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Reproductive Health
Published in: Reproductive Health 1/2011

Open Access 01-12-2011 | Research

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

Authors: Othman Kakaire, Dan K Kaye, Michael O Osinde

Published in: Reproductive Health | Issue 1/2011

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Abstract

Background

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.

Methods

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.

Results

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.

Conclusion

Individual women, families and communities need to be empowered to contribute positively to making pregnancy safer by making a birth plan.
Literature
1.
Hogan MC, Foreman KJ, Naghavi M, Ahn SY, Wang M, Makela SM, Lopez AD, Lozano R, Murray CJ: Maternal mortality for 181 countries, 1980-2008: a systematic analysis of progress towards Millennium Development Goal 5. Lancet. 2010, 375 (9726): 1609-23. 10.1016/S0140-6736(10)60518-1.CrossRefPubMed
2.
Uganda Bureau of Statistics (UBOS) and ORC Macro: Uganda Demographic and Health Survey 2006. 2006, Entebbe, Uganda and Calverton, Maryland, USA: Uganda Bureau of Statistics and ORC Macro
3.
McPherson RA, Khadka N, Moore JM, Sharma M: Are birth-preparedness programmes effective? Results from a field trial in Siraha district, Nepal. Journal of Health Population and Nutrition. 2006, 24 (4): 479-88.
4.
JHPIEGO. Maternal and Neonatal health (MNH) Program: Birth preparedness and complication readiness. A matrix of shared responsibilities. Maternal and Neonatal Health. 2001, 23-31.
5.
Kaye D, Mirembe F, Aziga F, Namulema B: Maternal mortality and associated near-misses among emergency intrapartum obstetric referrals in Mulago Hospital, Kampala, Uganda. East African Medical Journal. 2003, 80 (3): 144-9.PubMed
6.
Babalola S, Fatusi A: Determinants of use of maternal health services in Nigeria--looking beyond individual and household factors. BMC Pregnancy Childbirth. 2009, 9: 43-10.1186/1471-2393-9-43.CrossRefPubMedPubMedCentral
7.
Iliyasu Z, Abubakar IS, Galadanci HS, Aliyu MH: Birth preparedness, complication readiness and fathers' participation in maternity care in a northern Nigerian community. African Journal of Reproductive Health. 2010, 14 (1): 22-
8.
Odimegwu C, Adewuyi A, Odebiyi T, Aina B, Adesina Y, Olatubara O, Eniola F: Men's role in emergency obstetric care in Osun state of Nigeria. African Journal of Reproductive Health. 2005, 9 (3): 59-71. 10.2307/3583412.CrossRefPubMed
9.
Ronsmans C, Filippi V: Beyond the numbers. Reviewing maternal deaths and complications to make pregnancy safer: reviewing severe maternal morbidity and learning from women who survive life threatening complications. 2004, Geneva: World Health Organisation
10.
Koblinsky MA: Beyond maternal mortality-magnitude, interrelationship, and consequences of women's health, pregnancy related complications and nutritional status on pregnancy outcomes. International Journal of Gynecology and Obstetrics. 1995, 48: S21-32.CrossRefPubMed
11.
Adisasmita A, Deviany PE, Nandiaty F, Stanton , Ronsmans C: Obstetric near miss and deaths in public and private hospitals in Indonesia. BMC Pregnancy Childbirth. 2008, 8: 10-10.1186/1471-2393-8-10.CrossRefPubMedPubMedCentral
12.
Oladapo OT, Sule-Odu AO, Olatunji OA, Daniel OJ: "Near-miss" obstetric events and maternal deaths in Sagamu, Nigeria: a retrospective study. Reproductive Health. 2005, 2: 9-10.1186/1742-4755-2-9.CrossRefPubMedPubMedCentral
13.
Filippi V, Ganaba R, Baggaley RF, Marshall T, Storeng KT, Sombié I: Health of women after severe obstetric complications in Burkina Faso: a longitudinal study. Lancet. 2007, 370 (9595): 1329-1337. 10.1016/S0140-6736(07)61574-8.CrossRefPubMed
14.
Onwudiegwu U, Ezechi OC: Emergency obstetric admissions: late referrals, misdiagnoses and consequences. Journal of Obstetrics and Gynecology. 2001, 21 (6): 570-5. 10.1080/01443610120085492.CrossRef
15.
Onayade AA, Akanbi OO, Okunola HA, Oyeniyi CF, Togun OO, Sule SS: Birth preparedness and emergency readiness plans of antenatal clinic attendees in Ile-ife, Nigeria. Nigerian Postgraduate Medical Journal. 2010, 17 (1): 30-9.PubMed
16.
Mutiso SM, Qureshi Z, Kinuthia J: Birth preparedness among antenatal clients. East African Medical Journal. 2008, 85 (6): 275-83.CrossRefPubMed
17.
Tweheyo R, Konde-Lule J, Tumwesigye NM, Sekandi JN: Male partner attendance of skilled antenatal care in peri-urban Gulu district, Northern Uganda. BMC Pregnancy and Childbirth. 2010, 10: 53-10.1186/1471-2393-10-53.CrossRefPubMedPubMedCentral
18.
Roth DM, Mbizvo MT: Promoting safe motherhood in the community: the case for strategies that include men. African Journal of Reproductive Health. 2001, 5: 10-21. 10.2307/3583426.CrossRefPubMed
19.
Msuya SE, Mbizvo EM, Hussain A, Uriyo J, Sam NE, Stray-Pedersen B: Low male partner participation in antenatal HIV counseling and testing in northern Tanzania: implications for preventive programs. AIDS Care. 2008, 20: 700-709. 10.1080/09540120701687059.CrossRefPubMed
20.
Katz DA, Kiarie JN, John-Stewart GC, Richardson BA, John FN, Farquhar C: Male perspectives on incorporating men into antenatal HIV counseling and testing. PLoS One. 2009, 4: e7602-10.1371/journal.pone.0007602.CrossRefPubMedPubMedCentral
21.
Martin LT, McNamara MJ, Milot AS, Halle T, Hair EC: The effects of father involvement during pregnancy on receipt of prenatal care and maternal smoking. Maternal and Child Health Journal. 2007, 11: 595-602. 10.1007/s10995-007-0209-0.CrossRefPubMed
22.
Orne-Gliemann J, Desgrees-Du-Lou A: The involvement of men within prenatal HIV counselling and testing. Facts, constraints and hopes. AIDS. 2008, 22: 2555-7. 10.1097/QAD.0b013e32831c54d5.CrossRefPubMed
23.
Anya SE, Hydara A, Jaiteh LE: Antenatal care in The Gambia: missed opportunity for information, education and communication. BMC Pregnancy Childbirth. 2008, 8: 9-10.1186/1471-2393-8-9.CrossRefPubMedPubMedCentral
24.
Magoma M, Requejo J, Campbell OM, Cousens S, Filippi V: High ANC coverage and low skilled attendance in a rural Tanzanian district: a case for implementing a birth plan intervention. BMC Pregnancy Childbirth. 2010, 10: 13-10.1186/1471-2393-10-13.CrossRefPubMedPubMedCentral
25.
Sundari TK: The untold story: how the health care systems in developing countries contribute to maternal mortality. International Journal Health Service. 1992, 22 (3): 513-528. 10.2190/91YH-A52T-AFBB-1LEA.CrossRef
26.
Babalola S, Fatusi A: Determinants of use of maternal health services in Nigeria--looking beyond individual and household factors. BMC Pregnancy Childbirth. 2009, 9: 43-10.1186/1471-2393-9-43.CrossRefPubMedPubMedCentral
27.
Mullany BC, Becker S, Hindin MJ: The impact of including husbands in antenatal health education services on maternal health practices in urban Nepal: results from a randomized controlled trial urban Nepal: results from a randomized controlled trial. Health Education Research. 2007, 22 (2): 166-176.CrossRefPubMed
28.
Carroli G, Rooney C, Villar J: How effective is antenatal care in preventing maternal mortality and serious morbidity? An overview of the evidence. Pediatric and Perinatal Epidemiology. 2001, 15 (Suppl. 1): 1-42.CrossRefPubMed
29.
Lumbiganon P: Appropriate technology: antenatal care. International Journal of Gynecology and Obstetrics. 1998, 63 (Suppl. 1): S91-95.CrossRefPubMed
30.
Bloom SS, Wypij D, Das GM: Dimensions of women's autonomy and the influence on maternal health care utilization in a north Indian city. Demography. 2001, 38: 67-78. 10.1353/dem.2001.0001.CrossRefPubMed
31.
Beegle K, Frankenberg E, Thomas D: Bargaining power within couples and use of prenatal and delivery care in Indonesia. Studies in Family Planning. 2001, 32: 130-146. 10.1111/j.1728-4465.2001.00130.x.CrossRefPubMed
32.
Dudgeon MR, Inhorn MC: Men's influences on women's reproductive health: medical anthropological perspectives. Social Science and Medicine. 2004, 59: 1379-1395. 10.1016/j.socscimed.2003.11.035.CrossRefPubMed
33.
Carter M: Husbands and maternal health matters in rural Guatemala: wives' reports on their spouses' involvement in pregnancy and birth. Social Science and Medicine. 2002, 55: 437-450. 10.1016/S0277-9536(01)00175-7.CrossRefPubMed
34.
Sternberg P, Hubley J: Evaluating men's involvement as a strategy in sexual and reproductive health promotion. Health Promotion International. 2004, 19: 389-396. 10.1093/heapro/dah312.CrossRefPubMed
Metadata
Title
Male involvement in birth preparedness and complication readiness for emergency obstetric referrals in rural Uganda
Authors
Othman Kakaire
Dan K Kaye
Michael O Osinde
Publication date
01-12-2011
Publisher
BioMed Central
Published in
Reproductive Health / Issue 1/2011
Electronic ISSN: 1742-4755
DOI
https://doi.org/10.1186/1742-4755-8-12

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