Tefera Yordanos, Hailu Samirawit, Tilahun Ruth
Department of Public Health, College of Health & Medical Science, Dilla University, Dilla, Ethiopia.
Department of Midwifery, College of Health & Medical Science, Dilla University, Dilla, Ethiopia.
Obstet Gynecol Int. 2021 Apr 14;2021:4286803. doi: 10.1155/2021/4286803. eCollection 2021.
Postnatal care is one of the key strategies to reduce maternal and newborn morbidity and mortality. Early postnatal visit is especially the most critical time for survival of mothers and newborns, particularly through early detection and management of postpartum complication. Despite the benefits, most mothers and newborns do not receive postnatal care services from health care providers during the critical first few days after delivery.
The aim of this study was to assess utilization of early postnatal care service and associated factors among women who gave birth in the last six months in Wonago District, Gedeo Zone, Southern Ethiopia.
A community-based cross-sectional study design was employed at Wonago District. A total of 612 mothers who gave birth in the last six months were selected by simple random sampling technique. Pretested structured questionnaire was used for data collection. Data were entered into EpiData version 3.1 and then exported into SPSS version 20 for analysis. Principal component analysis (PCA) and bivariate and multivariate logistic regression were used.
In this study, 13.7% of mothers utilized early postnatal care. Educational status of mothers (AOR = 3.7 : 95 CI; 1.3-10.7), place of delivery (AOR: 1.8 : 95 CI; 1.03-3.2), ANC attendance (AOR = 3.4 : 95 CI; 1.1-10.09), development of complication after delivery (AOR: 7.8 : 95 CI; 3.7-16.2), and previous history of postnatal care utilization (AOR: 2.1 : 95 CI; 1.13-3.9) were found to be associated with early postnatal care service utilization. . Educational status of mothers, ANC attendance, place of delivery, delivery complication while giving recent birth, and past history of postnatal care utilization were significant predictors for early postnatal care utilization. Considering this, empowering women with education and overall strengthening of health facility to improve maternal health service utilization are necessary measures to be done at different levels to enhance early postnatal care utilization during this critical time.
产后护理是降低孕产妇和新生儿发病率及死亡率的关键策略之一。产后早期访视对母亲和新生儿的存活尤为关键，特别是通过早期发现和处理产后并发症。尽管有诸多益处，但大多数母亲和新生儿在分娩后的关键头几天并未从医疗保健提供者处获得产后护理服务。
本研究旨在评估埃塞俄比亚南部盖德奥地区沃纳戈区在过去六个月内分娩的妇女对早期产后护理服务的利用情况及相关因素。
在沃纳戈区采用基于社区的横断面研究设计。通过简单随机抽样技术选取了总共612名在过去六个月内分娩的母亲。使用经过预测试的结构化问卷进行数据收集。数据录入EpiData 3.1版本，然后导出到SPSS 20版本进行分析。采用主成分分析（PCA）以及二元和多元逻辑回归分析。
在本研究中，13.7%的母亲利用了早期产后护理。母亲的教育程度（调整后比值比[AOR]=3.7：95%置信区间[CI]；1.3 - 10.7）、分娩地点（AOR：1.8：95%CI；1.03 - 3.2）、产前检查次数（AOR = 3.4：95%CI；1.1 - 10.09）、分娩后并发症的发生情况（AOR：7.8：95%CI；3.7 - 16.2）以及既往产后护理利用史（AOR：2.1：95%CI；1.13 - 3.9）被发现与早期产后护理服务的利用相关。母亲的教育程度、产前检查次数、分娩地点、近期分娩时的分娩并发症以及既往产后护理利用史是早期产后护理利用的重要预测因素。考虑到这一点，在不同层面采取措施提高妇女教育水平并全面加强卫生设施以改善孕产妇保健服务利用情况，是在这一关键时期提高早期产后护理利用率的必要举措。
