尼日利亚西南部奥索博市孕妇的分娩准备与并发症应对情况
Birth preparedness and complication readiness among pregnant women in Osogbo Metropolis, Southwest Nigeria.
作者信息
Sabageh Adedayo Olukemi, Adeoye Oluwatosin Adediran, Adeomi Adeleye Abiodun, Sabageh Donatus, Adejimi Adebola Afolake
机构信息
Department of Community Medicine, Ladoke Akintola University of Technology, Ogbomoso, Oyo State, Nigeria.
Department of Community Medicine, Ladoke Akintola University of Technology Teaching Hospital, Ogbomoso, Oyo State, Nigeria.
出版信息
Pan Afr Med J. 2017 Jun 1;27:74. doi: 10.11604/pamj.2017.27.74.7266. eCollection 2017.
INTRODUCTION
High maternal mortality is a major problem in Nigeria. Birth Preparedness and Complication Readiness will ensure that women can have professional delivery thus reducing obstetric complications. This study assessed the birth preparedness and complication readiness among pregnant women in Osogbo metropolis, a south western community in Nigeria.
METHODS
A community based descriptive cross sectional survey was used. A total of 180 women were selected using multistage sampling technique. Pretested semi-structured interviewer administered questionnaires were used to elicit information about previous obstetric history, knowledge of the danger signs of pregnancy and level of birth preparedness. Composite score and mean were computed. Data analysis was done using Statistical Package for Social Sciences (SPSS) version 17. P-value was set at < 0.05.
RESULTS
The mean age was 26.11 ± 3.63 years. A total of 51.1% were carrying their 2 or 3pregnancies. A total of 70.8% were aware of danger signs in pregnancy and the commonest danger sign mentioned was bleeding per vagina. In all, 82.1% were well prepared for birth. Being in the younger age group (p = 0.026), being more educated (p < 0.0001) and being aware of danger signs in pregnancy (p < 0.0001) was more significantly associated with being well prepared.
CONCLUSION
The respondents were well prepared for birth with the younger women, educated ones and those knowledgeable of danger signs being better prepared. Continuous education about the Birth Preparedness and Complication Readiness should be sustained in order to maintain and improve women's preparedness.
引言
孕产妇死亡率高是尼日利亚的一个主要问题。分娩准备和并发症应对措施将确保妇女能够获得专业分娩服务，从而减少产科并发症。本研究评估了尼日利亚西南部社区奥索博市孕妇的分娩准备和并发症应对情况。
方法
采用基于社区的描述性横断面调查。使用多阶段抽样技术共选取了180名妇女。采用预先测试的半结构化访谈问卷来获取有关既往产科病史、妊娠危险信号知识和分娩准备水平的信息。计算综合得分和均值。使用社会科学统计软件包（SPSS）17版进行数据分析。设定P值<0.05。
结果
平均年龄为26.11±3.63岁。共有51.1%的孕妇怀有2次或3次身孕。共有70.8%的孕妇知晓妊娠危险信号，提及最多的危险信号是阴道出血。总体而言，82.1%的孕妇为分娩做好了充分准备。年龄较小（p = 0.026）、受教育程度较高（p < 0.0001）以及知晓妊娠危险信号（p < 0.0001）与准备充分的关联更为显著。
结论
受访者为分娩做好了充分准备，年轻女性、受过教育的女性以及知晓危险信号的女性准备得更好。应持续开展关于分娩准备和并发症应对的教育，以维持和提高妇女的准备水平。
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