Mathewos Oridanigo Eyassu, Kassa Belete
Department of Nursing, College of Medical and Health Sciences, Wachemo University, Durame Campus, Durame, Ethiopia.
Angacha Woreda Health Office, Kembata Tembaro Zone, P.O. Box 20, Angacha, Ethiopia.
Adv Med. 2022 Aug 30;2022:8180387. doi: 10.1155/2022/8180387. eCollection 2022.
Skilled delivery is considered the single most important strategy in preventing maternal and neonatal morbidity and mortality. It ensures safe birth, reduces actual and potential complications, and increases the survival of most mothers and newborns.
To identify determinants of the utilization of skilled birth attendance among women who gave birth in the last 12 months in the Kembata Tembaro zone, Southern Ethiopia, 2020.
A community-based cross-sectional study was employed from 1 April 2020 to 30 April 2020 among women who gave birth in the last 12 months in the Kembata Tembaro zone. Six hundred twenty-four mothers were recruited for the study as eligible participants. Multistage stratified sampling was used to select three districts and one town administrative unit of the study area. The data were collected and verified for their completeness, followed by editing and coding. Multivariate analysis was performed using the backward LR method to identify factors independently associated with the dependent variable. Statistical significance was declared at a value of less than 0.05, and the strength of statistical association was measured by adjusted odds ratio and 95% confidence interval.
Of 624 study subjects sampled, 607 provided information with a response rate of 97.3%. In this study, 309 (50.9%) women had their last birth at health facilities attended by skilled birth attendants. Place of residence (AOR (95% CI) = 0.33 (0.22,0.58)); age at interview (AOR (95% CI = 3.41 (1.57,5.45)); maternal education (AOR (95% CI) = 1.50 (1.34, 4.19)); history of still birth (AOR (95% CI) = 3.85 (2.14,6.91)); maternal occupation (AOR (95% CI) = 3.35 (1.79,6.27)); husband occupation (AOR (95% CI) = 2.69 (1.70,7.09)); ANC visit (AOR (95% CI) = 4.62 (3.12,7.32)); knowledge of obstetric complications (AOR (95% CI) = 3.10 (1.37,5.21)); and final decision-making about place of delivery (AOR (95% CI) = 3.64 (1.70,7.99)) were significantly associated with the use of skilled birth attendance.
In this study, nearly half of the mothers used skilled birth attendance. Place of residence, age at interview, maternal education, history of still birth, maternal occupation, husband occupation, antenatal visit, knowledge about obstetric complications, and final decision-maker about place of delivery were determinants of the use of skilled attendance delivery.
熟练接生被认为是预防孕产妇和新生儿发病及死亡的最重要单一策略。它确保安全分娩，减少实际和潜在并发症，并提高大多数母亲和新生儿的存活率。
确定2020年埃塞俄比亚南部肯巴塔·滕巴罗地区在过去12个月内分娩的妇女中熟练接生服务利用情况的决定因素。
2020年4月1日至4月30日，在肯巴塔·滕巴罗地区对过去12个月内分娩的妇女开展了一项基于社区的横断面研究。招募了624名母亲作为符合条件的研究参与者。采用多阶段分层抽样方法选择研究区域的三个区和一个镇行政单位。收集数据并核实其完整性，随后进行编辑和编码。使用向后LR法进行多变量分析，以确定与因变量独立相关的因素。当p值小于0.05时宣布具有统计学意义，统计关联强度通过调整后的优势比和95%置信区间来衡量。
在抽样的624名研究对象中，607人提供了信息，回复率为97.3%。在本研究中，309名（50.9%）妇女在由熟练接生员接生的医疗机构分娩。居住地（优势比（95%置信区间）=0.33（0.22，0.58））；访谈时年龄（优势比（95%置信区间）=3.41（1.57，5.45））；母亲教育程度（优势比（95%置信区间）=1.50（1.34，4.19））；死产史（优势比（95%置信区间）=3.85（2.14，6.91））；母亲职业（优势比（95%置信区间）=3.35（1.79，6.27））；丈夫职业（优势比（95%置信区间）=2.69（1.70，7.09））；产前检查（优势比（95%置信区间）=4.62（3.12，7.32））；对产科并发症的认知（优势比（95%置信区间）=3.10（1.37，5.21））；以及关于分娩地点的最终决策（优势比（95%置信区间）=3.64（1.70，7.99））与熟练接生服务的使用显著相关。
在本研究中，近一半的母亲使用了熟练接生服务。居住地、访谈时年龄、母亲教育程度、死产史、母亲职业、丈夫职业、产前检查、对产科并发症的了解以及关于分娩地点的最终决策者是熟练接生服务使用情况的决定因素。
