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埃塞俄比亚南部伊尔加莱姆综合医院接受产前检查随访的妇女的分娩准备和并发症应对情况

Birth preparedness and complication readiness practice among women attending antenatal care follow up in Yirgalem general hospital, southern Ethiopia.

作者信息

Mesele Molalegn, Anmut Walellign

机构信息

Department of Midwifery, College of Health Science and Medicine, Wolaita Sodo University, Wolaita Sodo, Ethiopia.

出版信息

PLOS Glob Public Health. 2022 Aug 5;2(8):e0000864. doi: 10.1371/journal.pgph.0000864. eCollection 2022.

Abstract

In developing countries, maternal and newborn mortality is a major public health issue. Birth preparedness and complication readiness is a method to encourage pregnant women to seek professional birth attendants as soon as possible. The aim of this study was to evaluate practice and factors associated with birth preparedness and complication readiness among women attending antenatal care, southern Ethiopia, in 2019. From September 1st to September 30th, 2019, a facility-based cross-sectional study was conducted. 422 pregnant women were randomly selected and interviewed using a structured questionnaire. Epi-data version 3.1 was used to enter data, while SPSS version 21 was used to analyze it. To find factors associated with birth preparedness and complications readiness, researchers used multivariable logistic regression.From 422 study participants, 205(48.6%) (95% CI: 46.9%, 49.8%) have birth preparedness and complication readiness practice. Age of respondent ≥ 37 years (AOR = 4.2, 95% C.I = 1.23, 14.24) and between 25 to 30 (AOR = 2.35, 95% C.I = 1.1, 5.1); level of education College and above(AOR = 5.59, 95% C.I 2.8, 11.2) and secondary school (AOR = 9.5, 95% C.I 3.99-22); previous history of ANC follow up (AOR = 4.33, 95% C.I = 2.46, 7.61), birth outcome with live birth(AOR = 3.53, 95% C.I = 1.51, 8.25), and history of birth at health facility (AOR = 3.09, 95% C.I = 1.72, 5.56) where factors significantly associated with birth preparedness and complication readiness practice. Overall, there was low birth preparedness and complication readiness practices were observed in current study. Age of respondents, level of education, history of ANC follow up, and history of birth at a health facility were factors associated with birth preparedness and complication readiness practice. Governments with other stakeholders should work by focusing on antenatal care and institutional delivery by focusing on older age group mothers with who has no formal education.

摘要

在发展中国家,孕产妇和新生儿死亡率是一个重大的公共卫生问题。生育准备和并发症应对准备是一种鼓励孕妇尽快寻求专业助产人员的方法。本研究的目的是评估2019年埃塞俄比亚南部接受产前护理的妇女中生育准备和并发症应对准备的情况及相关因素。2019年9月1日至9月30日,开展了一项基于机构的横断面研究。随机选取422名孕妇,使用结构化问卷进行访谈。数据录入采用Epi-data 3.1版本,分析采用SPSS 21版本。为了找出与生育准备和并发症应对准备相关的因素,研究人员使用了多变量逻辑回归分析。在422名研究参与者中,205名(48.6%)(95%置信区间:46.9%,49.8%)有生育准备和并发症应对准备行为。受访者年龄≥37岁(调整后比值比[AOR]=4.2,95%置信区间=1.23,14.24)以及25至30岁(AOR=2.35,95%置信区间=1.1,5.1);教育程度为大专及以上(AOR=5.59,95%置信区间2.8,11.2)以及中学(AOR=9.5,95%置信区间3.99 - 22);既往有产前检查随访史(AOR=4.33,95%置信区间=2.46,7.61)、活产分娩结局(AOR=3.53,95%置信区间=1.51,8.25)以及在医疗机构分娩史(AOR=3.09,95%置信区间=1.72,5.56)是与生育准备和并发症应对准备行为显著相关的因素。总体而言,本研究中观察到生育准备和并发症应对准备行为水平较低。受访者年龄、教育程度、产前检查随访史以及在医疗机构分娩史是与生育准备和并发症应对准备行为相关的因素。政府与其他利益相关者应致力于关注产前护理和机构分娩,尤其关注年龄较大且未接受正规教育的母亲群体。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5200/10021876/4c1ca3f7fc64/pgph.0000864.g001.jpg

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