Elizebeth Rani V, Nirosa S, Prema Janardan, R. Sudha
Mediterranean Nursing and Midwifery - 2026;6(2):118-125
Objective: Maternal mortality remains a significant global health concern, particularly in low- and middle-income countries, where delays in recognizing and responding to obstetric emergencies are prevalent. Birth preparedness and complication readiness (BPCR) strategies have proven effective in improving maternal outcomes by equipping mothers with knowledge and preparedness for potential complications during pregnancy and childbirth. To assess the impact of an educational intervention on enhancing mothers' knowledge and practices related to BPCR and to examine the relationship between BPCR and various demographic and obstetrical factors. Method: A quasi-experimental study was conducted from August to September 2023 among 60 third-trimester antenatal mothers, divided equally into a study group (n = 30) and a control group (n = 30) at Anuradha Maternity Center, T. Nagar, and Pankajam Memorial Hospital, Nanganallur, Chennai. The intervention group participated in an educational session on BPCR, while the control group did not receive any such training. Data were collected using a structured, pre-tested questionnaire developed based on the study objectives and relevant literature. The tool consisted of 3 sections: Section A - Demographic and obstetric profile; Section B - Knowledge assessment related to BPCR; and Section C - Practice checklist for BPCR components. The reliability of the tool was established through a pilot study and expert validation. Knowledge and practices were evaluated through pre- and post-assessments. Data analysis was carried out using paired Mann-Whitney U-test, independent Mann-Whitney U-test, and Pearson's correlation coefficients to determine statistical significance and associations. Results: Significant improvements were observed in the study group. Knowledge on birth preparedness increased from 4.47 to 18.27 (P < .001), and on complication readiness from 6.7 to 18.2 (P < .001). Practices on BPCR improved from 9.73 to 13.3 (P < .001). Key demographic factors such as maternal age (26-35 years) and family type (joint family) were significantly associated with improved knowledge and practices. The control group showed minimal improvements, with no significant changes. Conclusion: The study indicates that educational interventions significantly enhance mothers' knowledge and practices related to BPCR. Maternal age, family type, and early antenatal care (ANC) visits play crucial roles in preparedness. These findings highlight the importance of targeted health education programs to improve maternal health outcomes.
