Knowledge on obstetric danger signs and birth preparedness among pregnant women in hill districts of Bangladesh
Krishna Chakma, Nadira Begum
Knowledge about obstetric danger signs and birth preparedness is essential for every pregnant woman for delivery of healthy baby. This knowledge is poor in case of women in Bangladesh specially Hill Districts. However, The present study has conducted to assess pregnant women's knowledge about obstetric danger signs, to explore the association between knowledge of obstetric danger signs and birth preparedness, to assess the determinants of birth preparedness among women and to assess the socio demographic, maternal and institutional determinants of birth preparedness. The study was conducted at Sadar Upazilla in Rangamati, Khagrachari and Bandarban Hill District in Bangladesh. The research work was a prospective cross-sectional descriptive type of study performed on the pregnant women to assess the level of knowledge about obstetric danger signs and birth preparedness. The study used descriptive cross-sectional survey design to generate both quantitative and qualitative data. This snap shot design described the situation of birth preparedness during the time of study. Cause effect relationship was not established. The study population was women who delivered in the last two years in Hilly areas Rangamati, Bandarbon and Khagrachari attending the health facilities. Data were collected from primary and secondary sources. Total 300 pregnant women were selected for the study. Questionnaire was used for data collection. Data were collected by face to face interview with the respondents. From the result it was found that most of the mother were low level of education and low income family that reason there have no empower in the family for the decision, lack of awareness about obstetric danger signs was related younger age, lack of previous experiences with obstetric complications and lack of antenatal care. As in most rural and tribal areas, delivery takes place at home, far from emergency obstetric services or without access to skilled attendant, there is more risk associated with mother and child life. In developing countries, complications during pregnancy and childbirth are a leading cause of death and disability among women in reproductive age group. Socio-cultural beliefs and lack of awareness in mothers and family members on how to recognize danger signs and symptoms, where to go when complication occurs, results in delay in seeking care and unprepared families waste time in recognizing problem, getting organized, getting money, finding transport and reaching the appropriate referral facility. To design appropriate strategies to raising awareness of pregnant women on the danger signs would improve early detection of problems, and reduces the delay in deciding to seek obstetric care by providing information, education and communication and use electronic mass media to disseminate health information and community enlightenment of women groups to increased knowledge of women of danger signs of pregnancy. Women educational status should be increased and women empowerment should be provided by the Government. To need to strengthen existing policy interventions and to need strengthen effective and sustained health education counseling on birth preparedness and complication readiness and behaviour change program be implemented within rural areas and increasing the scope of communication strategies and local media for gets the message directly to the women.