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与埃塞俄比亚东南部公立医院产妇接近死亡相关的因素:一项基于机构的横断面研究。

Factors associated with maternal near-miss at public hospitals of South-East Ethiopia: An institutional-based cross-sectional study.

机构信息

Department of Midwifery, School of Health Science, Goba Referral Hospital, Madda Walabu University, Bale Goba, Ethiopia.

Department of Public Health, School of Health Science, Madda Walabu University, Shashemene, Ethiopia.

出版信息

Womens Health (Lond). 2021 Jan-Dec;17:17455065211060617. doi: 10.1177/17455065211060617.

Abstract

INTRODUCTION

Maternal near-miss precedes maternal mortality, and women are still alive indicating that the numbers of near-misses occur more often than maternal mortality. This study aims to assess the prevalence of maternal near-miss and associated factors at public hospitals of Bale zone, Southeast Ethiopia.

METHODS

Facility-based cross-sectional study design was carried out from 1 October 2018 to 28 February 2019, among 300 women admitted to maternity wards. A structured questionnaire and checklist were used to collect data. Epi-info for data entry and statistical package for social science for analysis were used. The descriptive findings were summarized using tables and text. Adjusted odds ratio with 95% confidence interval and p-value < 0.05 were used to examine the association between the independent and dependent variables.

RESULT

The prevalence of maternal near-miss in our study area was 28.7%. Age < 20 years, age at first marriage < 20 years, husbands with primary education, and being from rural areas are factors significantly associated with the prevalence of maternal near-miss. The zonal health department in collaboration with the education department and justice office has to mitigate early marriage by educating the community about the impacts of early marriage on health.

摘要

简介

孕产妇近死亡发生在孕产妇死亡之前,而且妇女仍然存活,这表明近死亡的发生次数比孕产妇死亡更为频繁。本研究旨在评估埃塞俄比亚东南部 Bale 地区公立医院孕产妇近死亡的发生率及其相关因素。

方法

2018 年 10 月 1 日至 2019 年 2 月 28 日,采用基于机构的横断面研究设计,对 300 名入住产科病房的妇女进行了研究。使用结构化问卷和检查表收集数据。使用 Epi-info 进行数据录入,使用统计软件包进行社会科学分析。使用表格和文字总结描述性发现。使用调整后的优势比(95%置信区间和 p 值<0.05)来检查独立变量和依赖变量之间的关联。

结果

在我们的研究地区,孕产妇近死亡的发生率为 28.7%。年龄<20 岁、初婚年龄<20 岁、丈夫接受过小学教育以及来自农村地区是与孕产妇近死亡发生率显著相关的因素。区卫生部门与教育部门和司法办公室合作,通过教育社区了解早婚对健康的影响,来减轻早婚现象。

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