Counselling on Birth Preparedness, Complication Readiness and Delivery Outcomes among Women Receiving Antenatal Care in a Southern Hospital: A Cross-Sectional Study.
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Abstract
Background: Pregnant women who attended antenatal care (ANC) should be counselled on birth preparedness and complication readiness (BP/CR) due to its increased awareness. There is no reported relationship between counselling, BP/CR and pregnancy outcome at the ANC of UPTH. This study determined the relationship between counselling on BP/CR and the pregnancy outcomes among the pregnant women attending the ANC of University of Port Harcourt Teaching Hospital (UPTH).
Methods: This hospital-based cross-sectional study involving 282 pregnant women who attended ANC and delivered at UPTH between April to December 2021. Participants were selected using systematic random sampling. Data were collected using interviewer-administered questionnaire adapted from the John Hopkins Safe Motherhood tool and analyzed using the Statistical Package for the social sciences (SPSS) version 25, with significance set up at P ≤0.05.
Result: Majority (n=241, 85.5%) of the respondents had been counseled on complications, 135(69.2%) of the respondents delivered last in a teaching hospital, 21(10.8%) delivered in a PHC and 17(8.7%) delivered in a general hospital. Pregnancy outcomes showed that 17(6.0%) were still births, 263(93.0%) were life births and 2(0.7%) were perinatal deaths. Also, 73(25.9%) delivery was induced, 59(80.8%) delivery was spontaneous vertex delivery (SVD) and 14(19.2%) was through caesarean session (CS), 20(7.1%) reported fetal morbidity, 6(2.1%) reported maternal morbidity 3(1.1%) reported both maternal and fetal morbidity and 253(89.7%) had no complication.
Conclusion: There was no statistical relationship between the adequacy of birth preparedness and complication readiness and pregnancy outcome.
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