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最后出生孩子的性别对短生育间隔行为的影响:以埃塞俄比亚北部孕妇为例。

The effect of sex of last child on short birth interval practice: the case of northern Ethiopian pregnant women.

作者信息

Ejigu Amare Genetu, Yismaw Ayenew Engida, Limenih Miteku Andualem

机构信息

Department of Midwifery, College of Health Science, Mizantepi University, Mizantepi, Ethiopia.

Department of Midwifery, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.

出版信息

BMC Res Notes. 2019 Feb 4;12(1):75. doi: 10.1186/s13104-019-4110-x.

Abstract

OBJECTIVE

Improving short birth interval practice is a key strategy to reduce maternal mortality, neonatal mortality, adverse pregnancy outcomes, high fertility rate and undermining economic development efforts. However, there were limited evidences on short birth interval practice and its determinant factors in Ethiopia. This study aimed to determine the prevalence of short birth interval practice and associated factors among pregnant women. Institutional based cross-sectional study was conducted among 418 pregnant mothers using stratified sampling technique. Multivariable logistic regression analysis was performed at the level of significance of P-value < 0.05.

RESULT

Short birth interval practice was found to be 40.9%. Child death (AOR = 3.60, 95% CI 1.35, 9.59), female child (AOR = 2.03, 95% CI 1.12, 3.67), younger maternal age (AOR = 4.23, 95% CI 1.14, 12.66), contraceptive non-use (AOR = 8.15, 95% CI 4.17, 15.94), increase duration of breastfeeding (AOR = 4.72, 95 CI% 1.10, 20.60) and home delivery (AOR = 4.75, 95 CI% 2.30, 9.79) were found to be significantly associated with short birth interval practice. The prevalence of short birth interval practice is high. Multi disciplinary approach through improving maternal and child health care are recommended to prevent short birth interval practice.

摘要

目的

缩短生育间隔是降低孕产妇死亡率、新生儿死亡率、不良妊娠结局、高生育率以及破坏经济发展努力的关键策略。然而,关于埃塞俄比亚缩短生育间隔做法及其决定因素的证据有限。本研究旨在确定孕妇中缩短生育间隔做法的患病率及其相关因素。采用分层抽样技术,对418名怀孕母亲进行了基于机构的横断面研究。在P值<0.05的显著性水平上进行多变量逻辑回归分析。

结果

发现缩短生育间隔的做法占40.9%。儿童死亡(调整后比值比[AOR]=3.60,95%置信区间[CI]为1.35至9.59)、女孩(AOR=2.03,95%CI为1.12至3.67)、产妇年龄较小(AOR=4.23,95%CI为1.14至12.66)、未使用避孕药具(AOR=8.15,95%CI为4.17至15.94)、母乳喂养时间延长(AOR=4.72,95%CI为1.10至20.60)和在家分娩(AOR=4.75,95%CI为2.30至9.79)被发现与缩短生育间隔做法显著相关。缩短生育间隔做法的患病率很高。建议通过改善母婴保健采取多学科方法来预防缩短生育间隔的做法。

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