Mamo, Retina (2017) Patterns of Admission of Laboring Mothers and the Association between Birth Preparedness and Delayed Presentation during Labor in Public Health Centers of Addis Ababa, Ethiopia, 2017. Masters thesis, Addis Ababa University.
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Abstract
Background: In 2015 an estimated 303,000 women died from maternal causes globally and developing countries account for 99% of these deaths. Delay in seeking care during labor is a recognized contributor for these adverse pregnancy outcomes. Birth preparedness and complication readiness plan is one of the crucial elements of Safe motherhood for a woman to get timely care during pregnancy and childbirth to avoid these adverse outcomes. Objective: This study aimed to see the patterns of admission of laboring mothers and the association between Birth preparedness and delayed presentation in public health centers of Addis Ababa, Ethiopia, 2017 Method: This was a facility based cross-sectional study done in 10 public health centers of Addis Ababa from Mar-Apr, 2017. Multistage sampling technique was used to identify the sample health centers then systematic random sampling was used to select the study participants. Data was collected using a pretested structured questionnaire. Tables and charts were used to present descriptive results. OR was used to measure association and 95% CI and P-Value<0.05 were used as predictors of significant association. Bi-variate and Multi-variate analysis was done to see the independent effect of each variable on the outcome variable. Result: Women who came delayed during labor were found to be 47%. Twenty and 13.6% of mothers came in latent first stage and second stage of labor respectively whereas the remaining 32.6% came during early active and 33.4% on late active first stage of labor. Four hundred fifty nine (74.2%) participants were found to be well prepared for birth and mothers who were not well prepared were 1.63(AOR=1.63:1.04, 2.55) times more likely to come delayed during labor. Women at older age (AOR=6.76:1.41, 32.35), multigravida women (AOR=2.14:1.36, 3.36), women having less visits than the recommended number of antenatal visits (AOR=1.8:1.17, 2.80), and aware of danger symptoms of post-partum (2.1:1.28, 2.54) were also the one who were more likely to come delayed. Conclusion: Delayed presentation during labor was found to be high and found to have an inverse relationship with level of birth preparedness. Focus on counseling women that every pregnancy is at risk, on birth preparedness and on the recommended number of antenatal visits is recommended.
| Item Type: | Thesis (Masters) |
|---|---|
| Subjects: | R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine |
| Divisions: | Africana |
| Depositing User: | Emmanuel Ndorimana |
| Date Deposited: | 28 Nov 2018 11:02 |
| Last Modified: | 28 Nov 2018 11:02 |
| URI: | http://thesisbank.jhia.ac.ke/id/eprint/7879 |
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