Sekoni O O, Owoaje E T
Department of Preventive Medicine and Primary Care (Community Medicine), College of Medicine, University of Ibadan, Ibadan, Nigeria.
Ann Ib Postgrad Med. 2014 Dec;12(2):89-95.
Knowledge of danger signs in pregnancy can be regarded as one of the ways to eliminate the first level of delay as a factor influencing maternal mortality. The role of men as decision makers cannot be overlooked in this regard. The aim of this study was to determine men's knowledge of danger signs in pregnancy and their role in pregnancy related decision making.
A cross sectional survey was conducted among 259 men aged 15-65 years in selected communities in Ibadan, Oyo State by multistage sampling. A semi-structured pretested questionnaire was used to obtain information on socio-demographic characteristics, attitude and practices concerning antenatal care, knowledge of danger signs in pregnancy and decision to seek hospital care. Knowledge of danger signs was the main outcome measure categorized into poor and good based on a score of ≤ 6 and > 6. Data were analyzed using descriptive statistics and bivariate analysis with level of significance set at 5%.
Mean age of respondents was 40.4 ± 11.4 years. Almost half had at least secondary education (47.5%) and were mainly artisans by occupation (59.8%), while 18.1% could not mention any danger sign. Majority had poor knowledge about danger signs in pregnancy (60.6%). There was no significant difference in knowledge of respondents within different age groups, by occupation, number of children and from different educational levels.
Poor knowledge of obstetric danger signs was evident among these men. Programmes targeted at providing education about danger signs in pregnancy for men are recommended.
了解孕期危险信号可被视为消除影响孕产妇死亡率的一级延误因素的方法之一。在这方面，男性作为决策者的作用不容忽视。本研究的目的是确定男性对孕期危险信号的了解情况及其在孕期相关决策中的作用。
通过多阶段抽样，在奥约州伊巴丹选定社区对259名年龄在15 - 65岁的男性进行了横断面调查。使用一份经过预测试的半结构化问卷来获取有关社会人口学特征、产前护理的态度和做法、孕期危险信号的知识以及寻求医院护理的决策等信息。危险信号知识是主要的结局指标，根据得分≤6分和>6分分为差和良好两类。使用描述性统计和双变量分析对数据进行分析，显著性水平设定为5%。
受访者的平均年龄为40.4±11.4岁。几乎一半的人至少接受过中等教育（47.5%），职业主要是工匠（59.8%），而18.1%的人说不出任何危险信号。大多数人对孕期危险信号的了解较差（60.6%）。不同年龄组、职业、子女数量和不同教育水平的受访者在知识方面没有显著差异。
这些男性对产科危险信号的了解较差。建议开展针对男性的孕期危险信号教育项目。
