Level and Factors Associated with Birth Preparedness and Emergency Planning among Prenatal Women of Bugiri Hospital

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Uganda Christian University
Introduction; Birth preparedness refers to the readiness of pregnant women to give birth safely. It involves a series of actions and plans to ensure both the mother and baby receive proper care and support before and during childbirth. This study therefore sought to determine the level and factors of birth preparedness and emergency planning in the pre-natal women of Bugiri Hospital. Specifically, the study intended to find out the socio-demographic, obstetrics, and gynecology factors and intervening factors that affect the level of birth preparedness. Methods; The study employed a purely quantitative study design to collect primary data from the 288 selected respondents targeting prenatal women in Bugiri Hospital. Analysis was done at three distinct levels using SPSS software. These included univariate (frequencies and percentages), bivariate (chi-square tests), and multivariate (binary logistic regression). Significant factors were identified through chi-square tests and logistic regression analysis. Results; A significant association was observed between education level and birth preparedness (Odds Ratio = 2.597, p = 0.004). Higher education increased the likelihood of optimal birth preparedness among participants. Women with a history of stillbirths exhibited a substantial association with childbirth preparedness (Odds Ratio = 4.771, p = 0.039). The experience of stillbirth heightened the sense of need for preparedness to prevent future complications. Male partner involvement demonstrated a robust association with birth preparedness (Odds Ratio = 1.904, p = 0.004). Active engagement of male partners was transformative, positively influencing overall childbirth experiences. Conclusion; The study concluded that birth preparedness is not solely the responsibility of pregnant women but also the healthcare system, healthcare providers, and the community. It was recommended that the inclusion of childbirth plans in ANC packages is vital alongside other interventions like educational programs, community outreach, and improved access to antenatal care services.