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DETERMINANTS OF BIRTH PREPAREDNESS AND COMPLICATION READINESS: A QUALITATIVE STUDY AMONG MIDWIVES IN SELECTED PRIMARY HEALTH CARE FACILITIES IN ONDO STATE, NIGERIA

Maternal mortality remains an unresolved issue in public health, with birth readiness and complication readiness playing a crucial role in addressing this concern. Birth readiness involves preparing for a routine delivery, while complication readiness entails planning for emergency situations. Pregnancy and childbirth related complications, which can lead to short-term or
long-term diseases and even death, affect a significant number of women in low-income countries,
approximately 300 million. This qualitative study examines the determinants of Birth Preparedness and Complication Readiness among pregnant women in selected primary healthcare (PHC) facilities in the South Senatorial districts of Ondo State, Nigeria. The study involved eight midwives from two purposively selected PHC facilities in Ondo State. A phenomenological approach was employed, and data were collected through interviews using an interview guide. NVivo version 11 was utilized for data analysis, employing thematic qualitative analysis to identify emerging themes. The findings of this study revealed one main theme and seven subthemes related to the determinants of Birth Preparedness and Complication Readiness. These determinants encompassed culture, the financial
status of the respondents, religion, peer group influence, ignorance, the age of pregnant women, and the attitude of healthcare providers. These identified determinants highlighted the barriers that hinder pregnant women from embracing Birth Preparedness and Complication Readiness practices. To enhance the effectiveness of future interventions related to Birth Preparedness and Complication Readiness, it is recommended that midwives increase awareness among pregnant women. Additionally, greater emphasis should be placed on the quality of information provided to expectant women during prenatal care visits, with particular attention given to women from economically disadvantaged backgrounds.

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