A Cross-Sectional Study to Assess Birth Preparedness and Complication Readiness (BPACR) Status in Antenatal Mothers of Selected Primary Health Centre of New Delhi

Sneha Sehrawat, Bindu Shaiju, Shilpi Sarkar


Introduction: Motherhood is a time of anticipation of joy for a woman, her family and her community. In spite of this fact, it is not as enjoyable as it should be because of numerous reasons. Insufficiency or lack of birth preparedness and complication readiness is the most common reason. Birth preparedness & complication readiness (BPACR) is a strategy that effectively plan birth and deals with emergencies.

Objective: This study aimed to assess the Birth Preparedness and Complication Readiness (BPACR) status in antenatal mothers and its relationship with selected demographic variables and disseminate information booklet regarding BPACR.

Materials and Methods: An exploratory cross-sectional study was carried out in selected PHCs of New Delhi in October-November 2017. A total of 200 women were randomly selected and interviewed using pretested structured interview schedule and the data was analysed using a computer program of SPSS version 25.

Results: 50.4 percent of the respondents were found to have prepared for birth and its complications. In present study BPACR status of 156 antenatal mothers i.e. 78% was adequate and 22% (44) was found to be inadequate. Less than half of the respondents were aware on birth preparedness (44.6%) and complication readiness (43.4%). There is statistically significant relationship of BPACR with age of the mother (p=0.043), education status of the mother (p=0.037) and parity (p=0.027) at 0.05 level of significance.

Conclusion: This study identified that poor knowledge, inadequate birth preparedness, and complication readiness were prevalent among mothers in the study area. Community participation and health care providers in the areas of maternal and child health should operate together to maximize birth preparedness and complication readiness practices.


Birth preparedness, Complication readiness, Danger signs, Knowledge, New Delhi

Full Text:



WHO, UNICEF and UNFPA. Maternal Mortality in 2005:

Estimates Developed by WHO, UNICEF, UNFPA. WHO,

Geneva. 2007. Last accessed on 2013 Oct 30. Available

from: http:// www.who.int/whosis/mme_2005.pdf.

Sample Registration System. Special Bulletin on

Maternal Mortality in India 2009-11. Office of Registrar

General of India, 2013. Available from: http://www.


Maternal and Neonatal Health Programme. Monitoring

birth preparedness and complication readiness. Tools

and indicators for maternal and newborn health.

Baltimore: JHPIEGO. 2004. Available from: http://

www.jhpiego.org/files/ BPACR toolkit.pdf.

Agarwal S, Sethi V, Srivastava K et al. Birth preparedness

and complication readiness among slum women in

Indore city, India. J Health Popul Nutr 2010; 28: 383-

McPherson RA, Khadka N, Moore JM et al. Are birthpreparedness

programmes effective? Results from a

field trial in Siraha district, Nepal. Journal of Health

Population and Nutrition 2006; 24(4): 479-488.

Uganda Bureau of Statistics and ORC Macro, Uganda

Demographic and Health Survey. 2006. Available from:



Acharya AS, Kaur R, Prasuna JG et al. Making pregnancy

safer-birth preparedness and complication readiness

study among antenatal women attendees of a primary

health center, Delhi. Indian J Community Med 2015;

: 127-134.


  • There are currently no refbacks.

Comments on this article

View all comments

Copyright (c) 2019 International Journal of Nursing & Midwifery Research (ISSN: 2455-9318)

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.