埃塞俄比亚奥罗米亚州戈巴县育龄妇女的分娩准备和并发症应对情况
Birth preparedness and complication readiness among women of child bearing age group in Goba woreda, Oromia region, Ethiopia.
作者信息
Markos Desalegn, Bogale Daniel
机构信息
Department of Nursing, College of Medicine and Health Sciences, Madawalabu University, Bale, Goba, Ethiopia.
出版信息
BMC Pregnancy Childbirth. 2014 Aug 18;14:282. doi: 10.1186/1471-2393-14-282.
BACKGROUND
Birth preparedness and complication readiness is the process of planning for normal birth and anticipating the actions needed in case of an emergency. It is also a strategy to promote the timely use of skilled maternal care, especially during childbirth, based on the theory that preparing for childbirth reduces delays in obtaining this care. Therefore, the aim of this study was to assess birth preparedness and complication readiness among women of child bearing age group in Goba woreda, Oromia region, Ethiopia.
METHODS
A community based cross sectional study was conducted in Goba woreda, Oromia region, Ethiopia. Multistage sampling was employed. Descriptive, binary and multiple logistic regression analyses were conducted. Statistically significant tests were declared at a level of significance of P value < 0.05.
RESULTS
Only 29.9% of the respondents were prepared for birth and its complications. And, only 82 (14.6%) study participants were knowledgeable about birth preparedness and complication readiness.Variables having statistically significant association with birth preparedness and complication readiness of women were attending up to primary education (AOR = 3.24, 95% CI = 1.75, 6.02), attending up to secondary and higher level of education (AOR = 2.88, 95% CI = 1.34, 6.15), the presence of antenatal care follow up (AOR = 8.07, 95% CI = 2.41,27.00), knowledge about key danger signs during pregnancy (AOR = 1.74, 95% CI = 1.06,2.88), and knowledge about key danger signs during the postpartum period (AOR = 2.08, 95% CI = 1.20,3.60).
CONCLUSIONS
Only a small number of respondents were prepared for birth and its complications. Furthermore, the vast majority of women were not knowledgeable about birth preparedness and complication readiness. Residence, educational status, ANC follow up, knowledge of key danger signs during pregnancy and the postpartum period were independent predictors of birth preparedness and complication readiness.
背景
分娩准备和并发症应对是为正常分娩制定计划并预测紧急情况所需采取行动的过程。这也是一种基于分娩准备可减少获得熟练产妇护理延迟这一理论，来促进及时使用熟练产妇护理（尤其是在分娩期间）的策略。因此，本研究的目的是评估埃塞俄比亚奥罗米亚州戈巴县育龄妇女的分娩准备和并发症应对情况。
方法
在埃塞俄比亚奥罗米亚州戈巴县开展了一项基于社区的横断面研究。采用多阶段抽样。进行了描述性、二元和多元逻辑回归分析。在P值<0.05的显著性水平上宣布具有统计学意义的检验结果。
结果
只有29.9%的受访者为分娩及其并发症做好了准备。并且，只有82名（14.6%）研究参与者了解分娩准备和并发症应对情况。与妇女的分娩准备和并发症应对情况具有统计学显著关联的变量包括接受小学及以下教育（比值比[AOR]=3.24，95%置信区间[CI]=1.75，6.02）、接受中学及以上教育（AOR=2.88，95%CI=1.34，6.15）、有产前检查随访（AOR=8.07，95%CI=2.41，27.00）、了解孕期关键危险信号（AOR=1.74，95%CI=1.06，2.88）以及了解产后关键危险信号（AOR=2.08，95%CI=1.20，3.60）。
结论
只有少数受访者为分娩及其并发症做好了准备。此外，绝大多数妇女不了解分娩准备和并发症应对情况。居住地、教育程度、产前检查随访、孕期和产后关键危险信号的知识是分娩准备和并发症应对情况的独立预测因素。
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