School of Health Sciences, University of Tampere, 33014, Tampere, Finland,
Matern Child Health J. 2013 Dec;17(10):1922-30. doi: 10.1007/s10995-012-1218-1.
This study investigated risk factors associated with the type of birth attendants and timing of postnatal care among a nationally representative sample of Nepalese women. The 2006 Nepalese Demographic and Health Survey on women age 15-49 years old who had delivered within 3 years prior to the survey (N = 4,136) was used. Multivariate logistic regression was employed to study the association between socio-demographic variables and type of birth attendants and timing of postnatal care. Only 23 % deliveries were assisted by skilled attendants. A majority of Nepalese women did not have postnatal check-ups. Education (OR = 1.46, 95 % CI = 1.11-1.92), wealth (OR = 2.57, 95 % CI = 1.59-4.15) and sufficiency of advice during pregnancy (OR = 3.09, 95 % CI = 2.16-4.41), were all independently associated with having postnatal check-ups. Similarly, maternal age, education, parity, wealth, sufficiency of advice and place of delivery were associated with having delivery assisted by a skilled attendant. The utilization of postnatal services is still very low in Nepal. Public health interventions are needed to increase the utilization of postnatal care as well as delivery assisted by skilled attendants. Such interventions should target poor women, the less educated and those in rural areas in Nepal.
本研究调查了尼泊尔全国代表性妇女样本中与分娩助手类型和产后护理时间相关的风险因素。该研究使用了 2006 年尼泊尔人口与健康调查的数据，该调查对象为年龄在 15-49 岁之间、在调查前 3 年内分娩过的妇女（N=4136）。采用多变量逻辑回归分析方法研究了社会人口变量与分娩助手类型和产后护理时间之间的关系。只有 23%的分娩是由熟练的医护人员协助完成的。大多数尼泊尔妇女没有进行产后检查。教育（OR=1.46，95%CI=1.11-1.92）、财富（OR=2.57，95%CI=1.59-4.15）和怀孕期间获得的建议充足程度（OR=3.09，95%CI=2.16-4.41）均与产后检查有关。同样，产妇年龄、教育程度、生育次数、财富、建议充足程度和分娩地点都与熟练医护人员协助分娩有关。尼泊尔的产后服务利用率仍然很低。需要采取公共卫生干预措施来增加产后护理和熟练医护人员协助分娩的利用率。这些干预措施应该针对尼泊尔的贫困妇女、受教育程度较低的妇女和农村地区的妇女。
