埃塞俄比亚南部哈迪亚地区霍萨纳镇产妇利用机构分娩及相关因素：一项基于社区的横断面研究。
Utilization of institutional delivery and associated factors among mothers in Hosanna Town, Hadiya Zone, Southern Ethiopia: A community-based cross-sectional study.
机构信息
Reproductive, Maternal, Neonatal, Child, Adolescent and Youth health-Nutrition, Hadiya Zone Health Department, Hossana, Ethiopia.
Department of Nursing, school of Health and Medical Sciences, Madawalabu University, Shashemene, Ethiopia.
出版信息
PLoS One. 2020 Dec 3;15(12):e0243350. doi: 10.1371/journal.pone.0243350. eCollection 2020.
BACKGROUND
Institutional delivery is one of the key interventions that have been proven to reduce maternal and newborn morbidity and mortality. Ethiopia has initiated different efforts to enhance the acceptance of institutional delivery. In spite of this, the number of institutional deliverys is still very low in Ethiopia and varies from region to region. Therefore, this study aimed to assess the utilization of institutional delivery and of factors associated with it among mothers in Hossana Town, Southern Ethiopia.
METHODS
This study was a community-based cross-sectional study of mothers who had given birth within 12 months before the study. Data were collected using a pretested questionnaire. During the study period, 403 mothers were selected using the systematic random sampling technique. Data entry was done using EpiData (version 3.1), and data were exported to SPSS (version 24) for analysis. Both bivariate and multivariable logistic regression analyses were used to identify the associated factors at 95% CI.
RESULTS
This study revealed that 53.6% of mothers delivered their infants at health facilities. The factors associated with the institutional delivery were primigravidas (AOR = 3.9; 95% CI, 1.4-4.7), the availability of antenatal care (AOR = 3.4; 95%CI, 1.7-7.2), having planned pregnancies (AOR = 3.9; 95%CI, 1.7-9.3) and the involvement of both parents in decision making (AOR = 2.4; 95%CI, 1.4-2.5). However, when only the mother was involved in the decision making regarding the delivery, the figure decreased by 70% (AOR = 0.3; 95%CI, 0.1-0.8).
CONCLUSIONS
The findings of this study indicate that high numbers of births occur without skilled attendants or are non- institutional delivery. In terms of the factors that are associated with institutional delivery, the study suggests that strengthening sustained provision of education during antenatal care and at community levels are crucial.
背景
机构分娩是已被证明可降低产妇和新生儿发病率和死亡率的关键干预措施之一。埃塞俄比亚已采取不同措施来提高对机构分娩的接受程度。尽管如此，埃塞俄比亚的机构分娩数量仍然很低，而且在不同地区有所差异。因此，本研究旨在评估在埃塞俄比亚霍萨纳镇的母亲中，机构分娩的利用情况及其相关因素。
方法
这是一项基于社区的横断面研究，研究对象为在研究前 12 个月内分娩的母亲。数据是使用经过预测试的问卷收集的。在研究期间，使用系统随机抽样技术选择了 403 名母亲。数据录入使用 EpiData（版本 3.1），并将数据导出到 SPSS（版本 24）进行分析。使用双变量和多变量逻辑回归分析来确定 95%置信区间内的相关因素。
结果
本研究显示，53.6%的母亲在医疗机构分娩。与机构分娩相关的因素包括初产妇（AOR = 3.9；95%CI，1.4-4.7）、有产前护理（AOR = 3.4；95%CI，1.7-7.2）、计划怀孕（AOR = 3.9；95%CI，1.7-9.3）和父母双方共同参与决策（AOR = 2.4；95%CI，1.4-2.5）。然而，当仅母亲参与分娩决策时，这一比例下降了 70%（AOR = 0.3；95%CI，0.1-0.8）。
结论
本研究结果表明，大量分娩是在没有熟练助产士或非机构分娩的情况下进行的。就与机构分娩相关的因素而言，研究表明，加强在产前护理和社区层面持续提供教育至关重要。
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