尼日利亚埃努古州产妇对新生儿男性割礼偏好的评估。
Evaluation of maternal preferences for neonatal male circumcision in Enugu Nigeria.
机构信息
Sub-Department of Pediatric Surgery, Faculty of Medical Sciences, College of Medicine, University of Nigeria, Ituku/Ozalla Campus, Enugu, Nigeria.
Department of Pediatrics, Faculty of Medical Sciences, College of Medicine, University of Nigeria, Ituku/Ozalla Campus, Enugu, Nigeria.
出版信息
Afr J Paediatr Surg. 2022 Apr-Jun;19(2):73-77. doi: 10.4103/ajps.AJPS_41_21.
BACKGROUND
Although circumcision in male neonates is one of the most common procedures performed in neonatal surgery, mothers' preferences concerning the aspects of circumcision are not well-known. Since mother is the likely parent to present child for circumcision, her preferences should be given adequate consideration.
OBJECTIVES
The objective of this study is to evaluate maternal preferences for neonatal male circumcision in Enugu.
METHODOLOGY
A cross-sectional study where questionnaire was distributed by the researchers to consenting pregnant women attending antenatal clinics in two teaching hospitals in Enugu. Data analysis was performed using the SPSS. The results presented as means, percentages and tables. Test for significance was done using the Chi-square test.
RESULTS
Four hundred and sixty-one pregnant women participated in the study. Ninety-five percent (438/461) wanted circumcision and 83.5% (385/461) wanted it on or before the 8 day of life. The reasons were cultural/religious in 69% (302/447). Fifty-four percent (250/461) had no preferences as to methods, but for those who had, Plastibell was most preferred method in 28% (129/461) while 76% (235/309) preferred circumcision to be done in hospital. In 49.2% (227/461) preferred personnel were nurses but 79.6% (367/461) wanted doctors to attend to post-circumcision complications. In 79.2% (365/461), mothers will not insist on the use of anaesthesia for circumcision. Mothers with circumcised husbands were significantly more willing to circumcise a male child (P = 0.0018). Higher educational status of mother was significantly related to willingness to insist on the use of anaesthesia (P = 0.046) and use of analgesics after circumcision (P = 0.001).
CONCLUSIONS
Most mothers prefer neonatal male circumcision by nurses, while preferring doctors for post-circumcision complications. These choices are not affected by parents' educational status. Mothers with circumcised husbands accepted circumcision more than those with uncircumcised husbands. Higher maternal education encourages anaesthesia during circumcision and post-circumcision analgesia.
背景
尽管新生儿男性割礼是新生儿外科中最常见的手术之一，但母亲对割礼的偏好并不为人所知。由于母亲是可能带孩子去割礼的人，因此应该充分考虑她的意愿。
目的
本研究旨在评估恩古纳新生儿男性割礼的母亲偏好。
方法
这是一项横断面研究，研究人员向在恩古纳两所教学医院接受产前检查的同意参与的孕妇分发问卷。使用 SPSS 进行数据分析。结果以平均值、百分比和表格形式呈现。使用卡方检验进行显著性检验。
结果
461 名孕妇参与了这项研究。95%（438/461）的孕妇希望进行割礼，83.5%（385/461）希望在出生后 8 天内进行割礼。69%（302/447）的原因是文化/宗教原因。54%（250/461）对方法没有偏好，但对于有偏好的人来说，最受欢迎的方法是 Plastibell 占 28%（129/461），而 76%（235/309）更喜欢在医院进行割礼。49.2%（227/461）首选护士进行割礼，但 79.6%（367/461）希望医生处理割礼后的并发症。在 79.2%（365/461）的情况下，母亲不会坚持使用麻醉进行割礼。丈夫接受割礼的母亲更愿意割礼一个男婴（P=0.0018）。母亲的受教育程度越高，就越愿意坚持使用麻醉（P=0.046）和割礼后使用止痛药（P=0.001）。
结论
大多数母亲希望由护士对男婴进行割礼，而希望由医生处理割礼后的并发症。这些选择不受父母教育程度的影响。丈夫接受割礼的母亲比丈夫未接受割礼的母亲更能接受割礼。母亲的教育程度越高，就越鼓励在割礼期间和割礼后使用麻醉和止痛药。
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