Birth preparedness, complication readiness and associated factors among pregnant women seeking antenatal care at a Medical Officer of Health (MOH) area in Sri Lanka

Abstract

Background Obstetric emergencies need prior preparation. 'Birth Preparedness and Complication Readiness' (BPCR) is a concept that promotes timely maternal care (WHO 2006). Objectives This study assessed BPCR and associated factors among pregnant women attending antenatal clinics in MOH area Padukka. Methods This descriptive cross-sectional study was conducted among a sample of 280 pregnant women in the year 2014 in MOH area Padukka. Pregnant women in the third trimester were randomly selected from the Expected Date of Deliveries register available with the Public Health Midwives. Data were collected using a pre-tested interviewer administered questionnaire. Data collected included assessment of BPCR using 8 components; (i) choosing the desired place of birth, ii) identifying the closest care facility, (iii) saving funds for birth-related expenses, (iv) saving funds for emergency expenses, (v) arranging a person to accompany the pregnant woman, (vi) arrangements to look after the home and other children while the woman is away, (vii) arranging transport to the desired place of birth and viii) arranging transport for an obstetric emergency. Assessment of associated factors included details of pregnancy and antenatal care, discussing BPCR plan with healthcare provider, discussing BPCR plan with spouse and attitudes and perceptions on BPCR. Satisfactory BPCR was defined as 'accomplished a sore of 75% or more in the BPCR plan'. Results Response rate was 95.9% (n=269). Satisfactory BPCR was seen among 86.2% (n=232) participants. More than 75.0% (n=207) of participants had favourable attitudes towards BPCR, while 68.6% n=185) had favourable perceptions on available BPCR services. A satisfactory BPCR was significantly associated with planned pregnancy (p<0.0001), registration ≤8 weeks (p<0.002), ≥5 ANCs (p<0.01), ≥1 antenatal classes (p<0.0001), discussing with healthcare provider (P<0.0001), spouse attending antenatal classes (p<0.0001) and having favourable attitudes/perceptions (P< 0.0001). Conclusion A high proportion of pregnant women had satisfactory BPCR but attitudes and perceptions on BPCR services need to be improved.