Birth Preparedness and Complication Readiness Among Women of Reproductive Age in a Peri-Urban Community in South-South, Nigeria

Main Article Content

Ewere Scholastica Ehinze
Joy Chinyere Nwaogwugwu
Mbalya Jude Rabo
David Ikechukwu Nkwagu
Chinelo Jennifer Nebe
Arewah Samson Ikechukwuka
Eche Benjamin Chidiebere
Samuel Ifechukwude Awai
Blossom Eseoghene Aziken
Vincent Chidiebube Orji
Joshua Effiong Bassey
David Ohimai Dan-Ugbomoiko
Amen Bazuaye
Ndubuisi Mokogwu
Andrew Ifeanyichukwu Obi
Vincent Yakubu Adam
Vivian Ossaidiom Omuemu

Abstract

Introduction: Birth preparedness and complication readiness (BPCR) is a strategy to ensure adequate planning for childbirth and complications that may arise for mother or baby. Various factors related to poor birth preparation and poor-quality healthcare contribute to perinatal morbidity and mortality in Nigeria. This study assessed the factors influencing BPCR among women of reproductive age in Isiohor, Benin City, South-South, Nigeria.


Methods: A descriptive cross-sectional study was conducted among 655 women selected using a cluster sampling method. Tools for data collection included a structured-intervieweradministered questionnaire, a focused group discussion, and key informant interviews. Quantitative data were analysed with IBM SPSS version 27, while a thematic content analysis approach was utilised for qualitative data. Statistical significance was set at a p-value < 0.05, using a 95% confidence level.


Results: A majority, 543 (82.9%), had good BPCR. Marital status (p < 0.001), marriage type (p < 0.001), socioeconomic status (p < 0.001), gravidity (p = 0.031), parity (p < 0.001), outcome of last confinement (p = 0.001), ANC registration (p < 0.001), and number of antenatal care (ANC) contacts (p = 0.001) were significantly associated with BPCR. Age (AOR = 1.234; 95% CI: 1.004 – 1.516) and number of ANC contacts (AOR = 0.343; 95% CI: 0.176 – 0.667) were significant predictors of BPCR.


Conclusion: Age and number of ANC contacts were significant predictors of BPCR. Interventions to increase BPCR enlightenment programmes, expand health insurance coverage, encourage ANC registration, and ensure availability of functional emergency transport systems are critical to promoting BPCR.

Downloads

Download data is not yet available.

Article Details

Section

Original Article

How to Cite

Ehinze, E., Nwaogwugwu, J., Rabo, M., Nkwagu, D., Nebe, C., Arewah, S., Chidiebere, E., Awai, S., Aziken, B., Orji, V., Bassey, J., Dan-Ugbomoiko, D., Bazuaye, A., Mokogwu, N., Obi, A., Adam, V., & Omuemu, V. (2026). Birth Preparedness and Complication Readiness Among Women of Reproductive Age in a Peri-Urban Community in South-South, Nigeria. Journal of The Medical Women’s Association of Nigeria, 1(1). https://doi.org/10.71526/jmwan.v10i3.106

References

Johns Hopkins Program for International Education in Gynecology and Obstetrics. Monitoring birth preparedness and complication readiness: tools and indicators for maternal and newborn health [Internet]. Baltimore: JHPIEGO, Maternal and Neonatal Health Program; 2004 [cited 2024 Jun 3]. Available from: http://pdf.dec.org/pdf_docs/PNADA619.pdf

World Health Organization. Analytical fact sheet. Maternal mortality: the urgency of a systemic and multisectoral approach in mitigating maternal deaths in Africa rationale [Internet]. Brazzaville: WHO Regional Office for Africa; 2023 [cited 2024 Jun 5]. Available from: https://files.aho.afro.who.int/afahobckpcontainer/production/files/iAHO_Maternal_Mortality_Regional_Factsheet.pdf

World Health Organization. Newborn mortality [Internet]. Geneva: WHO; 2024 [cited 2025 Jul 1]. Available from: https://www.who.int/news-room/fact-sheets/detail/newborn-mortality

Ezegwui H, Onoh R, Ikeako L, Onyebuchi A, Umeorah J, Ezeonu P, et al. Investigating maternal mortality in a public teaching hospital, Abakaliki, Ebonyi State, Nigeria. Ann Med Health Sci Res. 2013;3(1):75. doi:10.4103/2141-9248.109511

Iliyasu Z, Abubakar IS, Galadanci HS, Aliyu MH. Birth preparedness, complication readiness and fathers' participation in maternity care in a northern Nigerian community. Afr J Reprod Health. 2010;14(1):21–32. Available from: https://pubmed.ncbi.nlm.nih.gov/20695136/

Tukur J, Lavin T, Adanikin A, Abdussalam M, Bankole K, Ekott MI, et al. Maternal and Perinatal Database for Quality, Equity and Dignity Network. Quality and outcomes of maternal and perinatal care for 76,563 pregnancies reported in a nationwide network of Nigerian referral-level hospitals. EClinicalMedicine. 2022;47:101411. doi:10.1016/j.eclinm.2022.101411

Okonofua F, Ntoimo LF, Yaya S, Abdus-Salam R, Ogu RN, Galadanci H, et al. Effect of a multifaceted intervention on the utilisation of primary health for maternal and child health care in rural Nigeria: a quasi-experimental study. BMJ Open. 2022;12:e049499. doi:10.1136/bmjopen-2021-049499

Travers J, Hirschman B, Naylor M. Adapting Andersen’s expanded behavioral model of health services use to include older adults receiving long-term services and supports. BMC Geriatr. 2020;20:58.

Nigerian Investment Promotion Commission. Nigerian States: Edo State [Internet]. Abuja: NIPC; 2024 [cited 2024 Jun 30]. Available from: https://www.nipc.gov.ng/nigeria-states/edo-state2/#:~:text=Edo%20State%20Snapshot& text=Local%20Government%20Areas:%2018%20LGAs,East%2C%20Owan%20West%20and%20Uhunmwonde

Odokuma-Alonge O, Usifo D. Assessment of groundwater quality of Isiohor community and environs, Ovia northeast area, southern Nigeria. Int J Earth Sci Knowl Appl. 2023;5(3):356-62.

Cochran WG. Sampling techniques. 3rd ed. New York: John Wiley & Sons; 1977.

Kaiser R, Woodruff B, Bilukha O, Spiegel P, Salama P. Using design effects from previous cluster surveys to guide sample size calculation in emergency settings. Disasters. 2006;30(2):199–211. doi:10.1111/j.0361-3666.2006.00315.x

National Population Commission (Nigeria), Federal Ministry of Health, ICF. Key indicators report: the 2023-24 Nigeria Demographic & Health Survey. 2024;7(1):3-51.

World Health Organization. Standards for improving quality of maternal and newborn care in health facilities [Internet]. Geneva: WHO; 2016 [cited 2024 Jun]. Available from: https://www.who.int/publications/i/item/9789241511216

National Population Commission (Nigeria), Federal Ministry of Health, ICF. Nigeria Demographic and Health Survey 2018. Abuja: NPC and ICF; 2019.

International Labour Organization. International standard classification of occupations [Internet]. Geneva: ILO; 2008 [cited 2025 Jun]. Available from: https://ilostat.ilo.org/methods/concepts-and-definitions/classification-occupation/

Ibadin M, Akpede G. A revised scoring scheme for the classification of socio-economic status in Nigeria. Niger J Paediatr. 2021;48(1):26-33. doi:10.4314/njp.v48i1.5

Mbonu O. Knowledge, attitude and practice of birth preparedness and complication readiness amongst pregnant women in Eti-Osa LGA, Lagos. Univ J Public Health. 2018;6(4):220-30. doi:10.13189/ujph.2018.060408

Kuckartz U, Rädiker S. Qualitative content analysis: methods, practice and software. London: SAGE Publications Ltd; 2025. doi:10.4135/9781036212940

Tafasa M, Bekuma D, Fikadu W, Gelassa R, Jebena D, Zerihun E, et al. Birth preparedness, complication readiness and associated factors among pregnant women attending public health facilities in Chelia District, Central Ethiopia (2022): a cross-sectional study. BMJ Open. 2024;14:e084945. doi:10.1136/bmjopen-2024-084945

Ahmed S, Creanga A, Gillespie D, Tsui A. Economic status, education and empowerment: implications for maternal health service utilization in developing countries. PLoS One. 2010;5(6):e11190. doi:10.1371/journal.pone.0011190

Jaleta A, Tadesse L, Zelalem H, Jalata D. Birth preparedness, complication readiness, and determinants among women attending antenatal care from Ethiopia: a cross-sectional facility-based survey. Eur J Clin Biomed Sci. 2021;7(3):37-43. doi:10.11648/j.ejcbs.20210703.11

Akinwaare M, Oluwatosin A. Effect of goal‑oriented prenatal education on birth preparedness, complication readiness, and institutional delivery among semi‑urban pregnant women in Ibadan, Nigeria: a quasi‑experimental study. PLoS One. 2023;18(7):e0289414.

Ademuyiwa I, Oyediran O, Olowe A, Emikpe A, Oshinyemi T, Oladehinde T. Knowledge, practice of and factors influencing birth preparedness and complication readiness among pregnant women attending antenatal clinic in a tertiary institution in south‑western Nigeria. Trop J Health Sci. 2022;29(4):7‑13. doi:10.4314/tjhc.v29i4.2

Okoror C, Omuemu V. Attitude towards birth preparedness and complication readiness among urban antenatal attendees in southern Nigeria. Niger J Health Sci. 2021;21:3-8.

Alamrew A, Sisay A, Ayele M, Lake E, Kumie G, Mossie H, et al. Determinants of birth preparedness and complication readiness practice among reproductive-age women in Africa: a systematic review and meta-analysis. BMC Public Health. 2024;24:3154. doi:10.1186/s12889-024-20654-y

Ntoimo L, Okonofua E, Ekwo C, Solanke T, Igboin B, Imongan W, et al. Why women utilize traditional rather than

skilled birth attendants for maternity care in rural Nigeria: implications for policies and programs. Midwifery. 2022;104:103158. doi:10.1016/j.midw.2021.103158

Lawal A, Salawu W, Makanjuola O, Ambali A, Alabi O, Kareem A, et al. The knowledge and utilization of traditional birth attendants by women in a rural community of Ilorin, Northern Nigeria. Int J Trop Dis Health. 2023;44(16):1-8.