Terefe Nega, Nigussie Aderajew, Tadele Afework
District Health Office, Shashemene, Oromia, Ethiopia.
Population and Family Health, Jimma University, Jimma, Ethiopia.
J Pregnancy. 2020 Sep 26;2020:6153146. doi: 10.1155/2020/6153146. eCollection 2020.
Obstetric danger signs are those signs that a pregnant woman will see or those symptoms that she will feel which indicate that something is going wrong with her or with the pregnancy. Evidence on the prevalence of obstetric danger signs and contributing factors were crucial in designing programs in the global target of reducing maternal morbidity and mortality.
To assess the prevalence of obstetric danger signs during pregnancy and associated factors among mothers in a Shashemene rural district, South Ethiopia.
A community-based cross-sectional study design was conducted among 395 randomly selected women who gave birth in the last six months. A pretested interviewer-administered questionnaire was utilized. Data were cleaned, coded, and entered into Epi data manager version 4.1 and then exported to SPSS version 20. Bivariable and multivariable logistic regression analyses were employed to assess the association between independent variables with the outcome variable. Statistical significance was declared at < 0.05.
One hundred sixty-three (41.3%) of women had a history of obstetric danger signs during pregnancy. The most prevalent obstetric danger signs were vaginal bleeding (15.4%) followed by swelling of the body 12.7% and severe vomiting 5.3%. Women who have less than four times antenatal care visits were 6.7 times more likely to experience obstetric danger signs (AOR 6.7 (95% CI 3.05, 14.85)) compared to those who had antenatal care visit four times and above. Women who have inadequate knowledge of obstetric danger signs were 2.5 times more likely to experience obstetric danger signs during pregnancy (AOR 2.5 (95% CI 1.34, 4.71)), and primigravida women were 6.3 times more likely to have obstetric danger signs during pregnancy (AOR 6.3 (95% CI 2.61, 15.09)) compared to multiparous women.
About half of the pregnant mothers have experienced at least one obstetric danger signs. Public health interventions on maternal health should give priority to the prevalent causes of obstetric danger signs, strengthening completion of four antenatal care visits and health education on obstetric danger signs for pregnant mothers at community level especially for primgravid women.
产科危险信号是指孕妇会看到的迹象或感觉到的症状，表明她自身或妊娠出现了问题。产科危险信号的患病率及相关因素的证据对于制定全球降低孕产妇发病率和死亡率目标的计划至关重要。
评估埃塞俄比亚南部沙舍梅内农村地区孕妇产科危险信号的患病率及相关因素。
对395名在过去六个月内分娩的随机选取的妇女进行了基于社区的横断面研究设计。使用了经过预测试的访谈式问卷。数据进行了清理、编码，并录入Epi数据管理器4.1版本，然后导出到SPSS 20版本。采用双变量和多变量逻辑回归分析来评估自变量与结果变量之间的关联。统计学显著性设定为<0.05。
163名（41.3%）妇女在孕期有产科危险信号史。最常见的产科危险信号是阴道出血（15.4%），其次是身体肿胀（12.7%）和严重呕吐（5.3%）。产前检查次数少于四次的妇女出现产科危险信号的可能性是产前检查四次及以上妇女的6.7倍（调整后比值比6.7（95%置信区间3.05，14.85））。对产科危险信号知识了解不足的妇女在孕期出现产科危险信号的可能性是其他妇女的2.5倍（调整后比值比2.5（95%置信区间1.34，4.71）），初产妇在孕期出现产科危险信号的可能性是经产妇的6.3倍（调整后比值比6.3（95%置信区间2.61，15.09））。
约一半的孕妇至少经历过一种产科危险信号。针对孕产妇健康的公共卫生干预应优先关注产科危险信号的常见原因，加强四次产前检查的完成情况，并在社区层面为孕妇尤其是初产妇开展产科危险信号的健康教育。
