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Development of Birth Preparedness Tool (BPT) -A tool to assess mother's preparedness for delivery, postnatal and new born care

Birth Preparedness is an advance planning and preparation for delivery. Its Components include, Preparation for normal delivery, readiness to deal with complications, post natal and new born care. Preparing mother for the birth is an important part of antenatal counseling and one of the responsibility of health care provider. For giving proper counseling it is important to know how much the mother already knows about birth Preparedness. But in order to assess birth preparedness there is need to have a tool which will help the health care provider to assess it. Hence the need was felt and a methodological study was undertaken with the objective to develop a tool to assess the preparedness of mother for delivery, postnatal and new born care. The study was divided into six phases i.e. Preliminary preparation, Assessment of content validity, Modification phase, Tool feasibility, Try out phase and Reliability phase with different steps. Pilot study and try out phase was undertaken at village Dhanas and Dadu Majra Colony respectively. 30 items original Birth Preparedness Tool (BPT) was developed; the content validity, construct validity and reliability of the tool were ensured by Delphi technique, factor analysis and internal consistency. Value of Cronbach's alpha (unstandardised) was 0.81 and developed tool was found reliable. Results of Factor Analysis confirmed that 20 items must be retained out of 30 items of original tool. The developed tool would help the health care provider to assess preparedness of mother regarding delivery, post natal and new born care. After assessing the preparedness, health care provider can counsel the antenatal mother according to her level of preparation. It would result in better outcome of delivery.