Tizazu Michael Amera, Sharew Nigussie Tadesse, Mamo Tadesse, Zeru Abayneh Birlie, Asefa Eyosiyas Yeshialem, Amare Nakachew Sewnet
Department of Midwifery, College of Health Science, Debre Berhan University, Debre Berhan, Ethiopia.
Department of Nursing, College of Health Science, Debre Berhan University, Debre Berhan, Ethiopia.
J Multidiscip Healthc. 2021 Jan 6;14:21-32. doi: 10.2147/JMDH.S293323. eCollection 2021.
The continuum of maternity care is the continuity of maternal health care services that a woman practices antenatal care, skilled birth attendant, and postnatal care. Even though there are positive inclinations towards the continuum of maternity care, the problem is still significant. So, the purpose of this study was to assess the utilization of continuum maternity care and associated factors among women who gave birth in the last 12 months before the data collection period in Debre Berhan town.
A community-based cross-sectional study was conducted from February 17 to March 15/2020. The respondents were selected by using the cluster sampling technique. Face-to-face interview was used for data collection. EpiData software version 3.1 was used for data entry and exported to SPSS version 21 for further analysis. In multivariable logistic regression, a statistically significant association has declared a p-value <0.05.
In this study, the proportion of women who completed the continuum of maternity care was 37.2% (95% CI: 33.4-41.1). Completing primary education (AOR: 2.73, 95% CI: 1.17-6.38), secondary education (AOR: 3.11, 95% CI: 1.32-7.31), college and above educational level (AOR: 4.15, 95% CI: 1.79-9.57), initiation of first ANC visit ≤16wks (AOR: 2.57, 95% CI: 1.41-4.68), knowing key pregnancy danger signs (AOR: 1.91, 95% CI: 1.15-3.19), and well prepared on birth and complication readiness (AOR: 1.59, 95% CI: 1.10-2.32) were found to positively increase the chance of completing maternity care in our study area.
Even if a higher proportion of mothers completed the continuum of maternity care in the study area than the finding at national level of 9.1% basing EDHS 2016 data, further interventions are mandatory to reach the acceptable level. Therefore, health promotion programs targeting mothers with no education and lower educational level are important to increase their awareness about the importance of completing all levels of maternity care, health education, and counseling regarding early initiation of ANC, pregnancy danger signs, and birth preparedness and complication readiness plan.
孕产妇保健连续体是指女性接受产前保健、熟练助产服务和产后护理等孕产妇保健服务的连续性。尽管对孕产妇保健连续体有积极倾向，但问题仍然严重。因此，本研究的目的是评估德布雷伯尔汉镇在数据收集期前最后12个月内分娩的妇女对孕产妇保健连续体的利用情况及相关因素。
于2020年2月17日至3月15日进行了一项基于社区的横断面研究。采用整群抽样技术选取受访者。通过面对面访谈收集数据。使用EpiData软件3.1版进行数据录入，并导出到SPSS 21版进行进一步分析。在多变量逻辑回归中，p值<0.05表示具有统计学意义的关联。
在本研究中，完成孕产妇保健连续体的妇女比例为37.2%（95%置信区间：33.4-41.1）。完成小学教育（调整后比值比：2.73，95%置信区间：1.17-6.38）、中学教育（调整后比值比：3.11，95%置信区间：1.32-7.31）、大专及以上教育水平（调整后比值比：4.15，95%置信区间：1.79-9.57）、首次产前检查开始时间≤16周（调整后比值比：2.57，95%置信区间：1.41-4.68）、知晓关键孕期危险信号（调整后比值比：1.91，95%置信区间：1.15-3.19）以及对分娩和并发症准备充分（调整后比值比：1.59，95%置信区间：1.10-2.32）被发现能积极增加我们研究地区完成孕产妇保健的机会。
尽管研究地区完成孕产妇保健连续体的母亲比例高于基于2016年埃塞俄比亚 DHS数据的全国9.1%的水平，但仍需进一步干预以达到可接受水平。因此，针对未受过教育和教育水平较低的母亲的健康促进项目对于提高她们对完成各级孕产妇保健重要性的认识、关于早期开始产前检查、孕期危险信号以及分娩准备和并发症应对计划的健康教育和咨询非常重要。
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