Department of Midwifery, College of Health and Medical Sciences, Wolaita Sodo University, Wolaita Sodo, Ethiopia.
Department of Nursing, College of Health Science and Medicine, Wolaita Sodo University, Wolaita Sodo, Ethiopia.
BMC Pregnancy Childbirth. 2020 Jan 30;20(1):62. doi: 10.1186/s12884-020-2758-9.
Preventable maternal mortality remains a huge burden more especially in sub-Saharan Africa. The involvement of male partner during pregnancy and its complication helps an expectant mother to make timely decisions to avoid delays that brings about complications that could result in morbidity or mortality.
Institution based cross sectional study was conducted in 2017, at Sodo Town of Wolaita Zone among mothers who came to hospital and admitted to MCH department due to emergency obstetric referral. Data were collected using pre-tested and structured questionnaire. The collected data entered by Epi data, cleaned and analyzed by using SPSS for windows version 23.0. A descriptive analysis was done using frequency, mean, quartile and standard deviation. Bivariate and multivariable logistic regression was carried out to identify the associated factors. Level of statistical significance was declared at p value < 0.05. Finally the results of Bivariate and multivariable logistic regression analysis were presented in crude and adjusted odds ratio with 95% confidence intervals.
Data were obtained from 233 women, with a response rate of 100%. The prevalence of male partner's involvement in birth preparedness and complication redness for emergency referral in this study was 30.9%. After adjusting for the effect of confounding variables using multivariable logistic regression, variables like distance of health facility (AOR = 0.29, 95%CI = 0.12, 0.72), having ANC follow-up (AOR = 2.9, 95%CI = 1.52-5.51) and experience of obstetric complication (AOR = 1.79, 95%CI = 1.06-3.04) have statistically significant association with male partner's involvement in birth preparedness and complication readiness for obstetric referral.
In general, male partner's involvement in birth preparedness and complication readiness for obstetric referral in the study area was low. Antenatal care attending and experiencing of obstetric complication were factors determining male partner's involvement in complication readiness. Health care professionals should involve male partners to attend ANC clinic at each stage and arrange special antenatal care conferences which may increase awareness and practice about complication readiness and plan.
可预防的孕产妇死亡仍然是一个巨大的负担，尤其是在撒哈拉以南非洲。在怀孕期间让男性伴侣参与并了解其并发症，可以帮助孕妇及时做出决策，避免因延误而导致并发症，从而降低发病率或死亡率。
2017 年在沃莱塔区 Sodo 镇进行了一项基于机构的横断面研究，对象为因紧急产科转诊而到医院并入住母婴保健科的产妇。使用经过预测试和结构化的问卷收集数据。收集的数据由 EpiData 输入，使用 SPSS for windows 版本 23.0 进行清理和分析。使用频率、平均值、四分位数和标准差进行描述性分析。进行了双变量和多变量逻辑回归以确定相关因素。统计显著性水平定义为 p 值 < 0.05。最后，以未调整和调整后的比值比（95%置信区间）呈现双变量和多变量逻辑回归分析的结果。
本研究共获得 233 名女性的数据，应答率为 100%。研究中，男性伴侣参与分娩准备和紧急转诊并发症识别的比例为 30.9%。在使用多变量逻辑回归调整混杂变量的影响后，距离医疗机构的距离（AOR=0.29，95%CI=0.12，0.72）、接受 ANC 随访（AOR=2.9，95%CI=1.52-5.51）和产科并发症经历（AOR=1.79，95%CI=1.06-3.04）等变量与男性伴侣参与分娩准备和产科转诊并发症识别具有统计学意义。
总体而言，研究地区男性伴侣参与分娩准备和产科转诊并发症识别的比例较低。接受产前护理和经历产科并发症是决定男性伴侣参与并发症识别的因素。卫生保健专业人员应让男性伴侣参与每个阶段的 ANC 诊所，并安排特殊的产前护理会议，这可能会提高对并发症识别和计划的认识和实践。
