Graduate School of Medicine, Kyoto University, 53 Shogoin-kawaharacho, Sakyo-ku, Kyoto, 606-8507, Japan.
Magunga District Hospital, P. O. Box 430, Old-Korogwe, Tanga, Tanzania.
Reprod Health. 2019 Jul 16;16(1):107. doi: 10.1186/s12978-019-0776-8.
In Tanzania, the information on Birth Preparedness and Complication Readiness is insufficiently provided to pregnant women and their families. The aim of this study was to evaluate the maternal and infant outcomes of a family-oriented antenatal group education program that promotes Birth Preparedness and Complication Readiness in rural Tanzania.
Pregnant women and families were enrolled in a program about nutrition and exercise, danger signs, and birth preparedness. The cross sectional survey was conducted one year later to evaluate if the participants of the program (intervention group) were different from those who did not participate (control group) with respect to birth-preparedness and maternal and infant outcomes.
A total of 194 participants (intervention group, 50; control group, 144) were analyzed. For Birth Preparedness and Complication Readiness, the intervention group participants knew a health facility in case of emergency (OR: 3.11, 95% CI: 1.39-6.97); arranged accompaniment to go to a health facility for birth (OR: 2.56, 95% CI: 1.17-5.60); decided the birthplace with or by the pregnant women (OR: 3.11, 95% CI: 1.44-6.70); and attended antenatal clinic more than four times (OR: 2.39, 95% CI: 1.20-4.78). For birth outcomes, the intervention group had less bleeding or seizure during labour and birth (OR: 0.28, 95%CI: 0.13-0.58); fewer Caesarean sections (OR: 0.16, 95% CI: 0.07-0.36); and less neonatal complications (OR: 0.28, 95% CI: 0.13-0.60).
The four variables were significantly better in the intervention group, i.e., identifying a health facility for emergencies, family accompaniment for facility birth, antenatal visits, and involvement of women in decision-making, which may be key factors for improving birth outcome variables. Having identified these key factors, male involvement and healthy pregnant lives should be emphasized in antenatal education to reduce pregnancy and childbirth complications.
No.2013-273-NA-2013-101 . Registered 12 August 2013.
在坦桑尼亚，孕妇及其家属获得的分娩准备和并发症应对信息不足。本研究旨在评估一项以家庭为导向的产前群体教育计划对母婴结局的影响，该计划旨在促进坦桑尼亚农村地区的分娩准备和并发症应对。
孕妇及其家庭参加了关于营养和运动、危险信号以及分娩准备的课程。一年后进行横断面调查，以评估参加该计划的参与者（干预组）与未参加的参与者（对照组）在分娩准备和母婴结局方面是否存在差异。
共有 194 名参与者（干预组 50 名，对照组 144 名）纳入分析。在分娩准备和并发症应对方面，干预组的参与者在紧急情况下知道去哪家医疗机构（比值比：3.11，95%置信区间：1.39-6.97）；安排有人陪同去医疗机构分娩（比值比：2.56，95%置信区间：1.17-5.60）；决定分娩地点或由孕妇决定（比值比：3.11，95%置信区间：1.44-6.70）；并进行了四次以上的产前检查（比值比：2.39，95%置信区间：1.20-4.78）。在分娩结局方面，干预组分娩和分娩过程中出血或抽搐较少（比值比：0.28，95%置信区间：0.13-0.58）；剖宫产较少（比值比：0.16，95%置信区间：0.07-0.36）；新生儿并发症较少（比值比：0.28，95%置信区间：0.13-0.60）。
干预组的四个变量明显更好，即识别紧急情况下的医疗机构、家庭陪同去医疗机构分娩、产前检查次数和妇女参与决策，这些可能是改善分娩结局变量的关键因素。确定了这些关键因素后，应该在产前教育中强调男性参与和健康的孕妇生活，以减少妊娠和分娩并发症。
No.2013-273-NA-2013-101。注册于 2013 年 8 月 12 日。
