Birth preparedness and complication readiness assessment among antenatal and postnatal mothers at government hospital, in urban Bengaluru

Background: Maternal mortality remains a significant public health challenge, particularly in developing countries like India. Birth Preparedness and Complication Readiness (BPACR) is a critical component of antenatal care recommended by the World Health Organization (WHO) to reduce maternal mortali...

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Main Authors: Sangeetha M.D, Jagadish Ganagi, Darshan H.S, Neha Annet Joy, Akarsh KR
Format: Article
Language:English
Published: Al Ameen Medical College 2025-01-01
Series:Al Ameen Journal of Medical Sciences
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Online Access:https://ajms.alameenmedical.org/ArticlePDFs/9%20AJMS%20V18.N1.2025%20p%2047-54.pdf
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author Sangeetha M.D
Jagadish Ganagi
Darshan H.S
Neha Annet Joy
Akarsh KR
author_facet Sangeetha M.D
Jagadish Ganagi
Darshan H.S
Neha Annet Joy
Akarsh KR
author_sort Sangeetha M.D
collection DOAJ
description Background: Maternal mortality remains a significant public health challenge, particularly in developing countries like India. Birth Preparedness and Complication Readiness (BPACR) is a critical component of antenatal care recommended by the World Health Organization (WHO) to reduce maternal mortality. The maternal mortality ratio (MMR) of Karnataka is 92 per 100,000 live births in SRS 2016-18. Since Karnataka had the highest MMR ratio among the southern states of India the present study was thus conducted to determine the BPACR among antenatal and postnatal women and assess the factors related to it. Methods: A community-based cross-sectional study was conducted at a government hospital in Bengaluru. A sample of 105 antenatal mothers in their third trimester and postnatal women (age ≥ 18 years) attending the hospital was included. Data were collected using a pretested questionnaire that assessed various indicators related to BPACR, including knowledge of danger signs, health service utilization, and preparation for childbirth. Results: The study found a high BPACR index of 78%, with 17% of women exhibiting good BPACR. Knowledge of danger signs during pregnancy was high (95.2%), but lower for labor (51.4%) and postpartum (44.7%) periods. Fewer women knew about danger signs in neonates (46.6%). Regarding preparedness, 97.1% of women had identified transport arrangements, while only 25.7% knew about the need for blood transfusion during delivery. Awareness regarding the Karnataka Mathrushree Scheme was low at 25.7%. Conclusion: The study highlights a relatively high level of BPACR among antenatal and postnatal mothers in urban Bengaluru. Strengthening education and counseling during antenatal care, involving family members, and community awareness campaigns can improve BPACR and ultimately contribute to safer motherhood.
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spelling doaj-art-f34b4219a31e43bc81873eb071625be62025-01-11T12:23:07ZengAl Ameen Medical CollegeAl Ameen Journal of Medical Sciences0974-11432025-01-0118014754Birth preparedness and complication readiness assessment among antenatal and postnatal mothers at government hospital, in urban BengaluruSangeetha M.D0Jagadish Ganagi1Darshan H.S2Neha Annet Joy3Akarsh KR4Department of Community Medicine, ESIC Medical College & PGIMSR & Model Hospital, Rajaji Nagar, Bangaluru-560010, Karnataka, IndiaDepartment of General Surgery, K.C. General Hospital, 5th Cross Road, Behind Police Station, Malleswaram, Bengaluru-560003, Karnataka, IndiaDepartment of Community Medicine, ESIC Medical College & PGIMSR & Model Hospital, Rajaji Nagar, Bangaluru-560010, Karnataka, IndiaDepartment of Community Medicine, ESIC Medical College & PGIMSR & Model Hospital, Rajaji Nagar, Bangaluru-560010, Karnataka, IndiaDepartment of Obstetrics and Gynaecology, K.C. General Hospital, 5th Cross Road, Behind Police Station, Malleswaram, Bengaluru-560003, Karnataka, IndiaBackground: Maternal mortality remains a significant public health challenge, particularly in developing countries like India. Birth Preparedness and Complication Readiness (BPACR) is a critical component of antenatal care recommended by the World Health Organization (WHO) to reduce maternal mortality. The maternal mortality ratio (MMR) of Karnataka is 92 per 100,000 live births in SRS 2016-18. Since Karnataka had the highest MMR ratio among the southern states of India the present study was thus conducted to determine the BPACR among antenatal and postnatal women and assess the factors related to it. Methods: A community-based cross-sectional study was conducted at a government hospital in Bengaluru. A sample of 105 antenatal mothers in their third trimester and postnatal women (age ≥ 18 years) attending the hospital was included. Data were collected using a pretested questionnaire that assessed various indicators related to BPACR, including knowledge of danger signs, health service utilization, and preparation for childbirth. Results: The study found a high BPACR index of 78%, with 17% of women exhibiting good BPACR. Knowledge of danger signs during pregnancy was high (95.2%), but lower for labor (51.4%) and postpartum (44.7%) periods. Fewer women knew about danger signs in neonates (46.6%). Regarding preparedness, 97.1% of women had identified transport arrangements, while only 25.7% knew about the need for blood transfusion during delivery. Awareness regarding the Karnataka Mathrushree Scheme was low at 25.7%. Conclusion: The study highlights a relatively high level of BPACR among antenatal and postnatal mothers in urban Bengaluru. Strengthening education and counseling during antenatal care, involving family members, and community awareness campaigns can improve BPACR and ultimately contribute to safer motherhood.https://ajms.alameenmedical.org/ArticlePDFs/9%20AJMS%20V18.N1.2025%20p%2047-54.pdfbirth preparednesscomplication readinessmaternal mortalityantenatal carepostnatal care
spellingShingle Sangeetha M.D
Jagadish Ganagi
Darshan H.S
Neha Annet Joy
Akarsh KR
Birth preparedness and complication readiness assessment among antenatal and postnatal mothers at government hospital, in urban Bengaluru
Al Ameen Journal of Medical Sciences
birth preparedness
complication readiness
maternal mortality
antenatal care
postnatal care
title Birth preparedness and complication readiness assessment among antenatal and postnatal mothers at government hospital, in urban Bengaluru
title_full Birth preparedness and complication readiness assessment among antenatal and postnatal mothers at government hospital, in urban Bengaluru
title_fullStr Birth preparedness and complication readiness assessment among antenatal and postnatal mothers at government hospital, in urban Bengaluru
title_full_unstemmed Birth preparedness and complication readiness assessment among antenatal and postnatal mothers at government hospital, in urban Bengaluru
title_short Birth preparedness and complication readiness assessment among antenatal and postnatal mothers at government hospital, in urban Bengaluru
title_sort birth preparedness and complication readiness assessment among antenatal and postnatal mothers at government hospital in urban bengaluru
topic birth preparedness
complication readiness
maternal mortality
antenatal care
postnatal care
url https://ajms.alameenmedical.org/ArticlePDFs/9%20AJMS%20V18.N1.2025%20p%2047-54.pdf
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