Knowledge, attitude, practice and determinant factors of birth preparedness among pregnant women attending antenatal care in Saint Paul’s Hospital Millennium Medical College: Cross-sectional study
Abstract
Background: Birth-preparedness is a comprehensive strategy aimed at promoting the timely utilization of skilled health care services to prevent maternal/neonatal morbidity and mortality. This study aimed to assess knowledge, attitude, practices and determinant factors of birth preparedness among pregnant women attending antenatal care in Saint Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia.
Methods: Institutional based cross-sectional study was conducted on sampled pregnant women from February 1 up to April 30, 2020. Data was collected using structured questionnaire and analyzed using SPSS version 25. Results of categorical variables were shown as frequency and percentage. Bivariate and multivariate logistic regressions were carried out to see the presence of significant association between variables at p-value < 0.05, adjusted odds ratio and 95% confidence interval.
Result: A total of 305 women with mean age 27.68 years were included in the study. This study found 71.5% of women were knowledgeable for birth preparedness, 90.5% had favorable attitude and 60.5% of women were well prepared for birth and its complication. The variables significantly associated with level of birth preparedness were cash income, AOR 17.8 95% CI (8.6, 37.3), knowledge, AOR 10.3, 95% CI (5.415, 19.4, place of residence those out of Addis Ababa, AOR 0.33 95% CI (0.12, 0.86) and planned pregnancy, AOR 2.8, 95% CI (1.2, 6.5).
Conclusion: Women’s level of birth preparedness practices was similar with the national reports and different studies. Multiple factors influence their birth preparedness practices. To prevent or survive unpredictable pregnancy complications every woman is expected to get prepare for birth. Health professionals, policy makers and health administrators should give emphasis to factors that contribute to low level of birth preparedness and complication readiness practices.
Methods: Institutional based cross-sectional study was conducted on sampled pregnant women from February 1 up to April 30, 2020. Data was collected using structured questionnaire and analyzed using SPSS version 25. Results of categorical variables were shown as frequency and percentage. Bivariate and multivariate logistic regressions were carried out to see the presence of significant association between variables at p-value < 0.05, adjusted odds ratio and 95% confidence interval.
Result: A total of 305 women with mean age 27.68 years were included in the study. This study found 71.5% of women were knowledgeable for birth preparedness, 90.5% had favorable attitude and 60.5% of women were well prepared for birth and its complication. The variables significantly associated with level of birth preparedness were cash income, AOR 17.8 95% CI (8.6, 37.3), knowledge, AOR 10.3, 95% CI (5.415, 19.4, place of residence those out of Addis Ababa, AOR 0.33 95% CI (0.12, 0.86) and planned pregnancy, AOR 2.8, 95% CI (1.2, 6.5).
Conclusion: Women’s level of birth preparedness practices was similar with the national reports and different studies. Multiple factors influence their birth preparedness practices. To prevent or survive unpredictable pregnancy complications every woman is expected to get prepare for birth. Health professionals, policy makers and health administrators should give emphasis to factors that contribute to low level of birth preparedness and complication readiness practices.