International Journal of Nursing and Midwifery
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Article Number - F7A405363145


Vol.9(3), pp. 22-32 , March 2017
DOI: 10.5897/IJNM2016.0230
ISSN: 2141-2456



Full Length Research Paper

Knowledge of obstetric danger signs and associated factors among pregnant women attending antenatal care at selected health facilities in Illu Ababor zone, Oromia National Regional State, south-west Ethiopia



Dereje Tsegaye
  • Dereje Tsegaye
  • Department of Public Health, Faculty of Public Health and Medical Sciences, Mettu University, Mettu, Ethiopia.
  • Google Scholar
Muluneh Shuremu
  • Muluneh Shuremu
  • Department of Public Health, Faculty of Public Health and Medical Sciences, Mettu University, Mettu, Ethiopia.
  • Google Scholar
Kebebe Bidira
  • Kebebe Bidira
  • Department of Public Health, Faculty of Public Health and Medical Sciences, Mettu University, Mettu, Ethiopia.
  • Google Scholar
Benti Negero
  • Benti Negero
  • Department of Public Health, Faculty of Public Health and Medical Sciences, Mettu University, Mettu, Ethiopia.
  • Google Scholar







 Received: 05 August 2016  Accepted: 07 October 2016  Published: 31 March 2017

Copyright © 2017 Author(s) retain the copyright of this article.
This article is published under the terms of the Creative Commons Attribution License 4.0


This research investigates awareness of the danger signs of obstetric complications. Pregnancy as a normal process that results in a series of both physiological and psychological changes in pregnant women. However, normal pregnancy may be followed by some problems and complications which are potentially life threatening to the mother and/or the fetus. The study aims to assess level of knowledge of obstetric danger signs and associated factors among pregnant women attending Antenatal care (ANC) in ten districts at ten Health Centers (HCs) and Bedele Hospital in Ilu Ababor Zone, Oromia Regional state, South-west Ethiopia. Here, institutional based cross sectional descriptive study was used. A stratified multistage sampling procedure was employed. Both bivariate and multivariate logistic regression analyses were used. Odds ratio with 95% confidence interval was estimated to identify the predictors of knowledge level. The study thus revealed that mothers between the age of 30 to 34 and above 35 yrs were 1.52 and 1.42 more likely to be knowledgeable during pregnancy than those below the age of 30 years (AOR= 1.52 and 95 %CI = 1.28 to 1.99) and (AOR = 1.42 and 95% CI = 1.20 to 1.86) respectively. Mothers with higher education were 1.46 times and 1.24 times more likely to know obstetric danger signs during pregnancy and child birth than those with no formal education (AOR = 1.46 and 95% CI = 1.24 to 1.91) respectively. Mothers who previously gave birth in health institutions were about 3.48 times more likely to be knowledgeable about the danger signs of childbirth and period after delivery as compared to those who gave birth at home (AOR = 3.48 and 95%CI: 3.26 to 3.94 ), (AOR =2.43 and 95%CI: 2.23 to 2.83) respectively. Finally, age, high level of education, place of last delivery and discussion with husband about ANC service and level of satisfaction with the service were the predictors of knowledge of the mothers about obstetric danger signs in pregnancy, labor and post-partum period. Thus, provision of information, education and communication targeting women, family and the general community on danger signs of pregnancy and childbirth and associated factors was recommended.

Key words: Knowledge, determinate, danger signs, pregnancy, delivery and post-partum

Central Statistical Agency (CSA) of Ethiopia and ORC Macro (2011). Ethiopian Demographic and Health Survey.

 

Central Statistical Agency (CSA) of Ethiopia and ORC Macro (2014). Ethiopian Demographic and Health Survey.

 
 

El-Zanaty F, Way A (2008). Egypt Demographic and Health Survey 2008. Cairo, Egypt, Ministry of Health. Available at: 

View

 
 

Federal Ministry of Health (FMOH) (2010). Health Sector Development Program IV 2010/11-2014/15. Addis Ababa. 2010.

 
 

Fraser M, Cooper A (2003). Myles Textbook for Midwives. !4th ed., Churchill Livingston, Edinburgh.

 
 

Hailu D, Berhe H (2014). Knowledge about Obstetric Danger Signs and Associated Factors among Mothers in Tsegedie District, Tigray Region, Ethiopia 2013: Community Based Cross-Sectional Study. PLoS one 9(2):e83459.
Crossref

 
 

Hailu M, Gebremariam A, Alemseged F (2010). Knowledge about obstetric danger signs among pregnant women in Aleta Wondo District, Sidama Zone, Southern Ethiopia. Ethiop. J. Health Sci. 1(20):25-32.

 
 

Hogan H (2010). Maternal mortality for 181 countries, a systematic analysis of progress towards Millennium Development Goal 5. Lancet 6736(10):60518-1.

 
 

JHIPEGO (2008). Birth preparedness and complication readiness:A Matrix of shared responsibilities: Maternal and neonatal health (MNH) program.

 
 

JHPIEGO (2004). Maternal and Neonatal Health. Bloomberg: Johns Hopkins Bloomberg, school of Public Health. Center for communication programs, Family Care International. Available at: 

View

 
 

Kabakyenga JK, Östergren PO, Turyakira E, Pettersson KO (2011). Knowledge of obstetric danger signs and birth preparedness practices among women in rural Uganda. Reprod. Health 8(1):33.
Crossref

 
 

Pembe AB, Urassa DP, Carlstedt A, Lindmark G, Nystrom L, Darj E (2009). Rural Tanzanian women's awareness of danger signs of obstetric complications. BMC Pregnancy Childbirth 9:12.
Crossref

 
 

The Maternal Mortality Estimation Inter-Agency Group, USA. (2010) WHO, UNICEF, UNFPA and World Bankm estimates. Switzerland: World Health Organization.

 
 

United Nations (2010). The Millennium Development Goals Report; World Health Organization (WHO) and UN Development Programme (UNDP). UN MDG Database (mdgs.un.org); MDG Monitor Website.

 
 

WHO UNICEF, UNFPA and World Bank estimates (2010). The Maternal Mortality Estimation Inter-Agency Group, USA.

 
 

WHO/UNICEF (2003). Antenatal Care in Developing Countries: Promises, Achievements and Missed Opportunities. Analysis of Trends, Levels and Differentials 1990-2001. Geneva.

 
 

WHO/UNICEF (2010). Countdown to 2015 decade report (2000-2010) with countries profile: taking stock of maternal, newborn and child survival. Geneva.

 
 

World Health Organization (WHO) (2010). Trends in Maternal Mortality. Geneva: WHO; 1999-2010. 

 

 


APA Tsegaye, D., Shuremu, M., Bidira, K., & Negero, B. (2017). Knowledge of obstetric danger signs and associated factors among pregnant women attending antenatal care at selected health facilities in Illu Ababor zone, Oromia National Regional State, south-west Ethiopia. International Journal of Nursing and Midwifery, 9(3), 22-32.
Chicago Dereje Tsegaye, Muluneh Shuremu, Kebebe Bidira and Benti Negero. "Knowledge of obstetric danger signs and associated factors among pregnant women attending antenatal care at selected health facilities in Illu Ababor zone, Oromia National Regional State, south-west Ethiopia." International Journal of Nursing and Midwifery 9, no. 3 (2017): 22-32.
MLA Dereje Tsegaye, et al. "Knowledge of obstetric danger signs and associated factors among pregnant women attending antenatal care at selected health facilities in Illu Ababor zone, Oromia National Regional State, south-west Ethiopia." International Journal of Nursing and Midwifery 9.3 (2017): 22-32.
   
DOI 10.5897/IJNM2016.0230
URL http://academicjournals.org/journal/IJNM/article-abstract/F7A405363145

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