Final data 101.
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BackgroundBirth preparedness and complication readiness (BPCR) is a comprehensive strategy, aimed at ensuring that expectant mothers and their families are for normal delivery and preparing for potential complications that may arise during pregnancy, labor, delivery, and the postpartum period without any delays. BPCR interventions are widely promoted by government and international agencies to reduce maternal and neonatal health risk in developing countries like Nepal. Studying BPCR also helps identify gaps in knowledge, access, and practices, guiding interventions to strengthen health system and community awareness, especially in low-resource settings.ObjectiveThis study was conducted to assess birth preparedness and complication readiness knowledge, practices and its associated factors among recently delivered women in Bharatpur city, Chitwan, Nepal.MethodsA community based cross-sectional study was conducted in 2022, on a sample of 220 recently delivered women. Data were collected using pre-tested structured interview questionnaire. The collected data were analyzed by IBM SPSS 20 version software. Variables with p-value ≤0.05 on the bivariate analysis were included in multivariate analysis. Adjusted odds ratios (AOR) with the respective 95% Confidence Interval (CI) and a p-value ResultsAmong 220 recently delivered women, majority (91.4%) of the women identified the place of delivery and saved money for childbirth (97.7%). Similarly, most of them arranged transportation (87.3%), identified a companion (85.9%), and arranged necessary materials (90%) for childbirth. Considerable (52.3%) women identified skilled birth attendants. Preparedness for blood donors (36.4%) found to be low as compared to other components. Overall, 46.8% of recently delivered women were well prepared. Family type, knowledge on components of BPCR, obstetric signs and symptoms and ANC visits were found to be statistically significant (p-valueConclusionThe overall 46.8% of women who prepared for birth and its complication readiness was found to be higher as compared to other reports. Encouraging women to utilize antenatal care, and such as sensitization of pregnant women, during ANC visit by the health workers, regarding components of BPCR, danger sign and symptoms during pregnancy, may enhance BPCR.
背景:分娩准备与并发症应对(Birth preparedness and complication readiness,BPCR)是一项综合性策略,旨在确保孕产妇及其家属能够从容应对正常分娩,并为妊娠、分娩及产褥期可能出现的各类潜在并发症做好万全准备,避免任何延误。BPCR干预措施被各国政府与国际机构广泛推广,用于降低尼泊尔等发展中国家的孕产妇与新生儿健康风险。开展BPCR相关研究还有助于识别认知、可及性与实践层面的不足,从而指导干预举措以强化卫生系统与社区认知,尤其在资源匮乏地区。 目的:本研究旨在评估尼泊尔奇特万省巴拉特普尔市近期分娩女性的BPCR认知水平、实践情况及其相关影响因素。 方法:本研究于2022年开展社区横断面研究,纳入220名近期分娩女性作为研究样本。数据通过经过预试验的结构化访谈问卷收集,采用IBM SPSS 20统计软件进行数据分析。双变量分析中P值≤0.05的变量将纳入多变量分析,最终以校正比值比(Adjusted Odds Ratios,AOR)及对应的95%置信区间(Confidence Interval,CI)与P值作为分析结果。 结果:在220名近期分娩女性中,多数(91.4%)明确知晓分娩地点并为分娩筹备资金(97.7%)。类似地,大部分女性已安排分娩交通工具(87.3%)、确定陪护人员(85.9%)并准备好分娩所需物资(90%)。有52.3%的女性能够识别熟练分娩助产士,但仅36.4%的女性完成了血液供者准备,该维度的准备率相较于其他维度偏低。总体而言,仅有46.8%的近期分娩女性具备完善的分娩及并发症应对准备。研究发现,家庭类型、BPCR相关组分认知、产科体征与症状认知以及产前保健(Antenatal Care,ANC)就诊情况均具有统计学显著性差异。 结论:本次研究中46.8%的女性具备分娩及并发症应对准备的总体准备率,相较于其他相关报道更高。鼓励女性利用产前保健服务,例如在健康工作者开展产前检查时,向孕妇宣传BPCR相关组分、妊娠危险体征与症状相关知识,可有效提升BPCR的落实水平。



