埃塞俄比亚西北部巴赫达尔地区母亲对产科危险信号及相关因素的认知：一项基于机构的横断面研究。
Knowledge of obstetric danger signs and associated factors among mothers in Bahir Dar district, northwest Ethiopia: an institution-based cross-sectional study.
作者信息
Jewaro Merina, Yenus Hedija, Ayanaw Yohanes, Abera Birhanu, Derso Terefe
机构信息
Department of Gynecology and Obstetrics, Government Public Health Facility, Kersa District Hospital, Arsi, Ethiopia.
Department of Reproductive Health, Institute of Public health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
出版信息
Public Health Rev. 2020 Jul 1;41:14. doi: 10.1186/s40985-020-00132-7. eCollection 2020.
BACKGROUND
Like other developing countries, in Ethiopia, obstetric complications contribute to about 50% of the maternal deaths. Thus, the aim of this study was to assess knowledge of obstetric danger signs and its associated factors among mothers attending the postnatal clinic at Felege Hiwot Referral Hospital, Bahir Dar district, northwest Ethiopia.
METHODS
A hospital-based cross-sectional study was conducted on 410 postnatal mothers at Felege Hiwot Referral Hospital from June to September 2015. Knowledge of obstetric danger signs among postnatal clinic attending mothers was determined by using seventeen obstetric danger sign questions via interviewing. The binary logistic regression model was used to identify associated factors. In the multivariable analysis, variables with a value of < 0.05 were considered statistically significant. Odds ratio with 95% confidence interval (CI) was calculated to show the strength of association.
RESULTS
About 59% [95% CI 55, 63] of mothers were knowledgeable about obstetric danger signs. The odds of having good knowledge of obstetric danger signs were higher among mothers who were more educated [AOR = 6.86, 95% CI 2.47, 19.27], earned more than 3500 ETB household monthly income [AOR = 3.38, 95% CI 1.20, 13.96], and received information on danger signs from health extension workers (HEWs) [AOR = 4.23, 95% CI 1.83, 9.70] compared to their counterparts. However, mothers with service utilization decision power [AOR = 0.14, 95% CI 0.07, 0.27] with husband were 86% times less likely to be knowledgeable compared to mothers decided by themselves.
CONCLUSION
In this study, below two thirds of mothers had good knowledge of obstetric danger signs. Thus, improving educational status and obtaining health information on obstetric danger signs from health professionals should be intensified. This implies that lack of awareness may lead to delay in seeking care. Thus, improving mothers' socio-economic status and self-decision-making power on utilization of health service are essential to mitigate the high burden of maternal morbidity due to obstetric complications. Also, obtaining health information on obstetric danger signs from health professionals should be intensified.
背景
与其他发展中国家一样，在埃塞俄比亚，产科并发症约占孕产妇死亡人数的50%。因此，本研究的目的是评估埃塞俄比亚西北部巴赫达尔区费莱格·希沃特转诊医院产后诊所母亲们对产科危险信号的认知及其相关因素。
方法
2015年6月至9月，在费莱格·希沃特转诊医院对410名产后母亲进行了一项基于医院的横断面研究。通过访谈使用17个产科危险信号问题来确定产后诊所就诊母亲对产科危险信号的认知。采用二元逻辑回归模型来识别相关因素。在多变量分析中，P值<0.05的变量被认为具有统计学意义。计算95%置信区间（CI）的比值比以显示关联强度。
结果
约59%[95%CI 55, 63]的母亲了解产科危险信号。受教育程度较高的母亲[调整后比值比（AOR）= 6.86，95%CI 2.47, 1,927]、家庭月收入超过3500埃塞俄比亚比尔的母亲[AOR = 3.38，95%CI 1.20, 13.96]以及从健康推广工作者（HEW）处获得危险信号信息的母亲[AOR = 4.23，95%CI 1.83, 9.70]，与其他母亲相比，对产科危险信号有良好认知的几率更高。然而，与自己做出决定的母亲相比，与丈夫共同拥有服务利用决策权的母亲[AOR = 0.14，95%CI 0.07, 0.27]了解相关知识的可能性要低86%。
结论
在本研究中，不到三分之二的母亲对产科危险信号有良好认知。因此，应加强提高教育水平以及从卫生专业人员处获取产科危险信号的健康信息。这意味着缺乏意识可能导致寻求治疗的延迟。因此，提高母亲的社会经济地位以及她们在卫生服务利用方面的自我决策权对于减轻产科并发症导致的高孕产妇发病率负担至关重要。此外，应加强从卫生专业人员处获取产科危险信号的健康信息。
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