Birth preparedness and pregnancy complication readiness and associated factors among pregnant women in Ethiopia: A multilevel analysis.

Autor:	Demsash AW; Health Informatics Department, Asrat Woldeyes Health Science Campus, Debre Berhan University, Debre Berhan, Ethiopia., Bekana T; Medical Laboratory Department, College of Health Science, Mattu University, Metu, Ethiopia., Kassie SY; Health Informatics Department, College of Health Science, Mattu University, Metu, Ethiopia., Shibabaw AA; Health Informatics Department, College of Health Science, Mattu University, Metu, Ethiopia., Dube GN; Health Informatics Department, College of Health Science, Mattu University, Metu, Ethiopia., Walle AD; Health Informatics Department, Asrat Woldeyes Health Science Campus, Debre Berhan University, Debre Berhan, Ethiopia., Emanu MD; Nursing Department, College of Health Science, Mattu University, Metu, Ethiopia., Dubale AT; Health Informatics Department, College of Health Science, Mattu University, Metu, Ethiopia., Chereka AA; Health Informatics Department, College of Health Science, Mattu University, Metu, Ethiopia., Kitil GW; Midwifery Department, College of Health Science, Mattu University, Metu, Ethiopia., Degefa BD; Midwifery Department, College of Health Science, Mattu University, Metu, Ethiopia., Seyife A; Reproductive Health Department, Asrat Woldeyes Health Science Campus, Debre Berhan University, Debre Berhan, Ethiopia., Ahmed AM; Epidemiology and Biostatistics Department, Asrat Woldeyes Health Science Campus, Debre Berhan University, Debre Berhan, Ethiopia., Gebreegziabher ZA; Epidemiology and Biostatistics Department, Asrat Woldeyes Health Science Campus, Debre Berhan University, Debre Berhan, Ethiopia., Workie SG; Epidemiology and Biostatistics Department, Asrat Woldeyes Health Science Campus, Debre Berhan University, Debre Berhan, Ethiopia.
Jazyk:	angličtina
Zdroj:	PLOS global public health [PLOS Glob Public Health] 2024 May 15; Vol. 4 (5), pp. e0003127. Date of Electronic Publication: 2024 May 15 (Print Publication: 2024).
DOI:	10.1371/journal.pgph.0003127
Abstrakt:	Maternal and child deaths occur during pregnancy and delivery. Timely information on signs of pregnancy complications and ways to plan for normal birth is a strategy to reduce maternal and child deaths. The purpose of this study was to assess birth preparedness, and pregnancy complications readiness and identify associated factors in Ethiopia. A cross-sectional study design was used. A total of 1635 weighted samples of pregnant women were included for analysis from the 2016 Ethiopian demographic and health survey data set. Multilevel mixed-effect logistic regression was used to estimate the effects of potential variables on birth preparedness and complication readiness. STATA version 15 software was used for data processing and analysis. A variable with a p-value < 0.05 with a 95% confidence interval was considered a significant factor. Pregnant women were informed about convulsions (8.02%), fever (35.95%), abdominal pain (28.92%), leaking fluid from the vagina (28.21%), and blurred vision (17.98%). Pregnant women prepared for supplies needed for birth (38.70%), transportation (20.04%), money (18.97%), people's support for birth (5.03%), and blood donors (3.11%). Only 56% and 44.91% of pregnant women had good birth preparedness and were informed about pregnancy complications respectively. Educational status, antenatal care visits, and region were significant factors associated with birth preparedness and complication readiness. Distance to health facility and residency were significantly associated with birth and complication readiness, respectively. Birth preparedness and complication readiness among pregnant women were low in Ethiopia. Empowering women with education, installing safe roads, building accessible health facilities, and emphasizing pregnancy complications and birth preparedness plans during antenatal care visits are important interventions to enhance birth preparedness and pregnancy complication readiness. Competing Interests: The authors have declared that no competing interests exist. (Copyright: © 2024 Demsash et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)
Databáze:	MEDLINE
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