Background & Objective(s): The present study aimed to assess women’s knowledge and attitude

towards ODS (obstetric danger signs) among pregnant women in Upper Egypt and improve women's

knowledge through the implementation of an educational program.

Methods: a quasi-experimental study was conducted among 300 pregnant women attending antenatal

clinics. Data collection was done using structured questionnaires which were distributed to the

participants during face to face interview with the researchers. An educational program was

implemented to enhance women's knowledge of ODS. Data analysis was done using the SPSS

program, version (24).

Results: A total of 300 pregnant women were enrolled in the present study. Socio-demographic

factors such as increased age, higher educational level, rural residence, and larger family size were

shown to significantly influence knowledge about obstetric danger signs. Furthermore, antenatal and

obstetric risk factors such as high parity, more number of antenatal visits, history of abortion or

medical disease and previous exposure to ODS were shown to be significantly associated with more

knowledge about ODS. Logistic regression analysis revealed that the significant predictors that

influence the participants' knowledge were women's education and the number of antenatal visits.

Most of the study participants had a positive attitude towards ODS (82.3%). The overall knowledge

score was increased significantly after the implementation of the educational program from 9.4±4.97

to 27.93±4.4.

Conclusion: The study revealed that most of the study participants had a positive attitude towards

ODS. The implementation of an education program had a positive effect on increasing women's

knowledge about ODS. Health care providers should educate the women about ODS during their

antenatal visits as they are the primary source of women's knowledge.

Keywords: Knowledge, attitude, educational program, obstetric danger signs, pregnant women