尼日利亚接生人员对分娩时男性伴侣在场的态度与做法

Attitude and Practice of Birth Attendants Regarding the Presence of Male Partner at Delivery in Nigeria.

作者信息

Adeniran Abiodun, Adesina Kikelomo, Aboyeji Abiodun, Balogun Olayinka, Adeniran Peace, Fawole Adegboyega

机构信息

Department of Obstetrics and Gynecology, University of Ilorin/ University of Ilorin Teaching Hospital, Ilorin, Nigeria.

Nursing Services Department, University of Ilorin Teaching Hospital, Ilorin.

出版信息

Ethiop J Health Sci. 2017 Mar;27(2):107-114. doi: 10.4314/ejhs.v27i2.2.

DOI:10.4314/ejhs.v27i2.2

PMID:28579705

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5440824/

Abstract

BACKGROUND

Despite increasing request for the male partners' presence at delivery in developing countries, the view and practice of birth attendants remained poorly understood.This study aimed to evaluate the perception, attitude and practice of birth attendants concerning the requests in Nigeria.

METHODS

A prospective, cross-sectional survey involving consenting birth attendants was conducted in six public and six private health facilities in North Central Nigeria. Statistical analysis was done with SPSS-version 20.0; p-value <0.05 was considered statistically significant.

RESULTS

Among 564 participants (24.8% male, 75.2% female), 465(82.4%) support the presence of male partners at delivery, 409(72.5%) desire to be with their partner at delivery, 434(77.0%) had previous request for male partner's presence at delivery while 225(51.8%) declined it due to perception that men will disturb. Among the male partners allowed at delivery, 92(44.0%) did not disturb the birth attendant while 5(2.4%) ended in litigation. Among birth attendants who allowed men at delivery in the past, 160(76.6%) will allow men in the future. There was no statistical significance regarding the age, gender, cadre or year of service of birth attendants and attitude to a protocol change to allow men at delivery. Birth attendants who support the presence of men at delivery showed positive attitude (OR33.178, 95%CI6.996-157.358; p<0.001) while those who opined that men would disturb at delivery had a negative attitude (OR0.306, 95%CI0.124-0.755); p0.010) to possible protocol change.

CONCLUSION

Despite perceived negative effects of allowing male partners at delivery, many birth attendants are willing to allow them if necessary structural modifications are instituted.

摘要

背景

尽管在发展中国家，要求男性伴侣陪产的呼声日益增高，但人们对助产人员的看法和做法仍知之甚少。本研究旨在评估尼日利亚助产人员对这些要求的认知、态度和做法。

方法

在尼日利亚中北部的六家公立和六家私立医疗机构对同意参与的助产人员进行了一项前瞻性横断面调查。使用SPSS 20.0版进行统计分析；p值<0.05被认为具有统计学意义。

结果

在564名参与者中（24.8%为男性，75.2%为女性），465人（82.4%）支持男性伴侣陪产，409人（72.5%）希望在分娩时与伴侣在一起，434人（77.0%）曾要求男性伴侣陪产，而225人（51.8%）因认为男性会造成干扰而拒绝。在允许陪产的男性伴侣中，92人（44.0%）没有干扰助产人员，5人（2.4%）最终引发了诉讼。在过去允许男性陪产的助产人员中，160人（76.6%）未来还会允许男性陪产。助产人员的年龄、性别、职称或服务年限以及对允许男性陪产的方案变更的态度之间没有统计学意义。支持男性陪产的助产人员表现出积极态度（OR 33.178，95%CI 6.996 - 157.358；p<0.001），而那些认为男性会在分娩时造成干扰的人对可能的方案变更持消极态度（OR 0.306，95%CI 0.124 - 0.755；p 0.010）。