August 24, 2026 Thesis Open Access

Dr. Dugasa Erko Garbi (MD, Obstetrics and Gynecology Resident)

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        <foaf:name>Dr. Dugasa Erko Garbi (MD, Obstetrics and Gynecology Resident)</foaf:name>
        <foaf:givenName>Obstetrics and Gynecology Resident)</foaf:givenName>
        <foaf:familyName>Dr. Dugasa Erko Garbi (MD</foaf:familyName>
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    <dct:title>ASSESMENT OF BIRTH PREPAREDNESS , COMPLICATION READINESS AND ASSOCIATED FACTORS AMONG PREGNANT WOMEN ATTENDING ANTENATAL CARE AT WOLLEGA UNIVERSITY COMPREHENSIVE SPECIALIZED HOSPITAL, WESTERN ETHIOPIA, 2025 G.C</dct:title>
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    <dct:issued rdf:datatype="http://www.w3.org/2001/XMLSchema#gYear">2026</dct:issued>
    <dct:issued rdf:datatype="http://www.w3.org/2001/XMLSchema#date">2026-08-24</dct:issued>
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    <dct:description>&lt;p&gt;ABSTRACT Background- Birth preparedness and complication readiness (BPCR) is a key strategy to improve timely utilization of skilled maternal and neonatal care by encouraging pregnant women and their families to plan for normal birth and anticipate complications. It plays a critical role in reducing the three delays associated with maternal mortality: delay in decision-making, delay in reaching care, and delay in receiving adequate care. Despite ongoing efforts, BPCR practice remains suboptimal in Ethiopia. Objective - To assess the prevalence of birth preparedness , complication readiness and its associated factors among pregnant women attending antenatal care at Wollega University Comprehensive Specialized Hospital, Western Ethiopia, 2025. Method - An institutional-based cross-sectional study was conducted among 342 pregnant women attending antenatal care. A systematic random sampling technique was used. Data were collected using a pretested interviewer-administered questionnaire. Data were entered into EpiData version 4.7 and analyzed using SPSS version 27. Bivariable and multivariable logistic regression analyses were performed to identify factors associated with BPCR. Variables with p &amp;le; 0.25 in bivariable analysis were included in multivariable analysis. Adjusted odds ratios (AOR) with 95% confidence intervals (CI) were used, and statistical significance was declared at p &amp;lt; 0.05. Results: Among 342 pregnant women, the prevalence of BPCR was 52.9% (95% CI: 47.5 62.7). Regarding its components, 297 (86.7%) planned to save money, 215 (63%) planned for place of delivery, and 185 (54.2%) planned to arrange transportation. However, only 91 (26.6%) planned to be attended by a skilled birth attendant , and 121 (35.3%) of them had awareness &amp;amp;knew means to access blood transfusion services, indicating gaps in critical birth preparedness &amp;amp; complication readiness practice. BPCR practice was significantly associated with several factors, including urban residence [AOR=6.72; 95% CI: 4.89 &amp;ndash; 8.23], formal education [AOR=6.10; 95% CI: 4.56 &amp;ndash; 8.12], being government employee [AOR=3.80; 95% CI: 2.34 &amp;ndash; 5.12], small family size per household [1-3 person per household, AOR=2.50 ;95% CI:1.56 &amp;ndash; 4.01], and absence of under-five child in the household [AOR=4.20, 95% CI: 2.89 &amp;ndash; 6.12]. Also, women who had knowledge about pregnancy danger signs [AOR=3.50; vii 95% CI: 2.34 &amp;ndash; 5.23] and those who had prior awareness of BPCR [AOR=2.64; 95% CI: 1.78 &amp;ndash; 3.89] were more likely to practice BPCR. Additionally pregnant women who were in the middle and high household income group were likely prepared for BPCR than their counter parts, with adjusted odds ratio of [AOR=1.8; 95% CI: 1.34 - 2.34 &amp;amp; AOR=3.2; 95% CI: 2.34-4.56] respectively. Conclusion: The prevalence of BPCR was moderate (52.9%) in the study area based on WHO recommendation that every pregnant women expected to prepare for child birth &amp;amp;its complications .It is comparable to studies done in similar study settings. Having formal education, high house hold income, smaller family size in household, being urban dwellers, being government employee, having knowledge of pregnancy danger signs, and hearing about BPCR significantly associated with BPCR practice. Strengthening antenatal counseling and targeted health education, particularly for rural and less-educated women, is essential to improve BPCR practices. Keywords: Birth preparedness, complication readiness, antenatal care, maternal health, Ethiopia&lt;/p&gt;</dct:description>
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