1
|
Koovimon P, Kaikaew K, Mahoree K, Bumphenkiatikul T. Knowledge of obstetric danger signs and associated factors among pregnant women attending antenatal care services at Thai community hospital. F1000Res 2023; 12:851. [PMID: 37965586 PMCID: PMC10643879 DOI: 10.12688/f1000research.131267.2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 10/19/2023] [Indexed: 11/16/2023] Open
Abstract
BACKGROUND To decrease preventable maternal mortality, providing health education to all parties is mandatory. Good knowledge, including awareness of pregnant women regarding obstetric danger signs (ODS), leads to appropriate practices and services. The knowledge of ODS varies among countries and regions. Since the data in rural regions of Thailand remains unavailable, this study aimed to identify the prevalence of good ODS knowledge and associated factors among pregnant women attending antenatal services at a Thai community hospital. METHODS We performed a cross-sectional, analytical study in 415 singleton pregnant women who visited the antenatal clinic at Wang Saphung Hospital, Loei, Thailand. A well-trained research assistant interviewed all participants using the data record form containing twenty items on the demographic and obstetric data and sixteen items on ODS knowledge. An ODS score of at least 75% (12 points) was considered a good level of knowledge. RESULTS A total of 275 participants (66.27%) had good knowledge of ODS. The most recognized ODS was vaginal bleeding whereas the least recognized ODS during pregnancy was convulsion; the least recognized ODS during labor and delivery was retained placenta. Multivariate regression analysis showed that the predictive factors of good OBS knowledge included a higher education level, maternal age of at least 20 years, and having medical personnel as a source of knowledge. CONCLUSIONS In a rural setting of Thailand, two-thirds of pregnant women had good ODS knowledge. Identifying those at risk for fair and poor ODS knowledge and prompt management for the vulnerable subgroups might help decrease maternal mortality.
Collapse
Affiliation(s)
- Pruk Koovimon
- Wang Saphung Hospital, Wang Saphung, Loei, 42130, Thailand
| | - Kasiphak Kaikaew
- Department of Physiology, Faculty of Medicine, Chulalongkorn University, Pathumwan, Bangkok, 10330, Thailand
| | | | - Thanapob Bumphenkiatikul
- Center of Excellence in Transgender Health (CETH), Faculty of Medicine, Chulalongkorn University, Pathumwan, Bangkok, 10330, Thailand
- Division of Academic Affairs, Faculty of Medicine, Chulalongkorn University, Pathumwan, Bangkok, 10330, Thailand
| |
Collapse
|
2
|
Alharbi NM, Al Zahrani SA, Basri TH, Tawfiq SA, Jokhdar NY, AlQahtani RY, Khair HS, Alghanem NA. The Awareness and Knowledge of Normal and Abnormal Signs and Symptoms of Pregnancy Among Women of Childbearing Age in Saudi Arabia. Cureus 2023; 15:e44470. [PMID: 37791216 PMCID: PMC10544270 DOI: 10.7759/cureus.44470] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/31/2023] [Indexed: 10/05/2023] Open
Abstract
BACKGROUND Pregnancy is a natural physiological process that leads to the outstanding outcome of giving birth. It involves normal and abnormal signs and symptoms that women need to be aware of during this period. OBJECTIVES This study aims to assess the awareness and knowledge about normal and abnormal signs and symptoms of pregnancy among women of childbearing age in Saudi Arabia. METHODS This is an online questionnaire-based cross-sectional study done in 2023 among women in Saudi Arabia, aged 18 to 45. The estimated sample size was 385 after applying inclusion and exclusion criteria. However, 981 responses were collected and included. RESULTS A total of 981 participants were included in our study. The study findings noted that the majority of women demonstrated a good level of knowledge about the normal signs and symptoms of pregnancy. About 82% of the women reported that they knew mood swings were normal symptoms during pregnancy, 80.1% were aware of nausea, 75.9% knew about fatigue, and 68.9% knew about fainting or dizziness. The findings noted that less than half of the participants were fully aware of the abnormal obstetric signs. For the abnormal signs and symptoms during the first trimester, only 45.2% were fully aware of the symptoms. In the second trimester, 39.0% were fully aware of the symptoms. Only 30.5% of the participants were fully aware of the abnormal signs and symptoms in the third trimester. The study established a statistically significant relationship between age and knowledge of abnormal symptoms during the first, second, and third trimesters (P=0.027, 0.041, and 0.006) (r=0.139, 0.105, and 0.146). Furthermore, a statistically significant relationship was found between the level of education of the participants and the level of awareness of abnormal symptoms during the first trimester (P=0.043). However, there was no significant relationship between education level and the level of knowledge regarding abnormal symptoms during the second and third trimesters (r=0.22, 0.061, P=0.578, 0.603). CONCLUSION The study found that the majority of women had a good level of awareness and knowledge about normal signs and symptoms of pregnancy, while less than half of the women were fully aware of the abnormal signs and symptoms at different stages of pregnancy. The older respondents and people with higher levels of education demonstrated more knowledge. The two variables, age and education level, had a statistically significant relationship with knowledge of abnormal signs and symptoms of pregnancy with education level being only significant during the first trimester period. Our study concluded that women had different symptoms during pregnancy, both normal and abnormal. Their knowledge about these signs and symptoms was considerably moderate, but further awareness about the normality of these signs is needed. The study recommends more research to measure women's awareness about normal and abnormal symptoms of pregnancy, and more awareness programs should be carried out in the region as a way of enhancing a better understanding of normal and abnormal pregnancy symptoms. This will go a long way in helping women through their pregnancy and make them more comfortable.
Collapse
Affiliation(s)
- Noof M Alharbi
- College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh, SAU
| | | | - Taghreed H Basri
- Department of Obstetrics and Gynecology, Madinah Health Cluster, Ohud Hospital, Madinah, SAU
| | | | - Nawal Y Jokhdar
- College of Medicine, Ibn Sina National College for Medical Studies, Jeddah, SAU
| | | | - Haneen S Khair
- College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh, SAU
| | - Noor A Alghanem
- Department of General Practice, Dar Al-Uloom University, Riyadh, SAU
| |
Collapse
|
3
|
Maki JSM, Dagestani H, Aldokhail L, Mohamed Alaradi L, Albalawi M. Awareness of Obstetric and Delivery Complications Among Saudi Pregnant Women in Riyadh, Saudi Arabia. Cureus 2023; 15:e39630. [PMID: 37388622 PMCID: PMC10305497 DOI: 10.7759/cureus.39630] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/29/2023] [Indexed: 07/01/2023] Open
Abstract
INTRODUCTION The birth of a newborn is often celebrated with delight and excitement around the world. However, maternal mortality remains a great concern, and the majority of these deaths could have been prevented. This study aims to assess the awareness of obstetric and delivery complications among pregnant women in Riyadh, Saudi Arabia. METHODOLOGY A cross-sectional study was conducted among 385 pregnant women attending antenatal care clinics in Riyadh. The participants were interviewed using a pre-tested questionnaire that included sociodemographic and obstetric data, as well as 16 questions to measure awareness of danger signs during pregnancy, labor, and the postpartum period, and knowledge of Birth Preparedness and Complication Readiness (BPCR). RESULTS Among the 385 pregnant women, only 45.5% were aware of associated complications during pregnancy, 18.4% during labor, and 30.6% during the postpartum period. Although 82% of the women had heard about BPCR previously, only 53% took action toward it. Certain factors, such as age, level of education, having a medical condition, and the number of antenatal care clinic visits, were associated with an increased level of awareness. CONCLUSION The study highlights a lack of awareness regarding obstetric and delivery complications among Saudi pregnant women. Therefore, dedicated education by a healthcare provider during prenatal visits is recommended to increase knowledge and avoid future obstetric complications.
Collapse
Affiliation(s)
- Joud Sami M Maki
- College of Medicine, King Saud bin Abdul-Aziz University for Health Sciences, Riyadh, SAU
| | - Hattan Dagestani
- Obstetrics and Gynecology, King Abdul-Aziz Medical City, Ministry of National Guard-Health Affairs (MNG-HA), Riyadh, SAU
| | - Laila Aldokhail
- College of Medicine, Princess Nourah bint Abdulrahman University (PNU), Riyadh, SAU
| | | | - Mohammed Albalawi
- College of Medicine and Medical Sciences, Arabia Gulf University, Manama, BHR
| |
Collapse
|
4
|
Mesele TT, Syuom AT, Molla EA. Knowledge of danger signs in pregnancy and their associated factors among pregnant women in Hosanna Town, Hadiya Zone, southern Ethiopia. FRONTIERS IN REPRODUCTIVE HEALTH 2023; 5:1097727. [PMID: 36970710 PMCID: PMC10036572 DOI: 10.3389/frph.2023.1097727] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2022] [Accepted: 02/16/2023] [Indexed: 03/12/2023] Open
Abstract
BackgroundDanger signs in pregnancy can warn of maternal health problems. In developing African countries, including Ethiopia, the rate of maternal mortality is high. There is little knowledge of danger signs during pregnancy and their associated factors at the community level in the study area.MethodsA community-based, cross-sectional study was conducted to assess knowledge about danger signs among pregnant women in Hosanna Zuria Kebeles between 30 June and 30 July 2021. A simple random sampling method was used to select eligible pregnant women. The sample size was proportionally allocated based on the number of pregnant women in each kebele. Data were collected in face-to-face interviews using a pretested questionnaire. The descriptive results were presented as proportions, whereas the analytic results were presented as adjusted odds ratios (AOR).ResultsThe prevalence of good knowledge of danger signs in pregnancy was 259/410 (63.2%, 95% confidence interval (CI) 58.3–67.8). The most common known danger signs during pregnancy were severe vaginal bleeding (n = 227, 55.4%), followed by blurred vision (n = 224, 54.6%). In the multivariable analysis, the age of the respondent (AOR = 3.29, 95% CI 1.15–9.38), the tertiary education of the mother (AOR = 5.40, 95% CI 2.56–11.34), and the number of live births (AOR = 3.95, 95% CI 2.08–7.48) were statistically significant factors.ConclusionThere was an adequate prevalence of knowledge of danger signs in pregnancy among pregnant mothers compared with different studies in Ethiopia and different countries. Advanced maternal age, the respondent's level of education, and the number of live births were found to be independent determining factors for the level of knowledge on danger signs in pregnancy among pregnant mothers. Health facilities and healthcare providers should focus on antenatal care and the age and parity of the mother when giving information about danger signs in pregnancy. The Ministry of Health should provide reproductive health services in rural areas and encourage education for women. Further studies need to be conducted and include danger signs in the three trimesters using a qualitative study design.
Collapse
Affiliation(s)
- Tiruye Tilahun Mesele
- Department of General Midwifery, School of Midwifery, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia
- Correspondence: Tiruye Tilahun Mesele
| | - Asmra Tesfahun Syuom
- Department of General Midwifery, School of Midwifery, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia
| | - Eshetie Amare Molla
- Department of Nursing, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia
| |
Collapse
|
5
|
Almahmoud H, Al‐Bsheish M, Cozad M, Shams T, Almahmoud H. The three major themes of women's birthing experiences: A qualitative study in Saudi National Guard hospitals. WORLD MEDICAL & HEALTH POLICY 2023. [DOI: 10.1002/wmh3.565] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/17/2023]
Affiliation(s)
- Hanin Almahmoud
- Medical Services Department, King Abdulaziz Medical City National Guard Health Affairs Jeddah Saudi Arabia
| | - Mohammad Al‐Bsheish
- Health Management Department Batterjee Medical College Jeddah Saudi Arabia
- Al‐Nadeem Governmental Hospital Ministry of Health Amman Jordan
| | - Melanie Cozad
- Health Services Research and Administration Department University of Nebraska Medical Center Omaha Nebraska USA
| | - Taghreed Shams
- Obstetrics and Gynecology Department King Saud Bin Abdulaziz University for Health Science Jeddah Saudi Arabia
- Ministry of National Guard, Obstetrics and Gynecology Department King Abdulaziz Medical City Jeddah Saudi Arabia
| | - Hadeel Almahmoud
- Pediatric Department King Fahad Armed Forces Hospital Jeddah Saudi Arabia
| |
Collapse
|
6
|
Noor R, Shahid F, Hydrie MZI, Imran M, Shah SHBU. Factors influencing birth preparedness and complication readiness among childbearing age women in Thatta district, Sindh. PLoS One 2022; 17:e0275243. [PMID: 36174097 PMCID: PMC9522263 DOI: 10.1371/journal.pone.0275243] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/28/2021] [Accepted: 09/13/2022] [Indexed: 11/24/2022] Open
Abstract
Introduction Birth preparedness and complication readiness (BPCR) is a broad system to increase the practice of trained health provision at the time of childbirth and the key interventions to decrease mothers’ and newborns’ death. However, its status and influencing factors have not been well studied at different levels in the study area. The current study aimed to assess the BPCR status and explore its associated factors influencing BPCR among childbearing age women in Thatta, District of Sindh. Methods This community-based cross-sectional study was conducted among 770 recently delivered mothers from October 2016 –September 2017, recruited using a multistage cluster sampling technique. A structured validated close-ended questionnaire measuring BPCR knowledge and practices was used for the interviews. The results were analyzed by means of the Chi-square test, and a binary logistic regression model was used to determine the factors influencing BPCR. Results The overall response rate was 94.6%, with a low BPCR status. Out of 770 participants, only 163 (21.2%) were well prepared, while 607 (78.8%) were not prepared for safe childbirth and its complications. A small proportion of women knew about the serious warning signs of pregnancy, labour, childbirth and the postpartum period (16.2%), (15.3%) and (22.7%) respectively. Antenatal care (ANC) checkup (P < 0.001), cost of ANC checkup (p = 0.016), place of birth (p = 0.014), awareness of serious warning signs during pregnancy (p = 0.001) and awareness of serious warning signs during the postpartum period (p < 0.001) were found to be significant predictors of BPCR. Conclusion The proportion of women who were well prepared for birth and its complications was low. It is recommended to organize community-based education campaigns and improve the quality of MNCH services at every level to increase BPCR among women in Sindh.
Collapse
Affiliation(s)
- Ruquia Noor
- Department of Respiratory and Critical Care Technology, Dow Institute of Medical Technology, Karachi, Pakistan
| | - Farhana Shahid
- Faculty of Life Sciences, Shaheed Zulfikar Ali Bhutto Institute of Science and Technology, Dubai, United Arab Emirates
| | | | - Muhammad Imran
- Institute of Medical Technology, JSMU, Karachi, Pakistan
| | | |
Collapse
|