Mamuye Shiferaw Abeway
School of Nursing and Midwifery, Department of Pediatric and Child Health Nursing, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia.
Int J Womens Health. 2020 Nov 13;12:1057-1064. doi: 10.2147/IJWH.S269704. eCollection 2020.
The postnatal period is the first 6 weeks (42 days) following delivery of a baby. The first hours, days and weeks after childbirth are the most critical times for both the mother and newborn infants. Most maternal and neonatal deaths occur during the first 24 hours after childbirth.
This study aimed to assess the magnitude and its determinants of postnatal care service utilization among women who gave birth in the last 12 months from May 1 to 21, 2019, in the Northern part of Ethiopia.
A community-based cross-sectional study was conducted among 413 women who had given birth in the previous 12 months. A systematic random sampling technique was used to select the study participants. Data were collected by using a semi-structured questionnaire adopted from UNICEF and similar studies Data were entered, cleaned and coded into EPI info version 3.5 and exported to SPSS version 20 for analysis. Logistic regression was applied to identify associations between explanatory variable and the outcome variable. Statistical significance was declared at <0.05 and 95% CI.
In this study, the magnitude of postnatal care service utilization was 37%. A live birth outcome AOR (95% CI) =5.7 (1.53,21.216), maternal educational AOR (95% CI)=3.3 (1.90,5.60) household income >1,500 ETB per month AOR (95% CI)=2.9 (1.20,6.70), a planned and supported pregnancy AOR (95% CI)=3.9 (1.71,9.01) and last pregnancy of facility delivered AOR= (95% CI)=3.1 (1.25,7.70) are positively associated with utilization of postnatal care services.
The major determinant factors that affect utilization of PNC identified in this study include monthly income of household, last pregnancy birth outcome, educational status of the mother, wantedness of the pregnancy and place of delivery were significantly associated with postnatal care service utilization. To improve PNC service utilization and to minimize maternal and neonatal mortality, mothers should be made aware about postnatal care services.
产后时期是婴儿分娩后的前6周（42天）。分娩后的最初几个小时、几天和几周对母亲和新生儿来说都是最关键的时期。大多数孕产妇和新生儿死亡发生在分娩后的头24小时内。
本研究旨在评估2019年5月1日至21日在埃塞俄比亚北部过去12个月内分娩的妇女产后护理服务利用的程度及其决定因素。
对413名在过去12个月内分娩的妇女进行了一项基于社区的横断面研究。采用系统随机抽样技术选择研究参与者。数据通过使用从联合国儿童基金会和类似研究中采用的半结构化问卷收集。数据被录入、清理并编码到EPI info 3.5版本中，然后导出到SPSS 20版本进行分析。应用逻辑回归来确定解释变量和结果变量之间的关联。在<0.05和95%置信区间时宣布具有统计学意义。
在本研究中，产后护理服务利用程度为37%。活产结局调整后比值比（95%置信区间）=5.7（1.53，21.216），母亲教育程度调整后比值比（95%置信区间）=3.3（1.90，5.60），家庭月收入>1500埃塞俄比亚比尔调整后比值比（95%置信区间）=2.9（1.20，6.70），计划并得到支持的妊娠调整后比值比（95%置信区间）=3.9（1.71，9.01）以及上次妊娠在医疗机构分娩调整后比值比（95%置信区间）=3.1（1.25，7.70）与产后护理服务利用呈正相关。
本研究中确定的影响产后护理利用的主要决定因素包括家庭月收入、上次妊娠分娩结局、母亲教育状况、妊娠意愿以及分娩地点，这些因素与产后护理服务利用显著相关。为了提高产后护理服务利用率并降低孕产妇和新生儿死亡率，应让母亲们了解产后护理服务。
