在苏丹东部的卡萨拉使用产前保健服务。
Use of antenatal care services in Kassala, eastern Sudan.
机构信息
Faculty of Medicine, University of Khartoum, Khartoum, Sudan.
出版信息
BMC Pregnancy Childbirth. 2010 Oct 25;10:67. doi: 10.1186/1471-2393-10-67.
BACKGROUND
Antenatal care is named as one of the four pillars initiatives of the Safe Motherhood Initiative. While many of routine antenatal care procedure have little effect on maternal mortality and morbidity, some of these have been ascertained as beneficial. The aim of this study was to investigate coverage of antenatal care and identify factors associated with inadequacy of antenatal care in Kassala, eastern Sudan.
METHODS
A cross-sectional community-based study was carried out in Kassala, eastern Sudan during September-October 2009. Household surveys were conducted. Structured questionnaires were used to gather data from women who had been pregnant within the last year, or pregnant more than 14 weeks.
RESULTS
Out of 900 women investigated for antenatal care coverage, 811(90%) women had at least one visit. Only 11% of the investigated women had ≥ four antenatal visits, while 10.0% had not attended at all. Out of 811 women who attended at least one visit, 483 (59.6%), 303 (37.4%) and 25 (3.1%) women attended antenatal care in the first, second and third trimester, respectively. In logistic regression analyses, while maternal age and residence were not associated with inadequacy of antenatal care (<2 visits), high parity (OR = 2.0, CI = 1.1-3.5; P = 0.01) and husband education ≤ secondary level (OR = 2.4, CI = 1.3-4.2; P = 0.002) were associated with inadequacy of antenatal care.
CONCLUSIONS
Antenatal care showed a low coverage in Kassala, eastern Sudan. This low coverage was associated with high parity and low husband education.
背景
产前护理被命名为安全孕产倡议的四大支柱举措之一。虽然许多常规产前护理程序对母婴死亡率和发病率几乎没有影响，但其中一些已被确定为有益。本研究旨在调查产前护理的覆盖范围，并确定与苏丹东部卡萨拉产前护理不足相关的因素。
方法
2009 年 9 月至 10 月在苏丹东部卡萨拉进行了一项基于社区的横断面研究。进行了家庭调查。使用结构化问卷从最近一年怀孕或怀孕超过 14 周的妇女中收集数据。
结果
在接受调查的 900 名妇女中，有 811 名（90%）至少进行了一次产前检查。只有 11%的调查妇女进行了≥4 次产前检查，而 10.0%的妇女根本没有参加。在至少接受一次检查的 811 名妇女中，分别有 483 名（59.6%）、303 名（37.4%）和 25 名（3.1%）妇女在第一、第二和第三个孕期接受了产前护理。在逻辑回归分析中，虽然母亲年龄和居住地与产前护理不足（<2 次）无关，但高胎次（OR=2.0，CI=1.1-3.5；P=0.01）和丈夫教育程度≤中学（OR=2.4，CI=1.3-4.2；P=0.002）与产前护理不足相关。
结论
在苏丹东部的卡萨拉，产前护理覆盖率较低。这种低覆盖率与高胎次和低丈夫教育程度有关。
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