The Role and Practice of Nurses in Birth Preparedness and Complication Readiness among Pregnant Women at Tertiary Care Hospitals in Peshawar
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Background: Birth preparedness and complication readiness (BPCR) encourages pregnant women to use professional health services and receive timely information to prevent complications that lead to maternal mortality. Despite the critical role of nurses in maternal healthcare, limited research has explored their specific contributions to BPCR implementation in developing countries like Pakistan. Methods: A cross-sectional analytical study was conducted at two tertiary care hospitals in Peshawar using universal sampling technique. A sample size of 76 nurses working in gynecology departments was selected. Data were collected using pre-tested and pre-validated questionnaires with content validity of 0.89 and Cronbach's alpha of 0.9. Structured observation checklists were used to assess actual practices. Statistical analysis was performed using SPSS version 22. Results: The study reveals that majority of nurses strongly agree on their responsibilities in educating pregnant women about prenatal care (61%) and health education (59%). Direct supportive care during labor was acknowledged by 63% of participants. However, variability exists in practices, particularly in emergency planning where only 29% provided comprehensive emergency preparedness plans. Practice observations showed 95% collaboration with other professionals, 91% hygiene education, and 84% dietary counseling. A significant correlation was found between nurses' roles and BPCR practices (p = 0.049 < 0.05). Conclusion: This study emphasizes the critical role of nurses in promoting Birth Preparedness and Complication Readiness among pregnant women. While nurses demonstrate strong role recognition, implementation gaps exist particularly in emergency preparedness. The study highlights the importance of structured training programs to enhance BPCR practices and improve maternal and neonatal outcomes. DOI: https://doi.org/10.59564/amrj/03.03/003
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