An investigation of birth preparedness and complication readiness and its implication in reducing childbirth mortality in Nigeria

Abstract Background: Maternal mortality poses a significant threat to mothers, their children, and families, prompting pregnant women to seek safe and effective deliveries. Nigeria ranks second globally in maternal mortality rates, highlighting the urgent nature of this issue. To address this, the United Nations supports birth preparedness and complication readiness (BPCR) to lower mortality rates and promote safer childbirth. This study evaluates BPCR practices among antenatal clinic attendees in Nigeria as part of ongoing efforts to reduce maternal and infant mortality. Materials and Methods: A descriptive cross-sectional survey was employed using a structured questionnaire. A total sample of 320 participants was calculated using a population-based random sampling formula, with 40 pregnant women selected from each of the eight clinics in the Iseyin Local Government Area. Data were analyzed using the IBM Statistical Package for the Social Sciences version 25.0 (Chicago, IL, USA), employing descriptive and inferential statistics at a 0.05 significance level. Results were presented through tables and charts. Results: The findings indicated that most respondents (86.8%) demonstrated a strong understanding of BPCR, while 87.8% reported good BPCR practices. A significant relationship ( P < 0.05) was also observed between respondents’ knowledge, parity, and BPCR practices. Conclusion: The study highlights that sociodemographic factors, gravidity, parity, and BPCR knowledge significantly influence birth preparedness among pregnant women in Iseyin, Nigeria. Younger, first-time mothers and those with greater BPCR knowledge showed better preparedness. While most participants practiced essential BPCR measures, challenges such as unsafe abortions, limited antenatal care, and poverty still contribute to perinatal mortality. Addressing these gaps through targeted education and resource access could further reduce childbirth-related mortality.