Kibballi Madhukeshwar Akshaya|Siddharudha Shivalli
Birth preparedness and complication readiness among the women beneficiaries of selected rural primary health centers of Dakshina Kannada district, Karnataka, India
Yenepoya University|The Task Force for Global Health|Training Programs in Epidemiology and Public Health Interventions Network|Yenepoya University
introduction birth preparedness complication readiness bpcr strategy promote timely use skilled maternal neonatal care childbirth according world health organization bpcr key component focused antenatal care dakshina kannada coastal district karnataka state categorized highperforming district institutional delivery rate 25 national rural health mission however substantial proportion women district experience complications pregnancy 583 childbirth 457 postnatal 174 period paucity data bpcr practice factors associated district exploring would great use evidencebased finetuning ongoing maternal child health interventions objective assess bpcr practice factors associated among beneficiaries two rural primary health centers phcs dakshina kannada district karnataka india methods facilitybased crosssectional study conducted among 217 pregnant 28 weeks gestation recently delivered last 6 months women two randomly selected phcs june september 2013 exit interviews conducted using predesigned semistructured interview schedule information regarding sociodemographic profile obstetric variables knowledge key danger signs collected bpcr included information five key components identified place delivery saved money pay expenses mode transport identified identified birth companion arranged blood donor need arises study woman recalled least two key danger signs three phases ie pregnancy childbirth postpartum total six considered knowledgeable key danger signs optimal bpcr practice defined following least three five key components bpcr outcome measures proportion odds ratio adjusted odds ratio adj optimal bpcr practice results total 184 women completed exit interview mean age 26939 years optimal bpcr practice observed 793 95 ci 735852 women multivariate logistic regression revealed age 26 years adj 297 95ci 11577 economic status poverty line adj 43 95ci 112165 awareness minimum two key danger signs three phases ie pregnancy childbirth postpartum adj 398 95ci 14111 preference private health sector antenatal caredelivery adj 29 95ci 11801 womans discussion bpcr family members adj 34 95ci 11104 significant factors associated optimal bpcr practice conclusion study population bpcr practice better studies reported india healthcare workers grassroots encouraged involve womens family members explaining bpcr key danger signs special emphasis young 26 years economically poor women ensuring reinforcing discussion woman family members may enhance bpcr practice