Annals of African medicine · 2026
Effectiveness of a Birth Companion-integrated Birth Preparedness and Complication Readiness Awareness Package for Improving Childbirth Experience among Primigravid Women in Eastern India: A Quasi-experimental Study.
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Dutta Indrani, Kundu Moumita, Kishore Anand
Аннотация
INTRODUCTION: Birth preparedness and complication readiness (BPCR) is a critical strategy to improve maternal and neonatal outcomes by reducing delays in accessing skilled care. Despite its importance, knowledge levels remain inadequate, particularly among primigravid women. This study evaluated the effectiveness of a companion-integrated BPCR (CI-BPCR) awareness package in improving knowledge and childbirth experience among primigravid women in Eastern India.
METHODS: A quasi-experimental study was conducted at two tertiary care hospitals serving comparable demographic populations. Eighty primigravid women (40 per group) were enrolled through purposive sampling. The intervention group received a structured CI-BPCR awareness package at 28-32 weeks of gestation, incorporating education on birth preparedness, danger sign recognition, and birth companion training through interactive sessions. The control group received standard antenatal care. Knowledge was assessed at baseline and 2 weeks postintervention using a validated questionnaire adapted from the JHPIEGO tool. Childbirth experience was evaluated 24-48 h postpartum using the Childbirth Experience Questionnaire. Thirty-five participants per group completed the study.
RESULTS: The intervention group demonstrated significant improvements in knowledge across all domains: birth preparedness, danger signs in pregnancy, labor, puerperium, and newborn ( P < 0.001). Childbirth experience was significantly better in the intervention group across dimensions of own capacity ( P < 0.001), professional support ( P < 0.001), perceived safety ( P = 0.003), participation ( P = 0.001), and sense of security ( P < 0.001). Pain levels showed no significant difference ( P = 0.607).
CONCLUSION: The CI-BPCR awareness package significantly improved knowledge and childbirth experience among primigravid women, demonstrating its potential for integration into routine antenatal care in resource-limited settings.
METHODS: A quasi-experimental study was conducted at two tertiary care hospitals serving comparable demographic populations. Eighty primigravid women (40 per group) were enrolled through purposive sampling. The intervention group received a structured CI-BPCR awareness package at 28-32 weeks of gestation, incorporating education on birth preparedness, danger sign recognition, and birth companion training through interactive sessions. The control group received standard antenatal care. Knowledge was assessed at baseline and 2 weeks postintervention using a validated questionnaire adapted from the JHPIEGO tool. Childbirth experience was evaluated 24-48 h postpartum using the Childbirth Experience Questionnaire. Thirty-five participants per group completed the study.
RESULTS: The intervention group demonstrated significant improvements in knowledge across all domains: birth preparedness, danger signs in pregnancy, labor, puerperium, and newborn ( P < 0.001). Childbirth experience was significantly better in the intervention group across dimensions of own capacity ( P < 0.001), professional support ( P < 0.001), perceived safety ( P = 0.003), participation ( P = 0.001), and sense of security ( P < 0.001). Pain levels showed no significant difference ( P = 0.607).
CONCLUSION: The CI-BPCR awareness package significantly improved knowledge and childbirth experience among primigravid women, demonstrating its potential for integration into routine antenatal care in resource-limited settings.