Knowledge of Obstetric Danger Signs and Its Determinants among Women of Reproductive Age in Kwaba Community in North-Western Nigeria

Abstract

Background: Globally, every minute, at least one woman dies from complications related to pregnancy or childbirth. Knowing the obstetric danger signs helps in avoiding the first delay. This is because early recognition of complications is a critical determinant of timely decision-making.

Objectives: This study was conducted to assess the knowledge of obstetric danger signs (ODS) and its determinants among women of reproductive age in a rural community in north-western Nigeria.

Methods: A cross-sectional, community based descriptive study was conducted in Kwaba as part of a Community Diagnosis field practical experience for final year medical students of Ahmadu Bello University, Zaria, from 19th September to 14th October 2016. An interviewer- administered questionnaire was used to collect data from 395 women of reproductive age in the community. Data was analyzed using SPSS version 20.

Results: Among the 395 respondents, 373 (94.4%) were married and prolonged labor was the most known ODS (316/395, 80%). A majority of the respondents, 286 (72.4%), had good knowledge of ODS. Determinants of having a good knowledge of ODS were: petty trading profession (OR= 1.65, 95% C.I: 1.04 – 2.64, P=0.03); formal education (OR=1.97, 95% CI: 1.24-3.01, P=0.01) and ever been pregnant (OR=4.23, 95% CI: 1.90 - 9.42, P < 0.01).

Conclusions: Formal education, ever been pregnant and petty trading profession were determinants of having a good knowledge of ODS among respondents. Increased enrolment of children into formal education; increased antenatal care attendance and health education of both men and women on ODS in the study area is recommended. This may help in avoiding delay in seeking for emergency obstetric care services and may reduce maternal mortality in the community.