Background
In
Ethiopia, about 20,000 women die each year from complications of pregnancy and
child birth with many more maternal morbidities occurring for each maternal
deaths. This makes Ethiopia one of the highest countries for maternal deaths in
the developing world. This study attempted to assess women’s skilled assistance
seeking behaviour for pregnancy complications among those who gave birth.
Method
A
cross-sectional community based study was conducted among women who gave birth
within one year regardless of their delivery place. The study was carried out
in fifteen randomly selected villages at Arba Minch Zuria district, south west
Ethiopia. Data was collected house-to-house using a pretested Amharic
questionnaire. During the survey, 798 women were interviewed. Logistic
regression model was applied to control confounders.
Results
Out
of the total sample, 344 (43.1 %) respondents reported at least any one of
the pregnancy complications faced in the recent pregnancy. The most common
complications reported were malaria (57 %), nausea/vomiting (47.1 %)
and severe head ache (29.1 %). of those women who faced complications,
around 254 (73.8 %) sought assistance from a skilled provider. Ninety
(26.2 %) of the respondents sought assistance either from unskilled
provider or home based self-care. Unable to understand the seriousness of the
complications, thought as unnecessary, and family disapproval were the major
reasons for not seeking care from skilled providers. Belonging to monthly
household income $US25- 100 (AOR = 3.4, 95 % CI; 1.04, 11.4), getting antenatal care
from a skilled provider (AOR = 10.6, 95 % CI;
3.3, 34.5), Women in the age 20–34 years
old (AOR = 3.8; 95 % CI, 1.2, 12.3), Availability of transport access (AOR = 72.2; 95 %
CI; 17.2, 303.5) were significantly associated with seeking assistance from a
skilled provider.
Conclusions
Nearly
half (43.1 %) of the women had faced pregnancy complications to the recent
birth of last one year. Majority (2/3 rd ) of
the women who reported complications sought skilled assistance. Family, income,
transport issue and antenatal care use were independent predictors for skilled
assistance from skilled provider.
Below: Percent distribution of life threatening pregnancy complications reported in the recent pregnancy, Arba Minch Zuria District, South West Ethiopia, 2014
Full article at:
1Department of Nursing and Midwifery, Arba
Minch College of Health Sciences, Arba Minch, South West Ethiopia
2Department of Nursing and Midwifery, Addis
Ababa University, Addis Ababa, Ethiopia
3Department of Public Health, Addis Ababa
Science and Technology University, Addis Ababa, Ethiopia
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