母亲延迟使用金亚马里安医疗中心机构分娩服务的情况：来自埃塞俄比亚的研究。

Delay in Reaching Institutional Delivery Service Utilization among Mothers Attending Jimma Medical Center, Ethiopia.

机构信息

School of Nursing, Institute of Health, Faculty of Health Sciences, Jimma University, Ethiopia.

School of Midwifery, Institute of Health, Faculty of Health Sciences, Jimma University, Ethiopia.

出版信息

Ethiop J Health Sci. 2022 Jul;32(4):673-680. doi: 10.4314/ejhs.v32i4.2.

DOI:10.4314/ejhs.v32i4.2

PMID:35950078

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9341026/

Abstract

BACKGROUND

Maternal delay in the utilization of delivery services is one of the contributing factors for high maternal mortality in developing countries. However, it is preventable by timely arrival for obstetric care. The difference between life and death in obstetrics might be a matter of timely arrival and management. The objective of this study was to assess factors associated with maternal delay in reaching institutional delivery service utilization among mothers attending Jimma Medical Center.

METHOD

Facility-based cross-sectional study design was employed. The sample size was determined by a single population proportion formula and entered into epi data version 3.1, then exported to SPSS version 23. The data was presented using texts and tables. Binary and multivariable logistic regression analysis with 95% CI for odds ratio (OR) was used to assess the factors.

RESULT

The prevalence of maternal delay in reaching institutional delivery service utilization was 163(40.2%). Low husbands' educational levels were significantly associated with delay in reaching: illiterate (AOR=4.22, 95% CI: 1.10-16.19), primary (AOR=3.88, 95% CI: 1.24-12.1). Mothers who live in rural areas have been delayed 2 times more than mothers who live in urban areas (AOR=2.22, 95% CI: 1.044-4.73). Likewise, mothers who live a long distance from health facilities are 13 times more likely to delay than mothers who live ≤ 10 kilometers (AOR= 12.89,95%CI:6.66-24.94).

CONCLUSION

Delay in reaching institutional delivery service was high. Factors such as husband's education, distance of health facility, and living area were significant factors with delay in reaching.

摘要

背景

在发展中国家，产妇利用分娩服务的延迟是导致产妇死亡率高的因素之一。然而，及时到达产科护理即可预防这种情况。产科的生死之差可能取决于及时到达和管理。本研究旨在评估影响在 Jimma 医疗中心就诊的产妇延迟使用机构分娩服务的因素。

方法

采用基于机构的横断面研究设计。根据单总体比例公式确定样本量，并输入 epi data 版本 3.1，然后导出到 SPSS 版本 23。数据以文字和表格形式呈现。采用二项和多变量逻辑回归分析，95%置信区间的比值比（OR）用于评估因素。

结果

产妇延迟使用机构分娩服务的比例为 163（40.2%）。丈夫教育水平低与延迟到达显著相关：文盲（AOR=4.22，95%CI：1.10-16.19），小学（AOR=3.88，95%CI：1.24-12.1）。与居住在城市的母亲相比，居住在农村地区的母亲的延迟率高出两倍（AOR=2.22，95%CI：1.044-4.73）。同样，居住在离卫生机构较远的母亲比居住在≤10 公里的母亲延迟的可能性高 13 倍（AOR=12.89，95%CI：6.66-24.94）。