Evidence map›Paper›PMID 32977757›Full record

ArticleBMC pregnancy and childbirth2020

Maternal birth preparedness and complication readiness in the Greater Accra region of Ghana: a cross-sectional study of two urban health facilities.

Cynthia Klobodu, Brandy-Joe Milliron, Kofi Agyabeng, Patricia Akweongo, Augustine Adomah-Afari

Abstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC pregnancy and childbirth, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Cynthia KloboduDepartment of Health Policy, Planning and Management, School of Public Health, College of Health Sciences, University of Ghana - Legon, P.O. Box LG 13, University of Ghana, Legon, Ghana.
Brandy-Joe MillironDepartment of Nutrition Sciences, Centre for Family Intervention Science, College of Nursing and Health Professions, Drexel University, 1601 Cherry Street. Suite 383, Philadelphia, PA, 19102, USA. bm645@drexel.edu.ORCID http://orcid.org/0000-0003-1113-9043
Kofi AgyabengMinistry of Education, National Inspectorate Board, Private Mail Bag 18, Ministries Post Office, Ameda Street, Yooyi Ln, Accra, Ghana.
Patricia AkweongoDepartment of Health Policy, Planning and Management, School of Public Health, College of Health Sciences, University of Ghana - Legon, P.O. Box LG 13, University of Ghana, Legon, Ghana.
Augustine Adomah-AfariDepartment of Health Policy, Planning and Management, School of Public Health, College of Health Sciences, University of Ghana - Legon, P.O. Box LG 13, University of Ghana, Legon, Ghana.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHigh maternal mortality ratios remain a critical public health concern in Ghana. Birth preparedness and complication readiness (BP/CR), which is a component of focused antenatal care, is a safe motherhood strategy intended to promote skilled birth attendance by helping women and their families plan for pregnancy and childbirth, thereby reducing maternal mortality. The objective of this study was to determine the level of BP/CR and to assess factors associated with maternal BP/CR in the Greater Accra Region of Ghana.

methodA cross sectional descriptive quantitative study was carried out among 300 postnatal women attending the Adabraka Polyclinic and the Greater Accra Regional Hospital both within Accra, the capital city of Ghana. Data were collected with a structured questionnaire which assessed socio-demographic, health facility/provider and social support factors and their associations with BP/CR. Levels of BP/CR were assessed using validated tools. Data from 300 women were analyzed using STATA version 15.0. Logistic regression analysis was conducted to establish associations between BP/CR and socio-demographic, health facility/provider and social support factors.

resultsApproximately 234 (78%) of the women were birth prepared. Strong predictors of BP/CR included having ≥4 antenatal clinic visits (aOR 2.63; 95% CI 1.03-6.73), being employed (aOR 4.07; 95% CI 1.49-11.11) and belonging to maternal health promoting clubs or groups during the antenatal period (aOR 3.00; 95% CI 1.07-8.40) .

conclusionBP/CR is generally high among the study population. Predictors of BP/CR are multifactorial and found to cut across all aspects assessed in the study. Therefore, the creation of a BP/CR tool is recommended to routinely monitor trends in maternal birth preparedness in antenatal clinics. This may help to sustain and improve current levels and indicators of BP/CR.

Indexed as

Attitude to HealthParturitionPregnancy ComplicationsAdultCross-Sectional StudiesFemaleGhanaHospitals, UrbanHumansMiddle AgedPregnancyPregnant PeoplePrenatal CareSelf ReportAntenatal clinicBirth preparedness and complication readinessPostnatal clinicSafe motherhood initiativeSkilled birth attendance

Identifiers

PMID32977757
PMCPMC7519482

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.