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2018年埃塞俄比亚北部提格雷东部地区孕妇晚期产前保健随访的决定因素:非匹配病例对照研究

Determinants of late antenatal care follow up among pregnant women in Easter zone Tigray, Northern Ethiopia, 2018: unmatched case-control study.

作者信息

Weldearegawi Gebrehiwot Gebremariam, Teklehaimanot Berhane Fseha, Gebru Hirut Teame, Gebrezgi Znabu Asfaw, Tekola Kidanemaryam Berhe, Baraki Mulu Ftiwi

机构信息

Department of Public Health, College of Medicine and Health Sciences, Adigrat University, Adigrat, Ethiopia.

School of Public Health, Department of Nutrition, Mekelle University, Mek'ele, Ethiopia.

出版信息

BMC Res Notes. 2019 Nov 19;12(1):752. doi: 10.1186/s13104-019-4789-8.

DOI:10.1186/s13104-019-4789-8
PMID:31744531
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6862862/
Abstract

OBJECTIVE

The purpose of the study was to identify determinants of late antennal care at first visit in health facilities of eastern zone of Tigray, Northern Ethiopia 2018.

RESULT

Women with unplanned pregnancy (AOR = 4.03, 95%, CI 1.56-5.67), Participants whose previous first antenatal care was after 16 weeks (AOR = 3.9, 95% CI 1.98-7.68), Participants did not accompanied by their partner for antenatal visit (AOR = 1.29, 95%, CI 1.05-4.67), women recognized their current pregnancy at 3 months or late (AOR = 4.7, 95%, CI 2.49-9.04) and participants provided adequate time for their previous antenatal care by health professionals (AOR = 0.461, 95% CI 0.342-0.875) were found the determinant factors of late antenatal care at first Visit. Hence family planning utilization, times of first visit antenatal, information flow and supporting by partners have a great role in improving antenatal care at first visit. There for responsible bodies should give focuses on utilization of family planning, increasing awareness of pregnancy symptoms and health provisional provide adequate time during visits.

摘要

目的

本研究旨在确定2018年埃塞俄比亚北部提格雷东部地区卫生设施首次就诊时晚期产前护理的决定因素。

结果

意外怀孕的女性(调整后比值比[AOR]=4.03,95%置信区间[CI]为1.56 - 5.67)、之前首次产前检查在16周之后的参与者(AOR = 3.9,95% CI为1.98 - 7.68)、产前检查没有伴侣陪同的参与者(AOR = 1.29,95% CI为1.05 - 4.67)、在怀孕3个月及以后才意识到自己怀孕的女性(AOR = 4.7,95% CI为2.49 - 9.04)以及之前卫生专业人员为其产前检查提供了充足时间的参与者(AOR = 0.461,95% CI为0.342 - 0.875)被发现是首次就诊时晚期产前护理的决定因素。因此,计划生育的使用、首次产前检查时间、信息流通以及伴侣的支持在改善首次就诊时的产前护理方面发挥着重要作用。因此,责任机构应关注计划生育的使用、提高对怀孕症状的认识,并且卫生机构在就诊期间应提供充足时间。

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