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A family-oriented antenatal education program to improve birth preparedness and maternal-infant birth outcomes: A cross sectional evaluation study
- Source :
- Reproductive Health, Vol 16, Iss 1, Pp 1-10 (2019), Reproductive Health
- Publication Year :
- 2019
- Publisher :
- Springer Science and Business Media LLC, 2019.
-
Abstract
- Background In Tanzania, the information on Birth Preparedness and Complication Readiness is insufficiently provided to pregnant women and their families. The aim of this study was to evaluate the maternal and infant outcomes of a family-oriented antenatal group education program that promotes Birth Preparedness and Complication Readiness in rural Tanzania. Methods Pregnant women and families were enrolled in a program about nutrition and exercise, danger signs, and birth preparedness. The cross sectional survey was conducted one year later to evaluate if the participants of the program (intervention group) were different from those who did not participate (control group) with respect to birth-preparedness and maternal and infant outcomes. Results A total of 194 participants (intervention group, 50; control group, 144) were analyzed. For Birth Preparedness and Complication Readiness, the intervention group participants knew a health facility in case of emergency (OR: 3.11, 95% CI: 1.39–6.97); arranged accompaniment to go to a health facility for birth (OR: 2.56, 95% CI: 1.17–5.60); decided the birthplace with or by the pregnant women (OR: 3.11, 95% CI: 1.44–6.70); and attended antenatal clinic more than four times (OR: 2.39, 95% CI: 1.20–4.78). For birth outcomes, the intervention group had less bleeding or seizure during labour and birth (OR: 0.28, 95%CI: 0.13–0.58); fewer Caesarean sections (OR: 0.16, 95% CI: 0.07–0.36); and less neonatal complications (OR: 0.28, 95% CI: 0.13–0.60). Conclusions The four variables were significantly better in the intervention group, i.e., identifying a health facility for emergencies, family accompaniment for facility birth, antenatal visits, and involvement of women in decision-making, which may be key factors for improving birth outcome variables. Having identified these key factors, male involvement and healthy pregnant lives should be emphasized in antenatal education to reduce pregnancy and childbirth complications. Trial registration No.2013–273-NA-2013-101. Registered 12 August 2013.
- Subjects :
- Adult
Male
Health Knowledge, Attitudes, Practice
Birth preparedness
medicine.medical_specialty
Cross-sectional study
Antenatal education
Reproductive medicine
Tanzania
lcsh:Gynecology and obstetrics
Prenatal Education
Health facility
Pregnancy
Surveys and Questionnaires
medicine
Humans
Childbirth
Family
Health Education
lcsh:RG1-991
biology
business.industry
Research
Public health
Male involvement
Obstetrics and Gynecology
Prenatal Care
Delivery, Obstetric
biology.organism_classification
medicine.disease
Obstetric Labor Complications
Pregnancy Complications
Cross-Sectional Studies
Reproductive Medicine
Family medicine
Africa
Female
Pregnant Women
business
Complication
Subjects
Details
- ISSN :
- 17424755
- Volume :
- 16
- Database :
- OpenAIRE
- Journal :
- Reproductive Health
- Accession number :
- edsair.doi.dedup.....5f1383855997b051c967841de3646082