Lakew Yohannes, Tessema Fasil, Hailu Chernet
Gibe Wereda Health Office, Hadiya Zone, Ethiopia.
Department of Epidemiology, Jimma University, Jimma, Ethiopia.
J Environ Public Health. 2016;2016:6458283. doi: 10.1155/2016/6458283. Epub 2016 Dec 27.
. Birth preparedness program was designed to enhance skilled birth attendance and postpartum checkups of women in a developing country to reduce the three delays that lead women and neonates to death and disability. However, the relationship between birth preparedness with skilled birth attendance and postpartum checkups among mothers is not well studied. Therefore this study is intended to assess the association between birth preparedness and skilled birth attendance and postpartum checkups. . A community based cross-sectional study was conducted from March to April 2014. Eight out of 22 Kebeles were selected using probability proportional to size sampling method. Seven hundred and forty-five mothers were selected randomly from the sampling frame, generated from family folders obtained from health posts. Data was collected using pretested questionnaire by face-to-face interview. Data was entered into EpiData version 3.1 database and analyzed by SPSS version 16. . Out of 745 sampled mothers 728 (97.7%) participated in the study. One hundred and twelve (15.4%) and 128 (17.6%) mothers got skilled birth attendance and received postpartum checkups for their last child, respectively. Birth preparedness, educational status of women and their husbands, and antenatal care visits of mothers were found to be predictor of skilled birth attendance and postpartum checkups. Mothers well prepared for child birth were 6.7 times more likely to attend skilled birth attendance [AOR = 6.7 (2.7-16.4)] and 3 times more likely to follow postpartum checkups [AOR = 3.0 (1.5-5.9)] than poorly prepared mothers, respectively. Travel time to reach the nearest health facility was found as predictor for postpartum checkups of mothers; mothers who travel ≤ 2 hours were three times more likely to follow postpartum checkups than mothers who travel > 2 hours (AOR (95% CI) = 3.4 (1.5-7.9)). . Skilled birth attendance and postpartum checkups were low. Encouraging women to attend recommended antenatal care visits and providing advice and education on birth preparedness and obstetric danger signs are important interventions to increase skilled birth attendance and postpartum checkups.
分娩准备计划旨在提高发展中国家妇女的熟练助产服务和产后检查水平，以减少导致妇女和新生儿死亡及残疾的三大延误。然而，母亲的分娩准备与熟练助产服务和产后检查之间的关系尚未得到充分研究。因此，本研究旨在评估分娩准备与熟练助产服务和产后检查之间的关联。
2014年3月至4月进行了一项基于社区的横断面研究。采用规模比例概率抽样方法从22个 Kebeles 中选取了8个。从卫生所获取的家庭档案生成的抽样框中随机选取了745名母亲。通过面对面访谈使用预先测试的问卷收集数据。数据录入EpiData 3.1版本数据库，并使用SPSS 16版本进行分析。
在745名抽样母亲中，728名（97.7%）参与了研究。分别有112名（15.4%）和128名（17.6%）母亲在其最后一个孩子出生时获得了熟练助产服务并接受了产后检查。分娩准备、妇女及其丈夫的教育程度以及母亲的产前检查次数被发现是熟练助产服务和产后检查的预测因素。与准备不足的母亲相比，为分娩做好充分准备的母亲接受熟练助产服务的可能性高6.7倍[AOR = 6.7（2.7 - 16.4）]，接受产后检查的可能性高3倍[AOR = 3.0（1.5 - 5.9）]。到达最近卫生设施的出行时间被发现是母亲产后检查的预测因素；出行时间≤2小时的母亲接受产后检查的可能性是出行时间>2小时的母亲的3倍（AOR（95%CI）= 3.4（1.5 - 7.9））。
熟练助产服务和产后检查水平较低。鼓励妇女参加推荐的产前检查，并就分娩准备和产科危险信号提供建议和教育，是提高熟练助产服务和产后检查水平的重要干预措施。
