahama
Alhassan, Lawal
author_sort Saaka, Mahama
collection PubMed
description OBJECTIVES: To assess birth preparedness and complication readiness (BPACR) and associated factors among mothers who had given birth in the past 12 months prior to the study. DESIGN: An analytical cross-sectional study. SETTING: The study was carried out in the rural areas of Kassena-Nankana district located in the Upper East Region of Ghana. PARTICIPANTS: The study population comprised 600 postpartum women who had delivered within the last 12 months prior to the study. PRIMARY OUTCOME MEASURE: The primary outcome measure was BPACR. RESULTS: The prevalence of BPACR among recently delivered women was very low as less than 15% were able to mention at least three of the five basic components of birth preparedness/complication readiness that were fulfilled. After adjustment for confounding effect using multivariable logistic regression analysis, high educational level (adjusted OR (AOR)=3.40 (95% CI: 1.88 to 6.15)), better knowledge about obstetric danger signs during pregnancy (AOR=4.88 (95% CI: 2.68 to 8.90)), older women (≥35 years) (AOR=2.59 (95% CI: 1.11 to 6.02)), women of low household wealth index (AOR=4.64 (95% CI: 1.97 to 10.91)) and women who received lower content of antenatal care services (AOR=3.34 (95% CI: 1.69 to 6.60)) were significant predictors of BPACR. CONCLUSION: This study concludes that BPACR practices were low. High educational attainment of the woman, having adequate knowledge about obstetric danger signs during pregnancy, older women (≥35 years) and women of low household wealth index were significant predictors of BPACR. The predictors identified should be given high priority by health authorities in addressing low prevalence of BPACR.
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spelling pubmed-80160852021-04-21 Prevalence and predictors of birth preparedness and complication readiness in the Kassena-Nankana district of Ghana: an analytical cross-sectional study Saaka, Mahama Alhassan, Lawal BMJ Open Obstetrics and Gynaecology OBJECTIVES: To assess birth preparedness and complication readiness (BPACR) and associated factors among mothers who had given birth in the past 12 months prior to the study. DESIGN: An analytical cross-sectional study. SETTING: The study was carried out in the rural areas of Kassena-Nankana district located in the Upper East Region of Ghana. PARTICIPANTS: The study population comprised 600 postpartum women who had delivered within the last 12 months prior to the study. PRIMARY OUTCOME MEASURE: The primary outcome measure was BPACR. RESULTS: The prevalence of BPACR among recently delivered women was very low as less than 15% were able to mention at least three of the five basic components of birth preparedness/complication readiness that were fulfilled. After adjustment for confounding effect using multivariable logistic regression analysis, high educational level (adjusted OR (AOR)=3.40 (95% CI: 1.88 to 6.15)), better knowledge about obstetric danger signs during pregnancy (AOR=4.88 (95% CI: 2.68 to 8.90)), older women (≥35 years) (AOR=2.59 (95% CI: 1.11 to 6.02)), women of low household wealth index (AOR=4.64 (95% CI: 1.97 to 10.91)) and women who received lower content of antenatal care services (AOR=3.34 (95% CI: 1.69 to 6.60)) were significant predictors of BPACR. CONCLUSION: This study concludes that BPACR practices were low. High educational attainment of the woman, having adequate knowledge about obstetric danger signs during pregnancy, older women (≥35 years) and women of low household wealth index were significant predictors of BPACR. The predictors identified should be given high priority by health authorities in addressing low prevalence of BPACR. BMJ Publishing Group 2021-03-31 /pmc/articles/PMC8016085/ /pubmed/33789849 http://dx.doi.org/10.1136/bmjopen-2020-042906 Text en © Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. http://creativecommons.org/licenses/by-nc/4.0/ http://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.
spellingShingle Obstetrics and Gynaecology
Saaka, Mahama
Alhassan, Lawal
Prevalence and predictors of birth preparedness and complication readiness in the Kassena-Nankana district of Ghana: an analytical cross-sectional study
title Prevalence and predictors of birth preparedness and complication readiness in the Kassena-Nankana district of Ghana: an analytical cross-sectional study
title_full Prevalence and predictors of birth preparedness and complication readiness in the Kassena-Nankana district of Ghana: an analytical cross-sectional study
title_fullStr Prevalence and predictors of birth preparedness and complication readiness in the Kassena-Nankana district of Ghana: an analytical cross-sectional study
title_full_unstemmed Prevalence and predictors of birth preparedness and complication readiness in the Kassena-Nankana district of Ghana: an analytical cross-sectional study
title_short Prevalence and predictors of birth preparedness and complication readiness in the Kassena-Nankana district of Ghana: an analytical cross-sectional study
title_sort prevalence and predictors of birth preparedness and complication readiness in the kassena-nankana district of ghana: an analytical cross-sectional study
topic Obstetrics and Gynaecology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8016085/
https://www.ncbi.nlm.nih.gov/pubmed/33789849
http://dx.doi.org/10.1136/bmjopen-2020-042906
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