Teekhasaenee Tiradech, Kaewkiattikun Kasemsis
Department of Obstetrics and Gynecology, Faculty of Medicine, Vajira Hospital, Bangkok, Thailand.
Adolesc Health Med Ther. 2020 Jan 31;11:1-8. doi: 10.2147/AHMT.S236703. eCollection 2020.
Reducing the maternal mortality ratio is one of the United Nations Sustainable Development Goals. These maternal deaths are preventable with appropriate management and care. Birth preparedness and complication readiness (BPCR) is a strategy to make prompt decisions to seek care from skilled birth attendants, resulting in reduced maternal and neonatal mortality. Despite high global rates of adolescent pregnancy, there has not yet been a study of BPCR status and associated factors among pregnant adolescents.
To assess the proportion of, and associated factors for, good BPCR in adolescent pregnant women attending antenatal clinic in an urban tertiary care hospital.
This cross-sectional survey was conducted among adolescent pregnant women attending antenatal clinic at the Department of Obstetrics and Gynecology, Faculty of Medicine Vajira Hospital, Thailand, from September 1st, 2018 to March 31st, 2019. A total of 134 adolescent pregnant women were recruited. The participants and their parents or legal guardians were informed of the study process at the antenatal clinic before their parents or legal guardians, granted written consent on their behalf. The participants were interviewed using the BPCR index, which was adapted from the John Hopkins Program for International Education in Gynecology and Obstetrics.
The proportion of good BPCR in adolescent pregnant women in an urban tertiary care hospital was 78.4%. The most mentioned aspect of BPCR was planning to give birth with a skilled provider (92.5%). The significant associated factor for good BPCR was the number of ANC ≥ 4 (odds ratio 3.2, 95% CI 1.13-9.05, =0.023).
This study demonstrated that the proportion of good BPCR among adolescent pregnant women attending an urban tertiary care hospital was high. The associated factor of good BPCR was the number of ANC ≥ 4.
降低孕产妇死亡率是联合国可持续发展目标之一。通过适当的管理和护理，这些孕产妇死亡是可以预防的。生育准备和并发症应对（BPCR）是一种做出迅速决定以寻求熟练助产士护理的策略，可降低孕产妇和新生儿死亡率。尽管全球青少年怀孕率很高，但尚未有关于怀孕青少年的BPCR状况及相关因素的研究。
评估在一家城市三级护理医院产前门诊就诊的青少年孕妇中良好BPCR的比例及其相关因素。
这项横断面调查于2018年9月1日至2019年3月31日在泰国瓦吉拉医院医学院妇产科产前门诊就诊的青少年孕妇中进行。共招募了134名青少年孕妇。在其父母或法定监护人代表她们给予书面同意之前，在产前门诊向参与者及其父母或法定监护人告知了研究过程。使用从约翰霍普金斯国际妇产科教育项目改编而来的BPCR指数对参与者进行访谈。
城市三级护理医院青少年孕妇中良好BPCR的比例为78.4%。BPCR最常被提及的方面是计划由熟练的医护人员接生（92.5%）。良好BPCR的显著相关因素是产前检查次数≥4次（优势比3.2，95%置信区间1.13 - 9.05，P = 0.023）。
本研究表明，在城市三级护理医院就诊的青少年孕妇中，良好BPCR的比例很高。良好BPCR 的相关因素是产前检查次数≥4次。
