Weldemariam Solomon, Kiros Amare, Welday Mengistu
Department of Midwifery, College of Health Sciences, Mekelle University, Mekelle, Ethiopia.
Department of Midwifery, College of Health Sciences, Pawe, Ethiopia.
BMC Res Notes. 2018 Mar 27;11(1):194. doi: 10.1186/s13104-018-3295-8.
The aim of this study was to assess institutional delivery and its associated factors in Benishangul-Gumez region, North-West of Ethiopia. The data were obtained at community level in a single survey within 1 month and there is no continuation of this study or previously published part elsewhere.
Among the 428 eligible respondents recruited for this study, 427 of them responded completely to the interview, giving a response rate of 99.8%. Of the total (427) respondents, 51.1% women delivered the recent child at health facility in the 12 months preceding the survey. Among the common reasons for home delivery were, labour was urgent (25.8%), home birth was usual habit for them (23.9%) and distance to health center was too far. Age (AOR = 3.4, 95% CI 1.46, 7.97), husband occupation (AOR = 5.16, 95% CI 1.74, 15.31), frequency of antenatal care visit (AOR = 3.34, 95% CI 1.88, 5.94) and maternal knowledge on danger signs of pregnancy and delivery (AOR = 7.18, 95% CI 3.77, 13.66) were significantly associated factors with institutional delivery. Although, the prevalence of institutional delivery has improved when compared to previous reports, strategic modification is important to increase health facility delivery.
本研究旨在评估埃塞俄比亚西北部贝尼尚古尔-古姆兹地区的机构分娩情况及其相关因素。数据是在1个月内通过一次社区层面的单一调查获得的，本研究没有后续跟进，也没有在其他地方发表过之前的部分内容。
在为本研究招募的428名符合条件的受访者中，427人对访谈做出了完整回应，回应率为99.8%。在全部（427名）受访者中，51.1%的女性在调查前的12个月内在医疗机构分娩了最近的孩子。在家分娩的常见原因包括，分娩紧急（25.8%）、在家分娩是她们的惯常做法（23.9%）以及距离健康中心太远。年龄（调整后比值比[AOR]=3.4，95%置信区间[CI]1.46，7.97）、丈夫职业（AOR=5.16，95%CI 1.74，15.31）、产前检查就诊频率（AOR=3.34，95%CI 1.88，5.94）以及母亲对怀孕和分娩危险信号的认知（AOR=7.18，95%CI 3.77，13.66）是与机构分娩显著相关的因素。尽管与之前的报告相比，机构分娩的患病率有所提高，但进行战略调整对于增加医疗机构分娩率很重要。
