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Obstetric emergencies need prior preparation. ‘Birth Preparedness and Complication Readiness’ (BPCR) is a concept that promotes timely maternal care (WHO 2006). This descriptive cross-sectional study assessed BPCR and associated factors among a random sample of 280 pregnant women attending antenatal clinics (ANC) in MOH area Padukka in 2014. Data were collected using a pre-tested interviewer administered questionnaire. Response rate was 95.9% (n=269). Satisfactory BPCR was defined: accomplished ≥6 of 8 components in the BPCR plan. Pregnancy was planned by 84.0 % (n=226), 81.0% (n=218) registered with Public Health Midwife (PHM) ≤8 weeks, 58.4% (n=157) had attended ≥5 ANCs, 10.8% (n= 29) had attended all ante-natal classes, 75.8% (n=204) had discussed BPCR plan with health-care provider, 69.5% (n=187) had discussed with spouse, 60.2% (n=162) had satisfactory knowledge on pregnancy danger signs, 75.0% (n=207) had favourable attitudes on BPCR and 68.6% (n=185) had favourable perceptions on BPCR services. Of them 86.2% (n=232) had satisfactory BPCR, which was significantly associated with planned pregnancy (p<0.0001), registration ≤8 weeks (p<0.002), ≥5 ANCs (p<0.01), ≥1 antenatal classes (p<0.0001), discussing with healthcare provider (P<0.0001), discussing the BPCR plan with the spouse (p<0.0026), having satisfactory knowledge on pregnancy and child birth related danger signs (p<0.0002) and having favourable attitudes/perceptions (P< 0.0001). A high proportion of pregnant women had accomplished a satisfactory BPCR but attitudes and perceptions on BPCR services needs to be improved.

journal of the postgraduate  institute of medicine

Birth preparedness, complication readiness and associated factors among pregnant women seeking antenatal care at a Medical Officer of Health (MOH) area in Sri Lanka