| Summary: | Introduction
Birth preparedness and complication readiness (BPCR) is an approach
initiated to facilitate utilization of skill birth attendants (SBAs) for improved pregnancy
outcomes. Despite its usefulness, many women still did not use skilled birth attendants.
The purpose of this study is to assess the level of birth preparedness and complication
readiness and its association with skilled birth attendants’ utilization.
Methods
A descriptive sequential mixed methods design was used. In all, 350 women
in their third trimester were purposively selected from healthcare facilities. Of these, 340
completed the study yielding a 97% response rate. Structured interviewer-administered
questionnaire, a checklist and an in-depth interview guide were used to collect data. Data
analysis was done in Statistical Package for Social Sciences version 20 using descriptive
and inferential statistics at 0.05 level of significance while qualitative data were analyzed
through content analysis.
Results
There was a significant association between level of birth preparedness and
complication readiness and use of skilled birth attendants [χ2(2, 340)=19.96; p=0.0001].
Some negative delivery outcomes (complications) were significantly associated with nonutilization
of skill birth attendants. Cost, family members’ preference, distance, industrial
action and irritation from the vaginal examination were factors that prevented women
from using a skilled birth attendant.
Conclusions
The study concluded that BPCR is significantly associated with the use of
SBAs and better outcomes were observed in women that used SBAs in Nigeria.
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