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埃塞俄比亚西北部孕妇的分娩准备与并发症应对实践及相关因素

Birth Preparedness and Complication Readiness Practice and Associated Factors among Pregnant Women, Northwest Ethiopia.

作者信息

Bitew Yewondwossen, Awoke Worku, Chekol Simachew

机构信息

GAMBY College of Medical Sciences, P.O. Box 209, Bahir Dar, Ethiopia.

College of Medicine and Health Sciences, Bahir Dar University, P.O. Box 693, Bahir Dar, Ethiopia.

出版信息

Int Sch Res Notices. 2016 Sep 18;2016:8727365. doi: 10.1155/2016/8727365. eCollection 2016.

Abstract

. Little is known about birth preparedness and complication readiness (BPCR) plan in resource limited settings to decrease maternal mortality. Therefore, this study was done to assess the status of BPCR and associated factors among pregnant women in South Wollo, Northwest Ethiopia, by involving 819 pregnant women from March to April, 2014. Data were collected by using pretested interviewer administered questionnaire and analyzed using a computer program of SPSS version 20.00. . Pregnant women who were prepared for at least three elements of BPCR were 24.1%. Pregnant women knowing at least three key danger signs during pregnancy, delivery, and postnatal period were 23.2%, 22.6%, and 9.6%, respectively. Women having secondary education and higher were 6.20 (95% CI = [1.36, 28.120]) times more likely to be prepared than illiterates. Women having a lifetime history of stillbirth [5.80 (1.13, 29.63)], attending ANC for last child pregnancy [5.44 (2.07, 14.27)], participating in community BPCR group discussion [4.36 (1.17, 16.26)], and having their male partner involved in BPCR counseling during ANC follow-up [4.45 (1.95, 10.16)] were more likely to be prepared. . BPCR was very low and should be strengthened through health communication by involving partner in BPCR counseling.

摘要

在资源有限的环境中,关于分娩准备和并发症应对(BPCR)计划以降低孕产妇死亡率的情况知之甚少。因此,本研究旨在评估埃塞俄比亚西北部南沃洛地区孕妇的BPCR状况及相关因素,于2014年3月至4月纳入了819名孕妇。数据通过使用预先测试的访谈员管理问卷收集,并使用SPSS 20.00版计算机程序进行分析。至少为BPCR的三个要素做好准备的孕妇占24.1%。在孕期、分娩期和产后至少知晓三个关键危险信号的孕妇分别占23.2%、22.6%和9.6%。接受过中等及以上教育的女性做好准备的可能性是文盲女性的6.20倍(95%可信区间 = [1.36, 28.120])。有死胎史的女性[5.80(1.13, 29.63)]、为最后一胎妊娠参加过产前保健的女性[5.44(2.07, 14.27)]、参与过社区BPCR小组讨论的女性[4.36(1.17, 16.26)]以及在产前保健随访期间让男性伴侣参与BPCR咨询的女性[4.45(1.95, 10.16)]更有可能做好准备。BPCR水平非常低,应通过让伴侣参与BPCR咨询的健康沟通来加强。

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