Hibstu Desalegn Tsegaw, Siyoum Yadeshi Demisse
Department of Reproductive Health, Hawassa University, College of Medicine and Health Sciences, School of Public and Environmental Health, Hawassa, Ethiopia.
Department of Public Health, Hawassa University, College of Medicine and Health Sciences, School of Public and Environmental Health, Hawassa, Ethiopia.
Arch Public Health. 2017 Aug 14;75:35. doi: 10.1186/s13690-017-0203-y. eCollection 2017.
Obstetric danger signs are not the literal obstetric complications, merely symptoms that are well named by non-clinical personnel. The identification of these danger signs and its relation with complications during pregnancy would increase the capacity of women, their partners and families to seek for timely health care, following the appropriate steps to insure a safe birth and post-partum. The aim of this study was to assess the knowledge of obstetric danger signs and associated factors among pregnant women attending antenatal care in Yirgacheffe town, Gedeo zone, Southern Ethiopia.
Institutional-based cross-sectional study was conducted from March 15-April 15, 2016. Data on pregnant women were collected using a pre-tested and interviewer administered structured questionnaire from 342 women using systematic random sampling technique. Bivariate and multivariate logistic regression was performed using SPSS version 20.0 software.
A total of 342 (90%) pregnant women were included in the study. The level of obstetric knowledge of danger signs was 21.9% (95% CI: 20.2-55.65%). Maternal education (AOR = 0.26, CI: 0.08, 0.88), paternal education (AOR = 0.13, CI; 0.04, 04) and time taken to reach health facilities on foot (AOR = 0.06, CI: 0.02, 0.17) were negatively associated factors while maternal age (AOR = 3.68, CI: 1.30, 10.46), paternal occupation (AOR = 4.65, CI: 1.82, 11.87), place of residence (AOR = 2.61, CI: 1.35, 5.04) were positively associated factors with knowledge of obstetric danger signs.
Maternal and paternal education, maternal age, paternal occupation, place of residence and time taken to reach health facility on foot were the main factors for knowledge of obstetric danger signs. Increasing knowledge of key danger signs, creating and promoting income generating mechanisms need to be continuously done at the health facility and the community as it makes ready women and their families for prompt and appropriate decisions and measures in case of obstetric danger signs.
产科危险信号并非字面意义上的产科并发症，仅仅是一些能被非临床人员恰当命名的症状。识别这些危险信号及其与孕期并发症的关系，将提高妇女及其伴侣和家庭寻求及时医疗护理的能力，遵循适当步骤以确保安全分娩和产后健康。本研究的目的是评估埃塞俄比亚南部盖德奥地区伊尔加切夫镇接受产前护理的孕妇对产科危险信号的知晓情况及相关因素。
2016年3月15日至4月15日进行了一项基于机构的横断面研究。使用预先测试且由访谈员管理的结构化问卷，通过系统随机抽样技术从342名妇女中收集关于孕妇的数据。使用SPSS 20.0软件进行双变量和多变量逻辑回归分析。
共有342名（90%）孕妇纳入研究。产科危险信号的知晓水平为21.9%（95%置信区间：20.2 - 55.65%）。母亲教育程度（调整后比值比[AOR]=0.26，置信区间：0.08，0.88）、父亲教育程度（AOR = 0.13，置信区间；0.04，0.4）以及步行到达医疗机构所需时间（AOR = 0.06，置信区间：0.02，0.17）为负相关因素，而母亲年龄（AOR = 3.68，置信区间：1.30，10.46）、父亲职业（AOR = 4.65，置信区间：1.82，11.87）、居住地点（AOR = 2.61，置信区间：1.35，5.04）为与产科危险信号知晓情况呈正相关的因素。
母亲和父亲的教育程度、母亲年龄、父亲职业、居住地点以及步行到达医疗机构所需时间是产科危险信号知晓情况的主要因素。在医疗机构和社区需要持续增加对关键危险信号的知晓，创造并促进创收机制，因为这能让妇女及其家庭在出现产科危险信号时做好迅速做出恰当决策和采取措施的准备。
