Birth preparedness and complication readiness among slum women in Indore city, India.
Three hundred twelve mothers of infants aged 2-4 months in 11 slums of Indore, India, were interviewed to assess birth preparedness and complication readiness (BPACR) among them. The mothers were asked whether they followed the desired four steps while pregnant: identified a trained birth attendant, identified a health facility, arranged for transport, and saved money for emergency. Taking at least three steps was considered being well-prepared. Taking two or less steps was considered being less-prepared. One hundred forty-nine mothers (47.8%) were well-prepared. Factors associated with well-preparedness were assessed using adjusted multivariate models. Factors associated with well-preparedness were maternal literacy [odds ratio (OR) = 1.9, (95%) confidence interval (CI) 1.1-3.4] and availing of antenatal services (OR = 1.7, CI 1.05-2.8). Deliveries in the slum-home were high (56.4%). Among these, skilled attendance was low (7.4%); 77.3% of them were assisted by traditional birth attendants. Skilled attendance during delivery was three times higher in well-prepared mothers compared to less-prepared mothers (OR: 3.0, CI 1.6-5.4) Antenatal outreach sessions can be used for promoting BPACR. It will be important to increase the competency of slum-based traditional birth attendants, along with promoting institutional deliveries.
Agarwal
Siddharth
S
Urban Health Resource Center, New Delhi, India. siddharth@uhrc.in
Sethi
Vani
V
Srivastava
Karishma
K
Jha
Prabhat K
PK
Baqui
Abdullah H
AH
D003430:Cross-Sectional Studies; D036861:Delivery, Obstetric / Q000191:economics / Q000523:psychology / Q000706:statistics & numerical data; D005260:Female; D006700:Home Childbirth / Q000706:statistics & numerical data; D006801:Humans; D007194:India; D007743:Labor, Obstetric / Q000523:psychology*; D008425:Maternal Behavior; D008880:Midwifery / Q000706:statistics & numerical data; D009035:Mothers / Q000193:education / Q000523:psychology* / Q000706:statistics & numerical data; D007744:Obstetric Labor Complications / Q000191:economics*; D011204:Poverty Areas; D011247:Pregnancy; D014505:Urban Population / Q000706:statistics & numerical data*
BMC Pregnancy Childbirth. 2007 Dec 06;7:29
18053268
J Health Popul Nutr. 2006 Dec;24(4):479-88
17591345
Lancet. 2006 Sep 30;368(9542):1189-200
17011946
Health Care Women Int. 2005 Aug;26(7):561-76
16126600
Soc Sci Med. 1994 Apr;38(8):1091-110
8042057
Lancet. 2008 Sep 27;372(9644):1151-62
18926277
J Health Popul Nutr. 2006 Dec;24(4):489-97
17591346
Indian Pediatr. 2005 Mar;42(3):233-44
15817971