Birth Preparedness and Complication Readiness of Pregnant Women Attending the Three Levels of Health Facilities in Ife Central Local Government, Nigeria

Abstract

Background: Birth preparedness and complication readiness (BP/CR) is a safe motherhood strategy which addresses delays that could increase the risk of dying in pregnancy, child birth and the immediate postpartum period. The strategy has not been effectively implemented in Nigeria hence maternal mortality remains unacceptably high. This study assessed the level of BP/CR and the determinants among antenatal clinic attendees in Ife Central Local Government Area of Nigeria. Subjects and Method: Antenatal women selected proportional to client caseloads from health facilities were studied using a semi-structured questionnaire. SPSS version 16 was used for data entry. Univariate, bivariate and multivariate analyses were performed. Results: Four hundred and one antenatal women were recruited. One hundred and fifty eight (39.3%) respondents knew no danger sign in pregnancy, childbirth and postpartum period. Only 24 (6.0%) had adequate knowledge of obstetric danger signs without prompting. Three hundred and forty (84.8%) and 312 (78.3%) women respectively had identified a birth place and begun saving money for delivery. As many as 304 (79.4%) made no arrangement for a blood donor. Majority of pregnant women (60-82%) took five other steps towards emergency readiness. By the study criteria, 140 (34.9%) and 265 (66.1%) were birth and complication prepared respectively. Conclusion: Majority of pregnant women had poor knowledge of obstetric danger signs. Women who booked late were more