Division of Social Medicine and Global Health, Department of Clinical Sciences, Lund University, CRC, Entrance 72, 205 02 Malmo, Sweden.
Reprod Health. 2011 Nov 16;8:33. doi: 10.1186/1742-4755-8-33.
Improving knowledge of obstetric danger signs and promoting birth preparedness practices are strategies aimed at enhancing utilization of skilled care in low-income countries. The aim of the study was to explore the association between knowledge of obstetric danger signs and birth preparedness among recently delivered women in south-western Uganda.
The study included 764 recently delivered women from 112 villages in Mbarara district. Community survey methods were used and 764 recently delivered women from 112 villages in Mbarara district were included in study. Interviewer administered questionnaire were used to collect data. Logistic regression analyses were conducted to explore the relationship between knowledge of key danger signs and birth preparedness.
Fifty two percent of women knew at least one key danger sign during pregnancy, 72% during delivery and 72% during postpartum. Only 19% had knowledge of 3 or more key danger signs during the three periods. Of the four birth preparedness practices; 91% had saved money, 71% had bought birth materials, 61% identified a health professional and 61% identified means of transport. Overall 35% of the respondents were birth prepared. The relationship between knowledge of at least one key danger sign during pregnancy or during postpartum and birth preparedness showed statistical significance which persisted after adjusting for probable confounders (OR 1.8, 95% CI: 1.2-2.6) and (OR 1.9, 95% CI: 1.2-3.0) respectively. Young age and high levels of education had synergistic effect on the relationship between knowledge and birth preparedness. The associations between knowledge of at least one key danger sign during childbirth or knowledge that prolonged labour was a key danger sign and birth preparedness were not statistically significant.
The prevalence of recently delivered women who had knowledge of key danger signs or those who were birth prepared was very low. Since the majority of women attend antenatal care sessions, the quality and methods of delivery of antenatal care education require review so as to improve its effectiveness. Universal primary and secondary education programmes ought to be promoted so as to enhance the impact of knowledge of key danger signs on birth preparedness practices.
提高对产科危险信号的认识并促进生育准备实践是旨在提高低收入国家熟练护理利用的策略。本研究的目的是探讨乌干达西南部最近分娩妇女的产科危险信号知识与生育准备之间的关联。
本研究包括来自姆巴拉拉区 112 个村庄的 764 名最近分娩的妇女。采用社区调查方法，纳入了来自姆巴拉拉区 112 个村庄的 764 名最近分娩的妇女。使用访谈者管理的问卷收集数据。进行逻辑回归分析以探索关键危险信号知识与生育准备之间的关系。
52%的妇女在怀孕期间至少知道一个关键危险信号，72%在分娩期间，72%在产后期间。只有 19%的妇女在这三个时期都知道 3 个或更多关键危险信号。在四项生育准备实践中；91%的人存钱，71%的人购买了生育用品，61%的人确定了一名卫生专业人员，61%的人确定了交通工具。总体而言，35%的受访者有生育准备。在怀孕期间或产后期间至少知道一个关键危险信号与生育准备之间的关系具有统计学意义，在调整可能的混杂因素后仍然存在（OR 1.8，95%CI：1.2-2.6）和（OR 1.9，95%CI：1.2-3.0）。年轻和高教育水平对知识与生育准备之间的关系具有协同作用。在分娩期间至少知道一个关键危险信号或知道延长分娩是一个关键危险信号与生育准备之间的关系没有统计学意义。
最近分娩的妇女中，有知识的关键危险信号或有生育准备的妇女的比例非常低。由于大多数妇女都参加了产前护理课程，因此需要审查产前护理教育的质量和方法，以提高其效果。应该推广普及小学和中学教育方案，以提高对关键危险信号的认识对生育准备实践的影响。
