Asfaha Berhane Teklay, Gebremariam Shewit Hailu, Gebremariam Gebremedhin Kinfe, Weldemariam Ataklti Gebretsadik
Department of Midwifery, College of Health Sciences, Assosa University, Assosa, Ethiopia.
Department of Midwifery, College of Medicine and Health Sciences, Adigrat University, Adigrat, Ethiopia.
Int J Reprod Med. 2022 Jun 1;2022:7346618. doi: 10.1155/2022/7346618. eCollection 2022.
Pregnancy complications are the major health problems among women in developing countries. Globally, around 295,000 women die from pregnancy-related causes annually and 86% of these maternal deaths happen in developing countries.
To assess knowledge of obstetric danger signs among reproductive-age women living in southeastern zone of Tigray Region, Ethiopia, 2021.
A community-based quantitative cross-sectional survey was undertaken in southeastern zone of Tigray. A multistage random sampling technique was implemented to select total participants of 410 reproductive-age women. Two districts were randomly selected, and from those districts, 12 kebeles were selected randomly, and the calculated sample size (410) was proportionally allocated to each selected kebel. The data were collected by using face-to-face interview with a structured questionnaire from January 20 to February 20/2021 after ensuring that all requirements of ethical considerations were fulfilled. The collected data were entered into EpiData version 4.2 and then exported to SPSS version 20 for analysis. Descriptive statistics with frequency, percentage, table and graph, and cross-tabulation were used for presentation of result. Bivariable and multivariable analyses were used to examine the association. Odds ratios with 95% confidence interval and value < 0.05 were used to determine the statistical association.
Four hundred ten reproductive-age women participated in the study making a response rate of 100%. Leakage of fluid per vagina was the most commonly mentioned obstetric danger signs (61%). Overall, one hundred seventy-two (42%) had good knowledge on obstetric danger sign. Educational status of the mother (AOR (95%CI = 2.7 (1.189-6.24))), site of delivery (AOR (95%CI = 2.2 (1.6-3.432))), and having history of an ANC follow-up (AOR (95%CI = 2.4 (1.13-5.6))) were found to be independent predictors of knowledge of women about the obstetric danger sign. . Educational status of the mother site of delivery and having history of an ANC follow-up were independently associated with knowledge of women about obstetric danger signs. Thus, provision of the Information, Education and Communication targeting women, family, and the general community on obstetric danger signs and associated factors was recommended.
妊娠并发症是发展中国家女性面临的主要健康问题。在全球范围内，每年约有29.5万名女性死于与妊娠相关的原因，其中86%的孕产妇死亡发生在发展中国家。
评估2021年居住在埃塞俄比亚提格雷地区东南部的育龄妇女对产科危险信号的认知情况。
在提格雷地区东南部开展了一项基于社区的定量横断面调查。采用多阶段随机抽样技术，选取了410名育龄妇女作为研究对象。随机选择两个区，从这些区中随机选取12个 Kebeles，并将计算出的样本量（410）按比例分配到每个选定的 Kebeles。在确保满足所有伦理考量要求后，于2021年1月20日至2月20日使用结构化问卷通过面对面访谈收集数据。将收集到的数据录入EpiData 4.2版本，然后导出到SPSS 20版本进行分析。使用频率、百分比、表格和图表以及交叉表等描述性统计方法呈现结果。采用双变量和多变量分析来检验关联性。使用95%置信区间的比值比和P值<0.05来确定统计学关联。
410名育龄妇女参与了研究，应答率为100%。阴道流液是最常被提及的产科危险信号（61%）。总体而言，172名（42%）妇女对产科危险信号有良好认知。母亲的教育程度（调整后比值比（95%置信区间=2.7（1.189 - 6.24）））、分娩地点（调整后比值比（95%置信区间=2.2（1.6 - 3.432）））以及有产前检查随访史（调整后比值比（95%置信区间=2.4（1.13 - 5.6）））被发现是女性对产科危险信号认知的独立预测因素。母亲的教育程度、分娩地点和有产前检查随访史与女性对产科危险信号的认知独立相关。因此，建议针对女性、家庭和普通社区提供有关产科危险信号及其相关因素的信息、教育和宣传。
