Department of Global Health and Infection, Brighton and Sussex Medical School, UK.
Brighton and Sussex Medical School, UK.
Afr J Reprod Health. 2020 Sep;24(3):24-32. doi: 10.29063/ajrh2020/v24i3.3.
In 2001 the World Health Organization drew up recommendations for pregnant women in order to reduce maternal mortality: the first visit to the antenatal clinic to be in the first trimester, at least four visits in total and delivery with a trained birth attendant. This study reports the extent to which pregnant women attending a health centre in The Gambia complied with the recommendations. A cohort of 1611 consecutive pregnant women was recruited. Only 384 (23.9%) women first attended in the first trimester and 568 (41.6%) attended at least four times. Only 15.8% of the women complied with all recommendations. Following multivariate analysis the educational level of the partner was the sole factor associated with both recommendations regarding attendance. This level of compliance reflects widespread ignorance of the value of early antenatal care and frequent visits. Public health programmes require a basic level of education to be effective.
2001 年，世界卫生组织制定了针对孕妇的建议，以降低孕产妇死亡率：第一次产前检查应在妊娠早期进行，总共至少进行四次检查，并由经过培训的分娩助手进行分娩。本研究报告了冈比亚一个医疗中心的孕妇遵守这些建议的程度。共招募了 1611 名连续孕妇。只有 384 名（23.9%）妇女在妊娠早期首次就诊，568 名（41.6%）至少就诊四次。只有 15.8%的妇女完全遵守所有建议。多变量分析后，伴侣的教育水平是唯一与出席建议相关的因素。这种遵守程度反映了对早期产前保健和频繁就诊价值的广泛忽视。公共卫生计划需要一定的教育水平才能有效。
