Male involvement in birth preparedness and complication readiness for emergency obstetric referrals in rural Uganda

<p>Abstract</p> <p>Background</p> <p>Every pregnant woman faces risk of life-threatening obstetric complications. A birth-preparedness package promotes active preparation and assists in decision-making for healthcare seeking in case of such complications. The aim was to...

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Main Authors: Osinde Michael O, Kaye Dan K, Kakaire Othman
Format: Article
Language:English
Published: BMC 2011-05-01
Series:Reproductive Health
Online Access:http://www.reproductive-health-journal.com/content/8/1/12
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author Osinde Michael O
Kaye Dan K
Kakaire Othman
author_facet Osinde Michael O
Kaye Dan K
Kakaire Othman
author_sort Osinde Michael O
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>Every pregnant woman faces risk of life-threatening obstetric complications. A birth-preparedness package promotes active preparation and assists in decision-making for healthcare seeking in case of such complications. The aim was to assess factors associated with birth preparedness and complication-readiness as well as the level of male participation in the birth plan among emergency obstetric referrals in rural Uganda.</p> <p>Methods</p> <p>This was a cross-sectional study conducted at Kabale regional hospital maternity ward among 140 women admitted as emergency obstetric referrals in antenatal, labor or the postpartum period. Data was collected on socio-demographics and birth preparedness and what roles spouses were involved in during developing the birth plan. Any woman who attended antenatal care at least 4 times, received health education on pregnancy and childbirth danger signs, saved money for emergencies, made a plan of where to deliver from and made preparations for a birth companion, was deemed as having made a birth plan. Multivariate logistic regression analysis was conducted to analyze factors that were independently associated with having a birth plan.</p> <p>Results</p> <p>The mean age was 26.8 ± 6.6 years, while mean age of the spouse was 32.8 ± 8.3 years. Over 100 (73.8%) women and 75 (55.2%) of their spouses had no formal education or only primary level of education respectively. On multivariable analysis, Primigravidae compared to multigravidae, OR 1.8 95%CI (1.0-3.0), education level of spouse of secondary or higher versus primary level or none, OR 3.8 95%CI (1.2-11.0), formal occupation versus informal occupation of spouse, OR 1.6 95%CI (1.1-2.5), presence of pregnancy complications OR 1.4 95%CI (1.1-2.0) and the anticipated mode of delivery of caesarean section versus vaginal delivery, OR 1.6 95%CI (1.0-2.4) were associated with having a birth plan.</p> <p>Conclusion</p> <p>Individual women, families and communities need to be empowered to contribute positively to making pregnancy safer by making a birth plan.</p>
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spelling doaj.art-66c0ffef59684b0288699e7317efc0092022-12-22T02:58:37ZengBMCReproductive Health1742-47552011-05-01811210.1186/1742-4755-8-12Male involvement in birth preparedness and complication readiness for emergency obstetric referrals in rural UgandaOsinde Michael OKaye Dan KKakaire Othman<p>Abstract</p> <p>Background</p> <p>Every pregnant woman faces risk of life-threatening obstetric complications. A birth-preparedness package promotes active preparation and assists in decision-making for healthcare seeking in case of such complications. The aim was to assess factors associated with birth preparedness and complication-readiness as well as the level of male participation in the birth plan among emergency obstetric referrals in rural Uganda.</p> <p>Methods</p> <p>This was a cross-sectional study conducted at Kabale regional hospital maternity ward among 140 women admitted as emergency obstetric referrals in antenatal, labor or the postpartum period. Data was collected on socio-demographics and birth preparedness and what roles spouses were involved in during developing the birth plan. Any woman who attended antenatal care at least 4 times, received health education on pregnancy and childbirth danger signs, saved money for emergencies, made a plan of where to deliver from and made preparations for a birth companion, was deemed as having made a birth plan. Multivariate logistic regression analysis was conducted to analyze factors that were independently associated with having a birth plan.</p> <p>Results</p> <p>The mean age was 26.8 ± 6.6 years, while mean age of the spouse was 32.8 ± 8.3 years. Over 100 (73.8%) women and 75 (55.2%) of their spouses had no formal education or only primary level of education respectively. On multivariable analysis, Primigravidae compared to multigravidae, OR 1.8 95%CI (1.0-3.0), education level of spouse of secondary or higher versus primary level or none, OR 3.8 95%CI (1.2-11.0), formal occupation versus informal occupation of spouse, OR 1.6 95%CI (1.1-2.5), presence of pregnancy complications OR 1.4 95%CI (1.1-2.0) and the anticipated mode of delivery of caesarean section versus vaginal delivery, OR 1.6 95%CI (1.0-2.4) were associated with having a birth plan.</p> <p>Conclusion</p> <p>Individual women, families and communities need to be empowered to contribute positively to making pregnancy safer by making a birth plan.</p>http://www.reproductive-health-journal.com/content/8/1/12
spellingShingle Osinde Michael O
Kaye Dan K
Kakaire Othman
Male involvement in birth preparedness and complication readiness for emergency obstetric referrals in rural Uganda
Reproductive Health
title Male involvement in birth preparedness and complication readiness for emergency obstetric referrals in rural Uganda
title_full Male involvement in birth preparedness and complication readiness for emergency obstetric referrals in rural Uganda
title_fullStr Male involvement in birth preparedness and complication readiness for emergency obstetric referrals in rural Uganda
title_full_unstemmed Male involvement in birth preparedness and complication readiness for emergency obstetric referrals in rural Uganda
title_short Male involvement in birth preparedness and complication readiness for emergency obstetric referrals in rural Uganda
title_sort male involvement in birth preparedness and complication readiness for emergency obstetric referrals in rural uganda
url http://www.reproductive-health-journal.com/content/8/1/12
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AT kakaireothman maleinvolvementinbirthpreparednessandcomplicationreadinessforemergencyobstetricreferralsinruraluganda