ArticleJournal of education and health promotion2024
Obstetric danger signs in context: A mixed methods study exploring knowledge and sociocultural factors among pregnant women.
Article in Journal of education and health promotion, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Article
- Healthcare providers' educational role and Saudi pregnant women's knowledge of active labor signs: a cross-sectional correlational study.Journal of medicine and life · 2025Article
- Bibliometric analysis of scientific research on early obstetric warning system.Journal of education and health promotion · 2025Review
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4 authors.
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Abstract
backgroundMaternal morbidity and mortality persist due to delays in seeking care for obstetric complications. Deficits in comprehending danger signs contribute to preventing early identification. There is limited research on awareness levels among rural Indian women. The present study aimed to assess knowledge of obstetric danger signs among pregnant women in rural Gujarat and explore associated sociodemographic and obstetric history factors. Qualitative methods further elucidated experiences, attitudes, and perceptions underlying maternal health literacy. MATERIALS AND
methodsA mixed-methods study was conducted among 390 antenatal women selected through multistage sampling from six community health centers in Jamnagar district. A structured questionnaire and in-depth interviews were used for data collection. Quantitative data were analyzed with regression modeling, and qualitative data were thematically analyzed.
resultsOut of 490, the majority correctly identified pregnancy bleeding (73.3%, n = 361), leakage of fluid (71%, n = 347), and swelling (74.3%, n = 364) as danger signs. About 56.5%, n = 277, had good knowledge of danger signs. Knowledge was significantly higher among women aged >25 years (aOR 3.11, 95% CI 2.02-4.7), literate women (aOR 2.14, 95% CI 1.12-4.08), and those counseled during ANC (aOR 2.2, 95% CI 1.2-8.1) and PNC (aOR 4.4, 95% CI 1.8-10.7). Qualitative findings revealed gaps in recall, poor comprehension of symptoms, and sociocultural barriers to care-seeking.
conclusionDespite interfacing with health services, awareness of obstetric danger signs was incomplete among rural antenatal women. Tailored education through enhanced counseling and family-centered care can improve maternal health literacy.
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