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评估巴基斯坦开伯尔-普赫图赫瓦省白沙瓦两所教学医院妇产科病房孕妇的生育准备和并发症应对能力。

Assessment of birth preparedness and complication readiness among pregnant women attending the Obs/Gynae wards in two teaching hospitals in Peshawar, Khyber Pakhtunkhwa, Pakistan.

机构信息

Prime Institute of Public Health, Riphah International University, Islamabad, Pakistan.

Peshawar Medical College, Riphah International University, Islamabad, Pakistan.

出版信息

Int J Gynaecol Obstet. 2020 Sep;150(3):324-328. doi: 10.1002/ijgo.13227. Epub 2020 Jun 11.

DOI:10.1002/ijgo.13227
PMID:32424942
Abstract

OBJECTIVE

To assess the knowledge of pregnant women receiving antenatal care at the study sites about birth preparedness and complication readiness (BPCR) and their knowledge about warning signs during pregnancy, labor, and postpartum.

METHODS

A cross-sectional study was conducted from October 2018 to April 2019 in two teaching hospitals in Peshawar, Pakistan. Pregnant women aged 15-49 years were recruited after consent. A structured questionnaire was used for data collection.

RESULTS

Among 170 enrollees, 72.4% had not heard about BPCR. Transportation arrangements were done by 4.7%, blood donor arrangements by 10%, saving for emergency by 22.4%, and 42.4% identified a skilled provider. Prior selection of a health facility for delivery were done by 65.9%, and 71.8% received four or more antenatal visits. Vaginal bleeding (68%), placenta not delivered within 30 minutes of delivery (62.9%), and vaginal bleeding ( 51.8%) were reported as warning signs during pregnancy, delivery, and postpartum, respectively.

CONCLUSION

Knowledge of BPCR and warning signs during all three phases of pregnancy was low. The increased antenatal visits are an opportunity to educate the mothers about BPCR and warning signs.

摘要

目的

评估在研究地点接受产前护理的孕妇对生育准备和并发症准备(BPCR)的了解程度,以及她们对妊娠、分娩和产后期间的预警信号的了解程度。

方法

本研究于 2018 年 10 月至 2019 年 4 月在巴基斯坦白沙瓦的两家教学医院进行了一项横断面研究。在获得同意后,招募了年龄在 15-49 岁之间的孕妇。使用结构化问卷进行数据收集。

结果

在 170 名登记参与者中,72.4%的人没有听说过 BPCR。仅有 4.7%的人安排了交通,10%的人安排了献血,22.4%的人储蓄应急资金,42.4%的人确定了熟练的提供者。有 65.9%的人预先选择分娩的医疗机构,有 71.8%的人接受了 4 次或更多次产前检查。分别有 68%、62.9%和 51.8%的参与者报告了妊娠、分娩和产后期间的预警信号,包括阴道出血(68%)、胎盘未在分娩后 30 分钟内娩出(62.9%)和阴道出血(51.8%)。

结论

孕妇对生育准备和并发症准备以及妊娠、分娩和产后所有三个阶段的预警信号的了解程度都很低。增加的产前检查是教育孕妇了解生育准备和预警信号的机会。

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