J Health Care Poor Underserved. 2020;31(1):140-152. doi: 10.1353/hpu.2020.0014.
Maternal mortality in sub-Saharan Africa remains high. Knowing about obstetric danger signs is the first step to responding immediately in emergency. To understand factors that affect knowledge of women of obstetric danger signs, we conducted a cross-sectional study on 735 women in Farta, Ethiopia. Two hundred and ten (210) (28.6%), 255 (34.7%) and 169 (23%) of respondents affirmed having experienced three or more obstetric danger signs during pregnancy, childbirth, and the postpartum period, respectively. Urban residency [a danger sign associated with pregnancy (AOR=4.01, 95% CI=1.85-8.69), childbirth (AOR=2.47, 95% CI=1.12-5.43) and the postpartum period (AOR=3.39, 95% CI=1.60-7.18)]; having antenatal care follow-up in their last pregnancy [a danger sign associated with pregnancy (AOR=3.47, 95% CI=1.95-6.18), childbirth (AOR=2.36, 95%CI=1.41-3.96) and the postpartum period (AOR=2.48, 95% CI=1.49-4.13)]; and giving birth at a health institution (AOR=1.43, 95% CI=1.01-2.02) were significant factors. Increasing antenatal-care coverage, educating women and increasing institutional delivery would increase mothers' knowledge about obstetric danger signs.
撒哈拉以南非洲的孕产妇死亡率仍然很高。了解产科危险信号是立即应对紧急情况的第一步。为了了解影响产科危险信号知识的因素，我们在埃塞俄比亚法塔对 735 名妇女进行了横断面研究。210 名（28.6%）、255 名（34.7%）和 169 名（23%）受访者分别确认在怀孕期间、分娩期间和产后经历了三种或更多种产科危险信号。城市居住[与妊娠相关的危险信号（AOR=4.01，95%CI=1.85-8.69）、分娩（AOR=2.47，95%CI=1.12-5.43）和产后（AOR=3.39，95%CI=1.60-7.18）]；在上一次妊娠中有产前保健随访[与妊娠相关的危险信号（AOR=3.47，95%CI=1.95-6.18）、分娩（AOR=2.36，95%CI=1.41-3.96）和产后（AOR=2.48，95%CI=1.49-4.13）]；以及在医疗机构分娩（AOR=1.43，95%CI=1.01-2.02）是显著因素。增加产前保健覆盖率、教育妇女和增加机构分娩将提高母亲对产科危险信号的认识。
