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埃塞俄比亚提格雷中部地区接受产前护理的孕妇首次进行重点产前护理登记的时间及相关因素。

Timing of first focused antenatal care booking and associated factors among pregnant mothers who attend antenatal care in Central Zone, Tigray, Ethiopia.

作者信息

Gidey Gebreamlak, Hailu Birhane, Nigus Kidane, Hailu Tesfay, G/Her Woldegebriel, Gerensea Hadgu

机构信息

Department of Midwifery, College of Health Science and Referral Hospital, Aksum University, Aksum, Ethiopia.

Department of Midwifery, MCHS, Adigrat University, Adigrat, Ethiopia.

出版信息

BMC Res Notes. 2017 Nov 21;10(1):608. doi: 10.1186/s13104-017-2938-5.

Abstract

OBJECTIVE

Focused antenatal care became the recommended type of antenatal care following the publication of a World Health Organization trial on antenatal care where it was discovered that the traditional antenatal care approach do not necessarily improve pregnancy out-come. This study was aimed to assess timing of first focused antenatal care booking and associated factors among pregnant mothers. Facility based cross sectional study was used in the randomly selected health facilities. Total 239 pregnant women who visited antenatal clinic were selected using simple random sampling technique and data were entered and analyzed using SPSS version 20.0 software.

RESULTS

The study shows that only 41% of pregnant mothers booked timely antenatal care and the median duration of pregnancy at the first visit was 5 months. Multivariate logistic regression analysis showed that gravidity and information received on correct time of antenatal care booking from health care provider were significantly associated with timely initiation of antenatal care. Late antenatal care booking remains high in the study area and this indicated that provide information, education and communication to create community awareness is remarkable and implementing community based discussion up to the local level will be crucial.

摘要

目的

在世界卫生组织一项关于产前护理的试验发表后,重点产前护理成为推荐的产前护理类型,该试验发现传统的产前护理方法不一定能改善妊娠结局。本研究旨在评估首次重点产前护理预约的时间以及怀孕母亲中的相关因素。在随机选择的医疗机构中采用基于机构的横断面研究。使用简单随机抽样技术选取了239名到产前诊所就诊的孕妇,并使用SPSS 20.0软件录入和分析数据。

结果

研究表明,只有41%的怀孕母亲及时预约了产前护理,首次就诊时的妊娠中位数持续时间为5个月。多因素逻辑回归分析表明,妊娠次数以及从医疗保健提供者处获得的关于正确产前护理预约时间的信息与及时开始产前护理显著相关。在研究区域,产前护理预约延迟的情况仍然很严重,这表明提供信息、教育和宣传以提高社区意识非常重要,并且在地方层面开展基于社区的讨论至关重要。

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