乌干达坎帕拉穆拉戈医院孕妇首次产前检查迟到的时间及原因
Timing and reasons for coming late for the first antenatal care visit by pregnant women at Mulago hospital, Kampala Uganda.
作者信息
Kisuule Ivan, Kaye Dan K, Najjuka Florence, Ssematimba Stephen K, Arinda Anita, Nakitende Gloria, Otim Lawrence
出版信息
BMC Pregnancy Childbirth. 2013 May 25;13:121. doi: 10.1186/1471-2393-13-121.
BACKGROUND
Mothers who attend antenatal care late miss the opportunity of early detection of HIV and STDs, malaria and anaemia prophylaxis, health education and treatment or prevention of complications. Whereas many women in Mulago hospital make their first antenatal care visit after 20 weeks of gestation, the reasons for coming late are not documented. The objectives were to determine the gestation age at which pregnant women make their first antenatal care visit and the reasons for late coming.
METHOD
The study was conducted in June 2012 among women with a gestation age of more than 20 weeks on their first antenatal care visit. We collected data on gestation age (from weeks of amenorrhea or based on ultrasound scan) and reasons for coming late.
RESULTS
Four hundred women participated in the study. Their mean age was 25.2 years with a standard deviation of 5.2 years. The majority of the participants were Catholics (n = 126, 31.5%), they lived in a distance of greater than five kilometers from the hospital (n = 201, 50.3%) and had attained secondary education (n = 220, 55.0%). The mean of their weeks of amenorrhea was 27.9 (± 4.6) weeks. The results showed that 291 (72.7%) of the study participants did not know the right gestation age at which a pregnant woman should start attending antenatal care. One hundred and ten (27.5%) agreed that they did not have money for transport to bring them to the hospital while 37 (9.3%) thought that they had to pay for the antenatal care services. Two hundred thirteen (53.3%) reported that they did not have any problem with their current pregnancy and so they saw no reason to come early for antenatal care, even though some of these knew the right gestation age at which they should make their first antenatal care visit.
CONCLUSION
Pregnant women who come late for antenatal care in Mulago hospital, Uganda are not well-informed about the right gestation age at which they should make their first antenatal care visit and/or of the importance of early attendance at antenatal care.
背景
产前检查就诊晚的母亲错失了早期检测艾滋病毒和性传播疾病、疟疾和贫血预防、健康教育以及并发症治疗或预防的机会。虽然穆拉戈医院的许多女性在妊娠20周后才首次进行产前检查，但迟到的原因并未记录在案。目的是确定孕妇首次进行产前检查时的孕周以及迟到的原因。
方法
2012年6月，对首次产前检查时孕周超过20周的女性进行了研究。我们收集了孕周（根据闭经周数或超声扫描结果）和迟到原因的数据。
结果
400名女性参与了研究。她们的平均年龄为25.2岁，标准差为5.2岁。大多数参与者是天主教徒（n = 126，31.5%），她们居住在距离医院超过5公里的地方（n = 201，50.3%），并且接受过中等教育（n = 220，55.0%）。她们闭经周数的平均值为27.9（±4.6）周。结果显示，291名（72.7%）研究参与者不知道孕妇应该开始产前检查的正确孕周。110名（27.5%）同意她们没有钱支付去医院的交通费用，而37名（9.3%）认为她们必须支付产前检查服务费用。213名（53.3%）报告说她们目前的怀孕没有任何问题，所以她们认为没有理由提前来进行产前检查，尽管其中一些人知道她们应该首次进行产前检查的正确孕周。
结论
乌干达穆拉戈医院产前检查迟到的孕妇对她们应该首次进行产前检查的正确孕周和/或早期进行产前检查的重要性了解不足。
Zotero 插件