Bolanko Alemu, Namo Hussen, Minsamo Kirubel, Addisu Nigatu, Gebre Mohammed
Ethiopia Transform: Primary Health Care (USAID), John Snow, Inc., Hawasa, Ethiopia.
Department of Midwifery, College of Health and Medical Sciences, Arsi University, Assela, Ethiopia.
SAGE Open Med. 2021 Mar 12;9:20503121211001161. doi: 10.1177/20503121211001161. eCollection 2021.
Obstetric complications continue to be the major causes of maternal mortality in low- and middle-income countries. Knowledge of women toward obstetric danger signs is an important part of improving maternal and fetal outcomes. However, the reported level of knowledge on obstetric danger signs is low and inconsistent.
Community-based cross-sectional study design was used. Data were collected from randomly selected 740 pregnant women. A pregnant woman said to have good knowledge of obstetric danger signs if she spontaneously mentioned at least two of the danger signs during each of the three periods (pregnancy, labor/childbirth, and postpartum) and otherwise said to have poor knowledge of obstetric danger signs. Adjusted odds ratio at 95% confidence interval and a value of p < 0.05 were used to identify the predictors.
A total of 740 pregnant women participated in the study with the response rate of 97.5%. One hundred twenty-four (16.8%) of the respondents were knowledgeable about obstetric danger signs. According to our study, age range of 20-24 years (adjusted odds ratio = 6, confidence interval: 2.67-17.44) and 25-29 years old (adjusted odds ratio = 2.4, confidence interval: 1.14-5.10); being housewife (adjusted odds ratio = 0.5, confidence interval: 0.28-0.87); monthly income of ⩽1000ETB (adjusted odds ratio = 0.24, confidence interval: 0.12-0.46) and 1001-2500ETB (adjusted odds ratio = 0.24, confidence interval: 0.12-0.47); and primigravida (adjusted odds ratio = 0.09, confidence interval: 0.04-0.18) and primipara (adjusted odds ratio = 0.15, confidence interval: 0.07-0.30) were factors significantly associated with knowledge of obstetric danger signs.
Knowledge of obstetric danger signs among pregnant women was low. Maternal age, average monthly income, maternal occupation, parity, and gravidity were factors significantly associated with the knowledge of obstetric danger signs.
在低收入和中等收入国家，产科并发症仍然是孕产妇死亡的主要原因。了解女性对产科危险信号的认知是改善母婴结局的重要组成部分。然而，报告的关于产科危险信号的认知水平较低且不一致。
采用基于社区的横断面研究设计。从随机选择的740名孕妇中收集数据。如果一名孕妇在三个时期（孕期、分娩期和产后）的每个时期都能自发提及至少两种危险信号，则称其对产科危险信号有良好认知，否则称其对产科危险信号认知较差。使用95%置信区间的调整比值比和p<0.05的值来确定预测因素。
共有740名孕妇参与研究，应答率为97.5%。124名（16.8%）应答者了解产科危险信号。根据我们的研究，年龄在20 - 24岁（调整比值比 = 6，置信区间：2.67 - 17.44）和25 - 29岁（调整比值比 = 2.4，置信区间：1.14 - 5.10）；家庭主妇（调整比值比 = 0.5，置信区间：0.28 - 0.87）；月收入≤1000埃塞俄比亚比尔（调整比值比 = 0.24，置信区间：0.12 - 0.46）和1001 - 2500埃塞俄比亚比尔（调整比值比 = 0.24，置信区间：0.12 - 0.47）；以及初产妇（调整比值比 = 0.09，置信区间：0.04 - 0.18）和经产妇（调整比值比 = 0.15，置信区间：0.07 - 0.30）是与产科危险信号认知显著相关的因素。
孕妇对产科危险信号的认知较低。产妇年龄、月平均收入、产妇职业、产次和孕周是与产科危险信号认知显著相关的因素。
