Male involvement in birth preparedness and complication readiness for emergency obstetric referrals in rural Uganda
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TLDR
Individual women, families and communities need to be empowered to contribute positively to making pregnancy safer by making a birth plan.Abstract:
Every pregnant woman faces risk of life-threatening obstetric complications. A birth-preparedness package promotes active preparation and assists in decision-making for healthcare seeking in case of such complications. The aim was to assess factors associated with birth preparedness and complication-readiness as well as the level of male participation in the birth plan among emergency obstetric referrals in rural Uganda. This was a cross-sectional study conducted at Kabale regional hospital maternity ward among 140 women admitted as emergency obstetric referrals in antenatal, labor or the postpartum period. Data was collected on socio-demographics and birth preparedness and what roles spouses were involved in during developing the birth plan. Any woman who attended antenatal care at least 4 times, received health education on pregnancy and childbirth danger signs, saved money for emergencies, made a plan of where to deliver from and made preparations for a birth companion, was deemed as having made a birth plan. Multivariate logistic regression analysis was conducted to analyze factors that were independently associated with having a birth plan. The mean age was 26.8 ± 6.6 years, while mean age of the spouse was 32.8 ± 8.3 years. Over 100 (73.8%) women and 75 (55.2%) of their spouses had no formal education or only primary level of education respectively. On multivariable analysis, Primigravidae compared to multigravidae, OR 1.8 95%CI (1.0-3.0), education level of spouse of secondary or higher versus primary level or none, OR 3.8 95%CI (1.2-11.0), formal occupation versus informal occupation of spouse, OR 1.6 95%CI (1.1-2.5), presence of pregnancy complications OR 1.4 95%CI (1.1-2.0) and the anticipated mode of delivery of caesarean section versus vaginal delivery, OR 1.6 95%CI (1.0-2.4) were associated with having a birth plan. Individual women, families and communities need to be empowered to contribute positively to making pregnancy safer by making a birth plan.read more
Citations
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Journal ArticleDOI
Male involvement and maternal health outcomes: systematic review and meta-analysis
Judith Yargawa,Jo Leonardi-Bee +1 more
TL;DR: Male involvement during pregnancy and at post partum appeared to have greater benefits than male involvement during delivery, and male involvement is associated with improved maternal health outcomes in developing countries.
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Associations between mass media exposure and birth preparedness among women in southwestern Uganda: a community-based survey.
TL;DR: It is found that increased reading of newspapers can enhance birth preparedness and skilled birth attendance in rural Uganda and requires newspapers to be accessible in terms of language, dissemination, and cost.
Journal ArticleDOI
Influence of Birth Preparedness, Decision-Making on Location of Birth and Assistance by Skilled Birth Attendants among Women in South-Western Uganda
Jerome Kabakyenga,Jerome Kabakyenga,Per-Olof Östergren,Eleanor Turyakira,Karen Odberg Pettersson +4 more
TL;DR: Education, household assets and birth preparedness showed clear synergistic effect on the relationship between decision-maker on location of birth and assistance by SBAs and other factors which showed statistical significant relationships with assistance bySBAs were ANC attendance, parity and residence.
Journal ArticleDOI
Women's empowerment and male involvement in antenatal care: analyses of Demographic and Health Surveys (DHS) in selected African countries
TL;DR: Women’s empowerment can be positively or negatively associated with male antenatal accompaniment, and male involvement efforts may benefit from empowerment initiatives that promote women’'s participation in social and economic spheres, provided that antenatal participation does not undermine women's preferences or autonomy.
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Women's autonomy and husbands' involvement in maternal health care in Nepal
Deependra Kaji Thapa,Anke Niehof +1 more
TL;DR: The results show that husbands were involved in giving advice, supporting to reduce the household work burden, and making financial and transportation arrangements for the delivery, and the husbands' presence at the health facility delivery.
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