The role of obstetric knowledge in utilization of delivery service in Nepal

Birth Preparedness and Complication Readiness (BP/CR) program has been promoted in Nepal to equip pregnant women with obstetric knowledge so as to motivate them to seek professional care. Using a prospective design of 701 pregnant women of more than 5 months gestation in a central hills district of...

Full description

Bibliographic Details
Main Authors: Karkee, R., Baral, O., Khanal, Vishnu, Lee, Andy
Format: Journal Article
Published: Oxford University Press 2014
Online Access:http://hdl.handle.net/20.500.11937/3326
_version_ 1848744200868200448
author Karkee, R.
Baral, O.
Khanal, Vishnu
Lee, Andy
author_facet Karkee, R.
Baral, O.
Khanal, Vishnu
Lee, Andy
author_sort Karkee, R.
building Curtin Institutional Repository
collection Online Access
description Birth Preparedness and Complication Readiness (BP/CR) program has been promoted in Nepal to equip pregnant women with obstetric knowledge so as to motivate them to seek professional care. Using a prospective design of 701 pregnant women of more than 5 months gestation in a central hills district of Nepal, we evaluated if having obstetric knowledge could make a difference in maternal delivery behaviour. The results suggested that BP/CR program was effective in raising women’s obstetric knowledge, which was significantly associated with facility delivery according to logistic regression analysis. In particular, women who acknowledged that unexpected problems could occur during pregnancy and childbirth were more likely (odds ratio [OR] 5.83, 95% confidence interval [CI] 2.95–11.52) to deliver at a health facility than others unaware of the possible consequences. Similarly, women who knew any antepartum danger sign (OR 2.16, 95% CI: 1.17–3.98), any intrapartum danger sign (OR 3.80, 95% CI: 2.07–6.96) and any postpartum danger sign (OR 3.47 95% CI: 1.93–6.25), tended to deliver at a health facility. Convincing and counselling the pregnant women of the health consequences of pregnancy and childbirth would increase their utilization of delivery service.
first_indexed 2025-11-14T05:57:41Z
format Journal Article
id curtin-20.500.11937-3326
institution Curtin University Malaysia
institution_category Local University
last_indexed 2025-11-14T05:57:41Z
publishDate 2014
publisher Oxford University Press
recordtype eprints
repository_type Digital Repository
spelling curtin-20.500.11937-33262017-09-13T14:46:24Z The role of obstetric knowledge in utilization of delivery service in Nepal Karkee, R. Baral, O. Khanal, Vishnu Lee, Andy Birth Preparedness and Complication Readiness (BP/CR) program has been promoted in Nepal to equip pregnant women with obstetric knowledge so as to motivate them to seek professional care. Using a prospective design of 701 pregnant women of more than 5 months gestation in a central hills district of Nepal, we evaluated if having obstetric knowledge could make a difference in maternal delivery behaviour. The results suggested that BP/CR program was effective in raising women’s obstetric knowledge, which was significantly associated with facility delivery according to logistic regression analysis. In particular, women who acknowledged that unexpected problems could occur during pregnancy and childbirth were more likely (odds ratio [OR] 5.83, 95% confidence interval [CI] 2.95–11.52) to deliver at a health facility than others unaware of the possible consequences. Similarly, women who knew any antepartum danger sign (OR 2.16, 95% CI: 1.17–3.98), any intrapartum danger sign (OR 3.80, 95% CI: 2.07–6.96) and any postpartum danger sign (OR 3.47 95% CI: 1.93–6.25), tended to deliver at a health facility. Convincing and counselling the pregnant women of the health consequences of pregnancy and childbirth would increase their utilization of delivery service. 2014 Journal Article http://hdl.handle.net/20.500.11937/3326 10.1093/her/cyu059 Oxford University Press restricted
spellingShingle Karkee, R.
Baral, O.
Khanal, Vishnu
Lee, Andy
The role of obstetric knowledge in utilization of delivery service in Nepal
title The role of obstetric knowledge in utilization of delivery service in Nepal
title_full The role of obstetric knowledge in utilization of delivery service in Nepal
title_fullStr The role of obstetric knowledge in utilization of delivery service in Nepal
title_full_unstemmed The role of obstetric knowledge in utilization of delivery service in Nepal
title_short The role of obstetric knowledge in utilization of delivery service in Nepal
title_sort role of obstetric knowledge in utilization of delivery service in nepal
url http://hdl.handle.net/20.500.11937/3326