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Background: Birth-preparedness and complication readiness (BP/CR) is a key strategy in safe motherhood Programmes which mitigate delays that could lead to increased maternal mortality. BP/CR is not effectively utilized in Nigeria. This study assessed the level of BP/CR and associated factors amongst women receiving antenatal care in Umuahia North L.G.A of Abia state Nigeria. Objectives: To assess the awareness of danger signs of obstetric complications and to identify associated factors of pregnant women receiving antenatal care in public and private health care facilities in Umuahia North L.G.A. Methodology: A descriptive cross sectional study. Interviewer administered questionnaires were used to obtain data. Data was analysed using SPSS 16. Differences between women attending public and private facilities were assessed using the Chi-squared test and uni variate analysis were performed. Results: 474 women were recruited. The proportion of those with tertiary education using public facilities (69.6%) was higher than in the private clinics (50.6%) and they also belonged more to skilled/professional occupational group. Half of the women knew at least one obstetric danger sign. The percentage of women who knew at least four danger signs during pregnancy was more than 50% and about 23.6% and 21.7% of them during delivery and after delivery respectively. A composite index of 12 indicators (BPCR Index) was computed yielding 44.15% without inclusion of the community component and 33.1% when the community component was included. Only 0.3% of respondents had knowledge of availability of community transport system. Conclusions and Recommendation: The factors that affect BP/CR included the role of husbands, education level, parity. Non existence of community based support services for maternal health services was observed. Improved education on BP/CR during antenatal visits is recommended and encouragement of greater community involvement.

An Assessment Of Birth Preparedness And Complication Readiness In Antenatal Women In Umuahia North Local Government Area, Abia State, Nigeria.