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01.08.2019 | Original Article | Ausgabe 6/2019

The Journal of Obstetrics and Gynecology of India 6/2019

Impact of Community-Based Continuous Training on Promoting Birth Preparedness and Pregnancy Outcome in Rural Odisha, India: An Interventional Study

Zeitschrift:
The Journal of Obstetrics and Gynecology of India > Ausgabe 6/2019
Autoren:
Dharitri Swain, Swayam Pragyan Parida, Saubhagya Kumar Jena, Mahasweta Das, Hrushikesh Das
Wichtige Hinweise
Dharitri Swain is an Assistant Professor in College of Nursing at AIIMS Bhubaneswar, Bhubaneswar, Odisha, India. Swayam Pragyan Parida is an Associate Professor in Department of Community Medicine and Family Medicine at AIIMS Bhubaneswar, Bhubaneswar, Odisha, India. Saubhagya Kumar Jena is an Additional Professor in Department of Obstetrics and Gynaecology, ICMR Project at AIIMS Bhubaneswar, Bhubaneswar, Odisha, India. Mahasweta Das is a Senior Research Fellow, ICMR Project at AIIMS Bhubaneswar, Bhubaneswar, Odisha, India. Hrushikesh Das is a Senior Research Fellow, DST Project at AIIMS Bhubaneswar, Bhubaneswar, Odisha, India.

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Abstract

Background

Birth preparedness and complication readiness extends the maternal and neonatal health continuum of care and thus contributes to one of the important tools for pregnant women to experience better pregnancy outcome, strengthening family and community health, creating space for other interventions. The present study aimed to evaluate community-based birth preparedness and complication readiness training on pregnancy outcome.

Method

The study adopted a quasi-experimental time series only one experimental design which was conducted in rural south-eastern India for 1 year among the reproductive age group 15–49 years (≤ 24 weeks pregnancy), and cases were followed up till postnatal period. A standardized birth preparedness assessment index (BPAI) was used to assess preparedness level of respondents. Community-based continuous training (CBCT) was introduced, and its effect was measured on birth preparedness level, involvement of family and their pregnancy outcomes.

Result

CBCT interventional program was effective in promoting positive behaviors on birth preparedness and complication readiness as per BPAI: 13% of women were at level 1, 15% at level 2, 19% at level 3, 49% participants were at 4th level and 5% were at 5th level which represented the best level of preparedness for their present delivery. Pregnant mothers who completed their antenatal visits and were well prepared for delivery were found to be having two times favorable pregnancy outcome than those who had not (OR 2.79).

Conclusion

BPCR intervention strategy can be utilized as a timely and effective community action plan for ensuring a favorable pregnancy outcome.

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