男性参与农村乌干达孕产妇急诊转诊生育准备和并发症应对。
Male involvement in birth preparedness and complication readiness for emergency obstetric referrals in rural Uganda.
机构信息
Department of Obstetrics and Gynecology, School of Medicine, Makerere University College of Health Sciences, P.O. Box 7072, Kampala, Uganda.
出版信息
Reprod Health. 2011 May 7;8:12. doi: 10.1186/1742-4755-8-12.
BACKGROUND
Every pregnant woman faces risk of life-threatening obstetric complications. A birth-preparedness package promotes active preparation and assists in decision-making for healthcare seeking in case of such complications. The aim was to assess factors associated with birth preparedness and complication-readiness as well as the level of male participation in the birth plan among emergency obstetric referrals in rural Uganda.
METHODS
This was a cross-sectional study conducted at Kabale regional hospital maternity ward among 140 women admitted as emergency obstetric referrals in antenatal, labor or the postpartum period. Data was collected on socio-demographics and birth preparedness and what roles spouses were involved in during developing the birth plan. Any woman who attended antenatal care at least 4 times, received health education on pregnancy and childbirth danger signs, saved money for emergencies, made a plan of where to deliver from and made preparations for a birth companion, was deemed as having made a birth plan. Multivariate logistic regression analysis was conducted to analyze factors that were independently associated with having a birth plan.
RESULTS
The mean age was 26.8 ± 6.6 years, while mean age of the spouse was 32.8 ± 8.3 years. Over 100 (73.8%) women and 75 (55.2%) of their spouses had no formal education or only primary level of education respectively. On multivariable analysis, Primigravidae compared to multigravidae, OR 1.8 95%CI (1.0-3.0), education level of spouse of secondary or higher versus primary level or none, OR 3.8 95%CI (1.2-11.0), formal occupation versus informal occupation of spouse, OR 1.6 95%CI (1.1-2.5), presence of pregnancy complications OR 1.4 95%CI (1.1-2.0) and the anticipated mode of delivery of caesarean section versus vaginal delivery, OR 1.6 95%CI (1.0-2.4) were associated with having a birth plan.
CONCLUSION
Individual women, families and communities need to be empowered to contribute positively to making pregnancy safer by making a birth plan.
背景
每位孕妇都面临危及生命的产科并发症的风险。生育准备一揽子计划促进了积极的准备，并在出现此类并发症时协助寻求医疗保健的决策。目的是评估与生育准备和并发症准备相关的因素，以及在乌干达农村紧急产科转诊中男性参与生育计划的程度。
方法
这是在卡巴莱地区医院产科病房进行的一项横断面研究，纳入了 140 名在产前、分娩或产后期间作为紧急产科转诊入院的妇女。收集了社会人口统计学数据以及生育准备情况，以及配偶在制定生育计划中所扮演的角色。任何接受了至少 4 次产前保健、接受了妊娠和分娩危险信号健康教育、为紧急情况存钱、制定了分娩地点计划并为分娩伴侣做好了准备的妇女，都被认为制定了生育计划。采用多变量逻辑回归分析来分析与制定生育计划独立相关的因素。
结果
平均年龄为 26.8 ± 6.6 岁，而配偶的平均年龄为 32.8 ± 8.3 岁。超过 100（73.8%）名妇女和 75（55.2%）名妇女的配偶没有接受过正规教育或仅接受过小学教育。多变量分析显示，与多胎产妇相比，初产妇的比值比为 1.8（95%CI：1.0-3.0），配偶的教育程度为中学或更高与小学或以下或无教育程度相比，比值比为 3.8（95%CI：1.2-11.0），配偶的正规职业与非正规职业相比，比值比为 1.6（95%CI：1.1-2.5），存在妊娠并发症与比值比为 1.4（95%CI：1.1-2.0），预期分娩方式为剖宫产与比值比为 1.6（95%CI：1.0-2.4）与制定生育计划有关。
结论
个人、家庭和社区需要获得赋权，通过制定生育计划为使妊娠更安全做出积极贡献。
Zotero 插件