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Published in: BMC Pregnancy and Childbirth 1/2017

Open Access 01-12-2017 | Research article

Knowledge of obstetric danger signs among recently-delivered women in Chamwino district, Tanzania: a cross-sectional study

Authors: Deogratius Bintabara, Rose N. M. Mpembeni, Ahmed Abade Mohamed

Published in: BMC Pregnancy and Childbirth | Issue 1/2017

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Abstract

Background

Low knowledge of danger signs has been shown to delay seeking obstetric care which leads to high maternal mortality and morbidity worldwide. In Tanzania about half of pregnant women are informed about obstetric danger signs during antenatal care, but the proportion of those who have full knowledge of these obstetric danger signs is not known. This study assessed the knowledge of obstetric danger signs and its associated factors among recently-delivered women in Chamwino District, Tanzania.

Methods

A community-based cross-sectional study was conducted in January 2014 in Chamwino District, Tanzania. A woman was considered knowledgeable if she spontaneously mentioned at least five danger signs in any of the three phases of childbirth (pregnancy, childbirth and postpartum) with at least one in each phase. Multistage cluster sampling was used to recruit study participants. Descriptive and bivariate analyses were conducted. Multivariable logistic regression analyses were performed to control for confounding and other important covariates.

Results

A total of 428 women were interviewed. The median age (IQR) was 26.5 (22–33) years. Only 25.2% of respondents were knowledgeable about obstetric danger signs during pregnancy, childbirth/labour and postpartum. Significant explanatory variables of being knowledgeable about obstetric danger signs were found to be maternal education (AOR = 1.96; 95% CI: 1.01, 3.82), maternal occupation (AOR = 2.23; 95% CI; 1.10, 4.52), spouse occupation (AOR = 2.10; 95% CI: 1.02, 4.32) and counseling on danger signs (AOR = 3.42; 95% CI: 1.36, 8.62) after controlling for the clustering effect, confounding and important covariates.

Conclusion

A low proportion of women was found to be knowledgeable about obstetric danger signs in Chamwino district. Therefore, we recommend the Ministry of Health to design and distribute the maternal health booklets that highlight the obstetric danger signs, and encourage antenatal care providers and community health workers to provide frequent health education about these danger signs for every pregnant woman in order to increase their level of knowledge about obstetric danger signs.
Literature
13.
go back to reference The United Republic of Tanzania; Ministry of Health and Social welfare. Focused, antenatal care, malaria and syphilis in pregnancy: Orientation package for service providers. 2002. The United Republic of Tanzania; Ministry of Health and Social welfare. Focused, antenatal care, malaria and syphilis in pregnancy: Orientation package for service providers. 2002.
14.
go back to reference United republic of Tanzania, Prime minister’s office, regional administration and local government, chamwino district council, comprehensive council health plan for the year July 2013 – June 2014, (Revised) Dodoma region, October 2013. United republic of Tanzania, Prime minister’s office, regional administration and local government, chamwino district council, comprehensive council health plan for the year July 2013 – June 2014, (Revised) Dodoma region, October 2013.
Metadata
Title
Knowledge of obstetric danger signs among recently-delivered women in Chamwino district, Tanzania: a cross-sectional study
Authors
Deogratius Bintabara
Rose N. M. Mpembeni
Ahmed Abade Mohamed
Publication date
01-12-2017
Publisher
BioMed Central
Published in
BMC Pregnancy and Childbirth / Issue 1/2017
Electronic ISSN: 1471-2393
DOI
https://doi.org/10.1186/s12884-017-1469-3

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