Center of International Program ICAP, Addis Ababa, Ethiopia.
Semera Regional Office, Semera, Afar Regional State, Ethiopia.
BMC Pregnancy Childbirth. 2020 Oct 19;20(1):631. doi: 10.1186/s12884-020-03297-w.
Maternal death related to obstetric complications remains a great challenge in developing countries. Since these complications are not consistently predictable, it is important to plan different preventive approaches to overcome them when. As the information on birth preparedness, complication readiness, and predictors were limited in the study area, we conducted this study.
A Cross-sectional study involving 396 pregnant women was conducted from 1st April to 1st May 2018. Data were collected using a pre-tested structured questionnaire. Descriptive, binary and multiple logistic regression analyses were conducted in SPSS for windows version 20. P values < 0.05 were considered significant.
Of 361 women interviewed (91% response rate), birth preparedness and complication readiness were present in 24.10% (87/361) of women. Maternal factors, age 18-19 (AOR = 0.18; 95% CI (0.04,0.94)), 20-34 (AOR = 0.40; 95% CI (0.20,0.78)), education, not able to read/write (AOR = 0.36;95% CI (0.15,0.85),read/write (AOR = 0.41;95% CI (0.19,0.89)), Muslim religion (AOR = 0.40; 95% CI (0.18,0.85)) income ETB, < 1000 (AOR = 0.21; 95% CI (0.07,0.67)),1000-2000, (AOR = 0.38; 95% CI (0.19,0.76)), and the mothers' knowledge on key danger signs of postpartum (AOR = 0.48; 95% CI (0.26,0.90)) were independent predictors of birth preparedness and complication readiness.
Educational status, age, religion, family income, and knowledge of obstetric danger signs were significantly associated with birth preparedness and complication readiness. The Government and other health sector partners should work to improve women's education, income, and focus on young age groups on pregnancy danger signs.
与产科并发症相关的产妇死亡仍然是发展中国家面临的巨大挑战。由于这些并发症并非始终可预测，因此在出现并发症时，重要的是要制定不同的预防措施来克服这些并发症。由于该研究区域的分娩准备、并发症准备和预测因素的信息有限，因此我们进行了这项研究。
这是一项 2018 年 4 月 1 日至 5 月 1 日期间进行的横断面研究，共纳入 396 名孕妇。使用经过预测试的结构化问卷收集数据。在 SPSS for windows 版本 20 中进行描述性、二项和多变量逻辑回归分析。P 值<0.05 被认为具有统计学意义。
在接受采访的 361 名妇女中（91%的应答率），有 24.10%（87/361）的妇女有分娩准备和并发症准备。产妇因素，年龄 18-19 岁（AOR=0.18；95%CI（0.04，0.94）），20-34 岁（AOR=0.40；95%CI（0.20，0.78）），教育程度，不能读写（AOR=0.36；95%CI（0.15，0.85）），读写（AOR=0.41；95%CI（0.19，0.89）），穆斯林宗教（AOR=0.40；95%CI（0.18，0.85）），收入 ETB，<1000（AOR=0.21；95%CI（0.07，0.67）），1000-2000（AOR=0.38；95%CI（0.19，0.76）），以及母亲对产后关键危险信号的知识（AOR=0.48；95%CI（0.26，0.90））是分娩准备和并发症准备的独立预测因素。
教育程度、年龄、宗教、家庭收入和对产科危险信号的知识与分娩准备和并发症准备显著相关。政府和其他卫生部门合作伙伴应努力提高妇女的教育水平、收入，并关注年轻人群体的妊娠危险信号。
