埃塞俄比亚南部戴尔地区孕妇母亲参与论坛对孕妇分娩准备和并发症应对能力的影响：一项比较性横断面研究
Effect of Pregnant Mothers' Forum Participation on Birth Preparedness and Complication Readiness among Pregnant Women in Dale District, Southern Ethiopia: A Comparative Cross-Sectional Study.
作者信息
Bogale Bizuayehu, Astatkie Ayalew, Wakgari Negash
机构信息
Kangaroo Mother Care Project, College of Medicine and Health Sciences, Hawassa University, Hawassa, Ethiopia.
School of Public Health, College of Medicine and Health Sciences, Hawassa University, Hawassa, Ethiopia.
出版信息
J Pregnancy. 2019 May 5;2019:1429038. doi: 10.1155/2019/1429038. eCollection 2019.
BACKGROUND
Pregnant mothers' forum is the innovative intervention strategy being implemented in Ethiopia to facilitate birth preparedness and complication readiness practice. However, its effect on birth preparedness and complication readiness has not been investigated.
OBJECTIVE
This study assessed the association of participation in pregnant mothers' forum with birth preparedness and complication readiness plan among pregnant women in Dale District.
METHODS
A community-based comparative cross-sectional study was conducted among 604 pregnant women (302 who were forum members [exposed] and 302 who were forum nonmembers [unexposed]). Multistage sampling technique was used to select respondents. Data were collected door to door using a pretested and structured questionnaire through face-to-face interview. Data were entered and analyzed using SPSS version-20. Multiple logistic regression analysis was used to identify the effect of pregnant mothers' forum membership on birth preparedness and complication readiness adjusting for other variables.
RESULTS
About 22.5% of pregnant women were well prepared for birth. A quarter (25.8%) of the women was prepared for the anticipated complications of whom 20.7% were the forum members. Being pregnant mother's forum member (AOR=2.86, 95% CI=1.50,5.44), having focused counseling (AOR=3.73, 95% CI=1.17,11.83), monthly income (AOR=2.55, 95% CI=1.44,4.51), having antenatal care (AOR=3.73,95% CI=1.05,13.21), and institutional delivery during last birth (AOR=2.41, 95% CI=1.38,4.22) were significantly associated with birth preparedness. Similarly, being forum members (AOR=3.55, 95%CI=2.18, 5.78) and having antenatal care attendance before or at four months of gestational age (AOR=3.16, 95%CI=2.04, 4.91) were found to be predictors of complication readiness.
CONCLUSION
In this study, birth preparedness and complication readiness is found to be low. However, it was significantly higher among forum members compared to forum nonmembers. Hence, efforts should be targeted to strengthen the pregnant mothers' forum and enroll the pregnant women to antenatal care service at early stage of the pregnancy.
背景
孕妇论坛是埃塞俄比亚正在实施的一项创新干预策略，旨在促进分娩准备和并发症应对措施的落实。然而，其对分娩准备和并发症应对的影响尚未得到研究。
目的
本研究评估了戴尔地区孕妇参与孕妇论坛与分娩准备及并发症应对计划之间的关联。
方法
对604名孕妇（302名论坛成员[暴露组]和302名非论坛成员[非暴露组]）进行了一项基于社区的比较横断面研究。采用多阶段抽样技术选取受访者。通过面对面访谈，使用预先测试和结构化的问卷挨家挨户收集数据。使用SPSS 20版录入和分析数据。采用多元逻辑回归分析来确定孕妇论坛成员身份对分娩准备和并发症应对的影响，并对其他变量进行调整。
结果
约22.5%的孕妇为分娩做好了充分准备。四分之一（25.8%）的女性为预期并发症做好了准备，其中20.7%是论坛成员。成为孕妇论坛成员（比值比=2.86，95%置信区间=1.50，5.44）、接受针对性咨询（比值比=3.73，95%置信区间=1.17，11.83）、月收入（比值比=2.55，95%置信区间=1.44，4.51）、接受产前护理（比值比=3.73，95%置信区间=1.05，13.21）以及上次分娩时在医疗机构分娩（比值比=2.41，95%置信区间=1.38，4.22）与分娩准备显著相关。同样，成为论坛成员（比值比=3.55，95%置信区间=2.18，5.78）以及在孕龄四个月之前或四个月时接受产前护理（比值比=3.16，95%置信区间=2.04，4.91）被发现是并发症应对的预测因素。
结论
在本研究中，发现分娩准备和并发症应对水平较低。然而，与非论坛成员相比，论坛成员中的这一水平显著更高。因此，应努力加强孕妇论坛，并让孕妇在怀孕早期就加入产前护理服务。
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