Obstetric danger signs in context: A mixed methods study exploring knowledge and sociocultural factors among pregnant women
BACKGROUND: Maternal morbidity and mortality persist due to delays in seeking care for obstetric complications. Deficits in comprehending danger signs contribute to preventing early identification. There is limited research on awareness levels among rural Indian women. The present study aimed to ass...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2024-12-01
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| Series: | Journal of Education and Health Promotion |
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| Online Access: | https://journals.lww.com/10.4103/jehp.jehp_315_24 |
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| author | B M Bhavana M Yogesh Navneet Padhiyar Naresh Damor |
| author_facet | B M Bhavana M Yogesh Navneet Padhiyar Naresh Damor |
| author_sort | B M Bhavana |
| collection | DOAJ |
| description | BACKGROUND:
Maternal morbidity and mortality persist due to delays in seeking care for obstetric complications. Deficits in comprehending danger signs contribute to preventing early identification. There is limited research on awareness levels among rural Indian women. The present study aimed to assess knowledge of obstetric danger signs among pregnant women in rural Gujarat and explore associated sociodemographic and obstetric history factors. Qualitative methods further elucidated experiences, attitudes, and perceptions underlying maternal health literacy.
MATERIALS AND METHODS:
A mixed-methods study was conducted among 390 antenatal women selected through multistage sampling from six community health centers in Jamnagar district. A structured questionnaire and in-depth interviews were used for data collection. Quantitative data were analyzed with regression modeling, and qualitative data were thematically analyzed.
RESULTS:
Out of 490, the majority correctly identified pregnancy bleeding (73.3%, n = 361), leakage of fluid (71%, n = 347), and swelling (74.3%, n = 364) as danger signs. About 56.5%, n = 277, had good knowledge of danger signs. Knowledge was significantly higher among women aged >25 years (aOR 3.11, 95% CI 2.02–4.7), literate women (aOR 2.14, 95% CI 1.12–4.08), and those counseled during ANC (aOR 2.2, 95% CI 1.2–8.1) and PNC (aOR 4.4, 95% CI 1.8–10.7). Qualitative findings revealed gaps in recall, poor comprehension of symptoms, and sociocultural barriers to care-seeking.
CONCLUSION:
Despite interfacing with health services, awareness of obstetric danger signs was incomplete among rural antenatal women. Tailored education through enhanced counseling and family-centered care can improve maternal health literacy. |
| format | Article |
| id | doaj-art-62614b9267bc4a779bc92c60c3474505 |
| institution | Kabale University |
| issn | 2277-9531 2319-6440 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Education and Health Promotion |
| spelling | doaj-art-62614b9267bc4a779bc92c60c34745052025-01-07T08:55:48ZengWolters Kluwer Medknow PublicationsJournal of Education and Health Promotion2277-95312319-64402024-12-0113149149110.4103/jehp.jehp_315_24Obstetric danger signs in context: A mixed methods study exploring knowledge and sociocultural factors among pregnant womenB M BhavanaM YogeshNavneet PadhiyarNaresh DamorBACKGROUND: Maternal morbidity and mortality persist due to delays in seeking care for obstetric complications. Deficits in comprehending danger signs contribute to preventing early identification. There is limited research on awareness levels among rural Indian women. The present study aimed to assess knowledge of obstetric danger signs among pregnant women in rural Gujarat and explore associated sociodemographic and obstetric history factors. Qualitative methods further elucidated experiences, attitudes, and perceptions underlying maternal health literacy. MATERIALS AND METHODS: A mixed-methods study was conducted among 390 antenatal women selected through multistage sampling from six community health centers in Jamnagar district. A structured questionnaire and in-depth interviews were used for data collection. Quantitative data were analyzed with regression modeling, and qualitative data were thematically analyzed. RESULTS: Out of 490, the majority correctly identified pregnancy bleeding (73.3%, n = 361), leakage of fluid (71%, n = 347), and swelling (74.3%, n = 364) as danger signs. About 56.5%, n = 277, had good knowledge of danger signs. Knowledge was significantly higher among women aged >25 years (aOR 3.11, 95% CI 2.02–4.7), literate women (aOR 2.14, 95% CI 1.12–4.08), and those counseled during ANC (aOR 2.2, 95% CI 1.2–8.1) and PNC (aOR 4.4, 95% CI 1.8–10.7). Qualitative findings revealed gaps in recall, poor comprehension of symptoms, and sociocultural barriers to care-seeking. CONCLUSION: Despite interfacing with health services, awareness of obstetric danger signs was incomplete among rural antenatal women. Tailored education through enhanced counseling and family-centered care can improve maternal health literacy.https://journals.lww.com/10.4103/jehp.jehp_315_24danger signshealth literacymaternal healthmixed-methodspregnancy complications |
| spellingShingle | B M Bhavana M Yogesh Navneet Padhiyar Naresh Damor Obstetric danger signs in context: A mixed methods study exploring knowledge and sociocultural factors among pregnant women Journal of Education and Health Promotion danger signs health literacy maternal health mixed-methods pregnancy complications |
| title | Obstetric danger signs in context: A mixed methods study exploring knowledge and sociocultural factors among pregnant women |
| title_full | Obstetric danger signs in context: A mixed methods study exploring knowledge and sociocultural factors among pregnant women |
| title_fullStr | Obstetric danger signs in context: A mixed methods study exploring knowledge and sociocultural factors among pregnant women |
| title_full_unstemmed | Obstetric danger signs in context: A mixed methods study exploring knowledge and sociocultural factors among pregnant women |
| title_short | Obstetric danger signs in context: A mixed methods study exploring knowledge and sociocultural factors among pregnant women |
| title_sort | obstetric danger signs in context a mixed methods study exploring knowledge and sociocultural factors among pregnant women |
| topic | danger signs health literacy maternal health mixed-methods pregnancy complications |
| url | https://journals.lww.com/10.4103/jehp.jehp_315_24 |
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