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分娩支持:尼日利亚东南部埃努古地区被忽视的孕产妇健康需求。

Labor support: an overlooked maternal health need in Enugu, south-eastern Nigeria.

作者信息

Dim Cyril C, Ikeme Arthur C, Ezegwui Hyginus U, Nwagha Uchenna I

机构信息

European M.Sc International Health, Center for International Health University of Bergen, Norway.

出版信息

J Matern Fetal Neonatal Med. 2011 Mar;24(3):471-4. doi: 10.3109/14767058.2010.501121. Epub 2010 Jul 9.

Abstract

OBJECTIVES

The current call for continuous support by women for women during labor takes for granted that women prefer to be supported by other women rather than their husbands. This study aimed at identifying the experiences and preferences of parturients as regards support in labor.

METHODS

Questionnaires were administered to 395 parturients at the University of Nigeria Teaching Hospital, Enugu, south-eastern Nigeria from January to August 2006. Data analysis was both descriptive and inferential at 95% confidence level.

RESULTS

None of the respondents' husband, relations or friends was allowed into the labor room. Ninety-five (24.1%) parturients did not wish to be supported in labor by their husbands. Sixty-five (68.4%) of this group preferred to be supported in labor by medical/midwifery staff only, while the remaining 30 (31.6%) would have preferred a relation. Three hundred (75.9%) parturients, if permitted, would have preferred labor support by their husbands. The preference for labor support by husband was significantly associated with maternal educational status (p=0.003), parity groups (p=0.022), and age category (p=0.037).

CONCLUSIONS

Labor support by a non-medical employee of health institutions is not practiced in Enugu, south-eastern Nigeria. Most women would prefer to be supported by their husbands during labor. There is a strong desire by mothers for a policy change as regards labor support by family and friends.

摘要

目的

当前呼吁女性在分娩期间持续为其他女性提供支持,这一观点理所当然地认为女性更倾向于由其他女性而非丈夫提供支持。本研究旨在确定产妇在分娩支持方面的经历和偏好。

方法

2006年1月至8月,对尼日利亚东南部埃努古的尼日利亚大学教学医院的395名产妇进行了问卷调查。数据分析采用描述性和推断性分析,置信水平为95%。

结果

没有一位受访者的丈夫、亲属或朋友被允许进入产房。95名(24.1%)产妇不希望在分娩时由丈夫提供支持。该组中的65名(68.4%)产妇仅希望由医护人员提供分娩支持,其余30名(31.6%)则希望由亲属提供支持。如果允许,300名(75.9%)产妇更希望由丈夫提供分娩支持。丈夫提供分娩支持的偏好与产妇的教育程度(p=0.003)、产次分组(p=0.022)和年龄类别(p=0.037)显著相关。

结论

在尼日利亚东南部的埃努古,卫生机构的非医务人员提供分娩支持的做法并不存在。大多数女性在分娩时更希望由丈夫提供支持。母亲们强烈希望在家人和朋友提供分娩支持方面进行政策变革。

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