Reviewer's report
Title:Knowledge of Obstetric Danger Signs and Associated Factors among
Pregnant Women in Erer District, Somali region, Ethiopia
Version:3Date:15 January 2016
Reviewer: Lisa Thompson
Reviewer's report:
All are minor, but essential
Line 2: Remove “an essential and”
Line 4-6: Remove “The most common signs are severe vaginal bleeding, swollen
hands/face and blurred vision during pregnancy; severe vaginal bleeding,
prolonged labor, convulsions and retained placenta during labor and childbirth;
severe vaginal bleeding, foul-smelling vaginal discharge and fever during the
postpartum period.
Line 22: Change “Ninety-eight” to 98
Line 26: Change “Significant proportion of pregnant women in Erer district does
not have knowledge obstetric danger signs” to “A significant proportion of
pregnant women in Erer district do not have knowledge of obstetric danger signs”
Line 28: Not clear what you are concluding: “Factors associated in Erer district, a
pastoralist community, are similar to the agrarian community. Thus, any
intervention program aiming to reducing maternal mortality should focus on
pastoral community and the associated factors.”
Line 44-6: Change “About seventh two percent of maternal deaths are attributed
to direct causes of maternal mortality [2, 4]. It includes hemorrhage 27%,
hypertension 14%, sepsis 11%, abortion 8%,embolism 3% and other direct
causes [2].” to “About 72 percent of maternal deaths are attributed to direct
causes of maternal mortality [2, 4], including hemorrhage 27%, hypertension
14%, sepsis 11%, abortion 8%,embolism 3% and other direct causes [2].”
Line 62: Change “raising knowledge of women” to “increasing women’s
knowledge”
Line 64: Change “considered to reduce” to “for reducing”
Line 68: Change “However, like in many developing countries, knowledge of
women about the danger signs remains low in Ethiopia” to “as in many
developing countries, knowledge of danger signs remains low in Ethiopia”
Line 70 change “of” to “in”
Line 75 change “an” to “a”
Line 79 remove “promotional and”
Line 84: spell out FMoH
Line 85-6: remove “and pregnant women are ill-equipped to make appropriate
choices especially when they are in danger”
Line 125: Add a preliminary survey
Line 161: change “Number” to “number”
Line 161: Add “A model family is defined by a household
Line 165: add “and is categorized”
Line 166: add/change “otherwise they were not considered to be not a model
family”
Line 171: remove “considered as candidate and”
Line 173: change Parity to parity
Line 177: change “Ethical review board of public” to “ethical review board of the
public”
Line 178: change “Besides, official” to “Additionally, an official”
Line 180: remove “by informing about the study”
Line 181: change “Respondents were also assured that an individual data
(information) would be kept confidentially.” to “Respondents were assured that
individual information would be kept confidential.”
Line 188: change “did not attend formal education’ to “did not receive formal
education’
Line 191: change “rearing” to “raising” and “live” to “lived”
Line 192: change “were elementary: to “completed elementary school” and
“were” to “completed”
Line 193: remove “functional” and change “is” to “was”
Line 194: change “can” to “could”
Line 198: don’t understand “fifth times or above” do you mean “had been
pregnant five or more times” ?
Line 198: change “were” to “had been”
Line 200: change “once and more once respectively” to “once, and more than
once, respectively”
Line 207: change & to “and” (!!)
Line 220: change “Gravida five or above were” to “women who had been
pregnant five or more times were
Line 221: add “primi-gravida women”
Line 228: change “three periods” to “pregnancy, childbirth and after childbirth”
and add “factors associated with this knowledge were”
Line 229: Remove “The” before “women’s knowledge”
Line 234: change “contrary” to “contrast” to the previous studies and change
“setting agrarian or urban” to “set in agrarian or urban communities”
Line 234-5 Change “Difference in the implementation of relevant health
intervention programs might also be an explanation.” to “Implementation of health
intervention programs may also explain these differences”.
Line 238: change “that large” to “that a large”
Line 241: change “Being urban resident” to “Urban residence”
Line 249: change “that pregnant women (who had previously been pregnant)” to
“women who experiences a previous pregnancy”
Line 253: don’t understand this sentence” This may be due to that women were
expected
254 to be informed of danger signs when they attend the service.”
Line 255-57: Change “The present study has accomplished its objectives of
determining the current level of knowledge on obstetric danger signs and factors
associated among pregnant women living in Erer district of Somali region,
Ethiopia.” to “The present study illustrates the current level of knowledge on
obstetric danger signs and factors among pregnant women living in the Erer
district of Somali region, Ethiopia.”
Line 255: remove the before “household wealth”
Line 260: change “Finally, since it was a cross-sectional design, it was difficult to
examine any potential temporal relationships.” to “Finally, this cross-sectional
design does not permit the examination of potential temporal relationships.”
Line 263: change “is” to “are”
Line 270-1: change “Increasing ANC service utilization by pregnant women
would be a good entry point to equip mothers with the danger signs and
symptoms.” To “Increasing ANC service utilization would improve pregnant
women’s knowledge about obstetric danger signs and symptoms.”
Level of interest: An article whose findings are important to those with closely
related research interests
Quality of written English: Not suitable for publication unless extensively edited
Statistical review: No, the manuscript does not need to be seen by a statistician.
Declaration of competing interests:
I declare that I have no competing interests