The significance of interfamilial relationships on birth preparedness and complication readiness in Pakistan

Women Birth. 2019 Feb;32(1):e49-e56. doi: 10.1016/j.wombi.2018.03.005. Epub 2018 Mar 30.

Abstract

Background: In the interests of improving maternal health care and survival, the issue of birth preparedness and complication readiness has been much debated and has remained a priority for the international health community. The provision of birth preparedness and complications readiness is determined by a range of different factors.

Aim: The main aim of this study is to identify and measure the influence of husbands and other family relationships on birth preparedness and complications readiness in the Khyber Pakhtunkhwa province of Pakistan.

Methods: This study is a cross-sectional exploratory study. Data was collected through a survey questionnaire. Logistic regression and descriptive analysis was used.

Findings: Analysis indicated that the mother-in-law's role, men's and women's level of education and interfamilial relationships are still the most significant factors influencing birth preparedness and complications readiness. Of the respondents, 86% were receiving antenatal care and 76.5% were planning for the birth to take place in state-run hospitals or private obstetric and gynae clinics.

Conclusion: The tendency to take up antenatal care in Khyber Pakhtunkhwa can mainly be credited to a mutual understanding between husband and wife and a good relationship between the woman and her mother-in-law. Highlighting the significance of these relationships has implications for ensuring birth preparedness and complications readiness.

Keywords: Birth preparedness; Complication readiness; Family; Relationships; Socio-economic factors.

MeSH terms

  • Adolescent
  • Adult
  • Cross-Sectional Studies
  • Delivery, Obstetric
  • Family Relations*
  • Family*
  • Female
  • Health Knowledge, Attitudes, Practice*
  • Humans
  • Male
  • Mothers
  • Pakistan
  • Pregnancy
  • Prenatal Care*
  • Spouses
  • Young Adult