Knowledge regarding obstetric danger signs among mother attending antenatal clinic at Scheer Memorial Adventist Hospital, Banepa, Kavre (original) (raw)
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Journal of College of Medical Sciences-Nepal, 2017
Background & Objectives: All pregnant women are at risk and can face problems at any time during or following pregnancy and childbirth which can cause death of mothers. Knowledge of key danger signs is essential for motivating women to seek skilled attendance at birth and also to seek referral in case of complications which definitely improves health of the mother and newborns. This study aimed to assess pregnant womens' knowledge about obstetric danger signs and its associated factors. Materials & Methods: Quantitative approach with a facility based cross-sectional study was conducted among pregnant mothers attending Anti Natal Clinic of Dhulikhel hospital, Nepal. Data was collected from 1st June to 25th June 2017. Sampling technique was non probability, purposive sampling technique. A standardized tool was adopted. Face to face interview technique was used. Data had been processed by SPSS 20 version then analyzed using descriptive as well as inferential statistic. Results: Two third of the respondents (66.0%) had adequate knowledge on obstetric danger signs, while 21.0% of respondents had inadequate knowledge and few respondents (13.0%) had moderate knowledge on that. Age, educational status and gravida were not significantly associated with knowledge on obstetric danger signs but occupation and trimester of pregnancy were found to be associated with the same. Conclusion: A significant proportion of pregnant women do not have adequate knowledge on obstetric danger signs. Therefore, the quality of health information about obstetric danger signs during ANC follow up is to be improved.
Knowledge regarding obstetric danger signs among pregnant women
Nepal Medical College Journal
Knowledge of obstetric danger signs is crucial to reduce maternal morbidity and mortality by identifying the problems earlier and avoiding the delay in seeking obstetric care. According to World Health Organization (WHO) more than 70% of maternal deaths occur due to obstetric complications and most of these deaths occur in developing countries. Most of these are preventable if pregnant women can identify these life-threatening danger signs on time and seek appropriate emergency obstetric care. This study was conducted to assess the knowledge of obstetric danger signs among pregnant women. A descriptive cross-sectional study was carried out from 15th July to 30th August 2021, 194 pregnant women who visited the Gynaecology Outpatient Department in Nepal Medical College Teaching Hospital, were enrolled for the study. Data were collected through face to face interviews using a structured questionnaire. The study findings revealed that overall knowledge on obstetric danger signs was subo...
BMC Pregnancy and Childbirth, 2021
Background The third Sustainable Development Goal for 2030 development agenda aims to reduce maternal and newborn deaths. Pregnant women’s understanding of danger signs is an important factor in seeking timely care during emergencies. We assessed knowledge of obstetric danger signs using both recall and understanding of appropriate action required during obstetric emergencies. Methods This was a cross-sectional study among pregnant women attending antenatal clinic at Bhutan’s largest hospital in Thimphu. Recall was assessed against seven obstetric danger signs outlined in the Mother and Child Health Handbook (7 points). Understanding of danger signs was tested using 13 multiple choice questions (13 points). Knowledge was scored out of 20 points and reported as ‘good’ (≥80%), ‘satisfactory’ (60–79%) and ‘poor’ (
Reproductive Health, 2020
BackgroundChild birth which is a special moment for parents, families and communities is also a time of intense vulnerability. In many developing countries including Ethiopia, maternal morbidity and mortality still pose a substantial burden. Raising awareness of women about the danger signs of pregnancy and childbirth is the first essential step in appropriate and timely obstetric care.ObjectiveTo assess the knowledge of obstetric danger signs among mothers and associated factors in Shashamane town, oromia region, Ethiopia.MethodsA community based cross sectional study design was employed. All kebeles were included in study; the number of households was determined using proportionate-to-population size then systematic random sampling technique to select 422 women who gave birth in Shashamane town between April and May 2018. A structured questionnaire was used to collect data. Data was checked and entered into Epi data version 3.1 then exported to Statistical Package for Social Science version 23 for analysis. Univariate, bivariate and multivariable analysis with 95% CI was carried out. Women who spontaneously mentioned at least two danger signs of pregnancy from eight items were considered to have good knowledge of the obstetric danger signs.ResultA total of 422 mothers were involved in the study. The mean age of the respondent was 25 with a standard deviation of 4.3 year. 59.5% of the respondents were found to have poor knowledge of obstetric danger signs. Majority of respondents mentioned vaginal bleeding (64.7%) as a danger sign of pregnancy. According to the result of the multivariable analysis, antenatal care was significantly associated with the knowledge of obstetric danger sign. Respondents who attended antenatal care were 1.26 times more likely to have good knowledge of obstetric danger signs than those who had no antenatal care [AOR = 1.26, 95%CI (1.08–1.85)]. Respondents who gave birth at health center were 3.57 time more likely to have good knowledge of obstetric danger signs than those who gave birth at home [AOR = 3.57, 95%CI (1.23–10.39)].ConclusionAccording to this study, the knowledge of obstetric danger signs was poor. Some of the factors associated with this knowledge were antenatal care attendance and place of delivery; therefore, it is recommended that mothers should have at least four antenatal visits; this may create good relationship with the providers and enhance their knowledge. In addition to this providing compassionate and respectful maternity care in health facility is also crucial steps to attract more women to health facilities, and to reduce home deliveries.
Pregnant woman awareness of obstetric danger signs in developing country: systematic review
BMC Pregnancy and Childbirth
Background Mother's awareness of obstetric danger signs is the degree of a pregnant woman to fully utilize her knowledge of the signs and symptoms of complications of pregnancy, which helps the mother and family to seek medical help immediately. High maternal and infant mortality rates in developing countries are due to a combination of a lack of quality, resources and access to health services coupled with mother’s lack of awareness. The purpose of this study was to collect current empirical studies to describe the pregnant women awareness about the obstetric danger sign in developing country. Method This review employed the Prisma-ScR checklist. The articles searched in four electronic databases (Scopus, CINAHL, Science Direct, Google Scholar). Variables that used to search the articles (pregnant woman, knowledge, awareness, danger signs pregnancy). The Framework used to review is PICOS. Result The results of the article found 20 studies which met inclusion criteria. The deter...
Pregnant Woman in Developing Country Awareness of Obstetric Danger Signs: Systematic Review
Research Square (Research Square), 2022
Background: Danger signs during pregnancy should be treated and detected early because any danger signs in pregnancy can lead to complications in pregnancy. The purpose of this study was to collect current empirical studies to describe the pregnant women awareness about the danger sign on pregnancy. Method: This review employed the Prisma-ScR checklist. The articles searched in four electronic databases (Scopus, CINAHL, Science Direct, Google Scholar). Variables that used to search the articles (pregnant woman, knowledge, awareness, danger signs pregnancy). The Framework used to review is PICOS. Result: The results of the article found 17 studies which met inclusion criteria. High educational status has been associated with increased knowledge, thereby raising awareness of pregnant women regarding pregnancy danger signs. Having a secondary or higher education can signi cantly increase your knowledge of danger signs during pregnancy. Conclusion: The level of knowledge of pregnant women about danger signs during pregnancy is related to the mother's vigilance in taking appropriate actions when one or more pregnancy danger signs occur.
The role of obstetric knowledge in utilization of delivery service in Nepal
Health Education Research
Birth Preparedness and Complication Readiness (BP/CR) program has been promoted in Nepal to equip pregnant women with obstetric knowledge so as to motivate them to seek professional care. Using a prospective design of 701 pregnant women of more than 5 months gestation in a central hills district of Nepal, we evaluated if having obstetric knowledge could make a difference in maternal delivery behaviour. The results suggested that BP/CR program was effective in raising women's obstetric knowledge, which was significantly associated with facility delivery according to logistic regression analysis. In particular, women who acknowledged that unexpected problems could occur during pregnancy and childbirth were more likely (odds ratio [OR] 5.83, 95% confidence interval [CI] 2.95-11.52) to deliver at a health facility than others unaware of the possible consequences. Similarly, women who knew any antepartum danger sign (OR 2.16, 95% CI: 1.17-3.98), any intrapartum danger sign (OR 3.80, ...
Awareness Regarding Neonatal Danger Signs among Rural Postnatal Mother in Palpa District, Nepal
https://www.ijhsr.org/IJHSR\_Vol.8\_Issue.11\_Nov2018/IJHSR\_Abstract.027.html, 2018
Background: Neonatal period is the most vulnerable time for a child's survival. Mothers are the primary caregiver of the newborns/neonates, thus the awareness on neonatal danger signs has great influence on the health of the newborns. The main objective of study is to find out awareness of postnatal mother on the neonatal danger signs in rural community. Method and Material: A descriptive cross sectional study design was carried out. Setting of this study was two wards of Tansen Municipality. Total of 117 respondents were taken by using non-probability convenience sampling technique within nine months period of data collection (August 1 st , 2016 to April 30 th 2017). Data collection was done by using pretested semi-structured interview schedule. The collected data were analyzed by using SPSS version 20. Descriptive statistics and inferential statistics namely Chi-square test was used. Results: The findings of study revealed that out of 117 mothers, 19.7% gave birth before 20 years, 33.3% were Magar ethnic group. Most of mothers (93.1%) delivered their newborn at any health facilities. 100% of mothers were prepared for the place of delivery (Health facility) and early preparation of essential expenditure. Most (94%) mothers heard about neonatal danger signs. Among them, 100% percent of mother aware about unable to suck as neonatal danger followed by fever (99.1%), breathing difficulties and jaundice (88.2%), umbilical cord infection (83.6%), watery stool/ blood in stool (69.1%), hypothermia (62.7%) and least number of mothers (18.2%) were aware about convulsion as a neonatal danger signs. Similarly, most of mothers (94.5%) got information through radio. Most of mothers (89%) did their self-decision within 24 hours of danger signs for the treatments of sick newborn. 48.18% of mothers were aware on the neonatal dangers signs. Awareness on neonatal danger signs was significantly affected by age of postnatal mother and distance of health facility. Conclusion: Based on the study findings, it is concluded that the more the mature mother the more the awareness on neonatal danger sign. To decrease neonate mortality, a teaching must be provided on neonatal danger signs from the pregnancy to the delivery of baby.
Background:The maternal mortality was inappropriately high, delay of seeking care was one of the key factors leading to maternal mortality, which associated with lack of knowledge about obstetric danger signs. Objectives: To assess the knowledge and associated factors with obstetric danger signs during pregnancy among pregnant women attending Al-Nawariah Primary Health Care Center, Makkah Al-Mukarramah, Saudi Arabia, 2016. Methods: This study was a cross-sectional including 137 participants, a validated self-constricted questionnaire was distributed among all pregnant women attending Antenatal Clinic in Al-Nawariah Primary Health Care Center during one month period. Results: Concerning the level of knowledge about obstetric danger signs, 41(30%) of participants had poor knowledge, 67(49%) had a moderate knowledge and 29(21%) had good knowledge. The main obstetric danger sign was vaginal bleeding 128(93%). Those who were older, those who were more educated, those who were employees and those with high monthly income had significantly higher scores than others (p=0.010, p<0.001, p=0.018, p<0.001) respectively. Those who had a higher number of pregnancies and children and those who delivered in private hospital or clinic had significantly higher scores than others (p<0.001, p=0.004, p<0.007) respectively. Women who received health education had significantly higher scores (p<0.001), and the main source of information about obstetric danger signs was the books and journals 5(38.5%). Conclusions and Recommendation: The level of knowledge about obstetric danger signs was suboptimal. Not all pregnant women attending Primary Health Care Center received health education. More educational program about obstetric danger signs needs to be implemented to increase knowledge.
Research Square (Research Square), 2021
Background: Maternal mortality ratio is an important public health indicator that re ects the quality of health care services. The prevalence is still high in developing countries than in the developed countries. This study aimed to determine the MMR and to identify the various risk factors and causes of maternal mortality. Methods: This is a retrospective study conducted in a tertiary care center of Eastern Nepal from 16 th July,2015 to 15 th July 2020. Maternal mortality ratio per 100,000 live-births over 5 years of study period was calculated. The causes of death, delays of maternal mortality and different sociodemographic pro les were analyzed by descriptive statistics. Results: There were total of 55,667 deliveries conducted during the study period. The calculated maternal mortality ratio is 129.34 per 100,000 live-births in year 2015 to 2020. The mean age and gestational age of women having maternal deaths were 24.69 ±5.99 years and 36.15± 4.38 weeks of gestation respectively. The common causes of maternal deaths were obstetric hemorrhage, hypertensive disorder of pregnancy and sepsis. The leading contributory factors to the death were delay in seeking health care and delay in reaching health care facility (type I delay:40.84%). Conclusions: Despite the availability of comprehensive emergency obstetric care at our center, maternal mortality is still high and almost 75% of deaths were avoidable. The leading contributory factors were due to delay in seeking care and delayed referral from other health facilities. Contributory factors related to maternal mortality are preventable through combined safe motherhood strategies, prompt referral, active management of labor and puerperium.