Birth preparedness and complication readiness among the women beneficiaries of selected rural primary health centers of Dakshina Kannada district, Karnataka, India

• DOI: 10.1371/journal.pone.0183739
• Publication Date: 2017-08-24T17:39:48Z
• Authors: Kibballi Madhukes...; Siddharudha Shivalli
• Keywords: Kannada

Introduction Birth preparedness and complication readiness (BPCR) is a strategy to promote timely use of skilled maternal neonatal care during childbirth. According World Health Organization, BPCR should be key component focused antenatal care. Dakshina Kannada, coastal district Karnataka state, categorized as high-performing (institutional delivery rate >25%) under the National Rural Mission. However, substantial proportion women in experience complications pregnancy (58.3%), childbirth (45.7%), postnatal (17.4%) period. There paucity data on practice factors associated with it district. Exploring this would great evidence-based fine-tuning ongoing child health interventions. Objective To assess among beneficiaries two rural Primary Centers (PHCs) Kannada district, Karnataka, India. Methods A facility-based cross-sectional study was conducted 217 pregnant (>28 weeks gestation) recently delivered (in last 6 months) randomly selected PHCs from June -September 2013. Exit interviews were using pre-designed semi-structured interview schedule. Information regarding socio-demographic profile, obstetric variables, knowledge danger signs collected. included information five components: identified place delivery, saved money pay for expenses, mode transport identified, birth companion, arranged blood donor if need arises. In study, woman who recalled at least each three phases, i.e., pregnancy, childbirth, postpartum (total six) considered knowledgeable signs. Optimal defined following out components BPCR. Outcome measures Proportion, Odds ratio, adjusted ratio (adj OR) optimal practice. Results total 184 completed exit (mean age: 26.9±3.9 years). observed 79.3% (95% CI: 73.5–85.2%) women. Multivariate logistic regression revealed that age >26 years OR = 2.97; 95%CI: 1.15–7.7), economic status above poverty line 4.3; 1.12–16.5), awareness minimum 3.98; 1.4–11.1), preference private sector care/delivery 2.9; 1.1–8.01), woman’s discussion about her family members 3.4; 1.1–10.4) significant Conclusion population, better than other studies reported Healthcare workers grassroots encouraged involve women’s while explaining special emphasis young (<26 years) economically poor Ensuring reinforcing between may further enhance