Gesese Shumiye Shiferaw, Mersha Eleni Adimassu, Balcha Wondu Feyisa
Department of Midwifery, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia.
Department of Reproductive Health and Population Studies, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia.
Ann Med Surg (Lond). 2023 Apr 11;85(5):1722-1730. doi: 10.1097/MS9.0000000000000610. eCollection 2023 May.
In many developing countries maternal morbidity and mortality are challenging issues. Increasing the knowledge of women about the danger signs of pregnancy is the first essential step to reduce the adverse outcomes of pregnancy and delay in deciding to seek obstetric care, which in turn improves early detection of obstetric complications. This study aimed to assess knowledge of danger signs of pregnancy and health-seeking action among pregnant women.
A health facility-based cross-sectional study was conducted in public health facilities from 1 March 2017 to 30 April 2017 on 414 pregnant mothers. The data were collected by systematic random sampling technique, entered into a computer using Epi data 3.5, and analyzed using Statistical Package of Social Sciences version 20.0. Bivariate and multivariable logistic regression analyses were done to estimate the crude and adjusted odds ratio with a confidence interval of 95% and a value of less than 0.05 considered statistically significant.
This study identified that 57.2% of pregnant women had good knowledge of the danger signs of pregnancy. Pregnant women who are found in the age group of 25-29 [adjusted odds ratio (AOR)=3.35, 95% CI=1.13-9.96], and ≥30 years (AOR=8.11, 95% CI=2.23-29.45), mothers who live in urban area (AOR=5.26, 95% CI=1.96-14.15), primary education (AOR=4.85, 95% CI=2.07-11.41), secondary and above educational level (AOR=6.90, 95% CI=3.28-14.49), employed mother (AOR=5.18, 95% CI=1.65-16.27), being multigravida (AOR=7.24, 95% CI=3.86-13.58), knows that danger signs of pregnancy may cause severe complications (AOR=9.94, 95% CI=5.23-18.93), knew what to do if they faced danger signs of pregnancy (AOR=3.37, 95% CI=1.14-9.93), knew when did they go to a health facility if they faced danger signs of pregnancy (AOR=3.97, 95% CI=1.67-9.47) and faced at least one danger signs of pregnancy in current pregnancy (AOR = 5.40, 95% CI=1.46-19.99) were significantly associated with knowledge of danger signs of pregnancy. The proportion of mothers who experienced danger signs of pregnancy was 27 (6.5%) and among them, 21 (77.8%) had an appropriate health-seeking action, which is visiting a health facility.
In this study area, the knowledge of pregnant women about the danger signs of pregnancy was low, while the practice of the mothers in response to danger signs of pregnancy was encouraging. Therefore, it is needed to the empowerment of women by increasing access to get an education, especially for rural women.
在许多发展中国家，孕产妇发病率和死亡率是具有挑战性的问题。提高妇女对妊娠危险信号的认识是减少妊娠不良结局和延迟决定寻求产科护理的首要关键步骤，这反过来又能改善产科并发症的早期发现。本研究旨在评估孕妇对妊娠危险信号的认识及寻求医疗行为。
2017年3月1日至2017年4月30日，在公共卫生机构对414名孕妇进行了一项基于医疗机构的横断面研究。数据通过系统随机抽样技术收集，使用Epi data 3.5录入计算机，并使用社会科学统计软件包20.0进行分析。进行二元和多变量逻辑回归分析，以估计粗比值比和调整后的比值比，95%置信区间，P值小于0.05被认为具有统计学意义。
本研究发现，57.2%的孕妇对妊娠危险信号有良好的认识。年龄在25 - 29岁（调整后的比值比[AOR]=3.35，95%置信区间=1.13 - 9.96）和≥30岁（AOR=8.11，95%置信区间=2.23 - 29.45）的孕妇，居住在城市地区的母亲（AOR=5.26，95%置信区间=1.96 - 14.15），接受过小学教育（AOR=4.85，95%置信区间=2.07 - 11.41），接受过中学及以上教育水平（AOR=6.90，95%置信区间=3.28 - 14.49），有工作的母亲（AOR=5.18，95%置信区间=1.65 - 16.27），多产妇（AOR=7.24，95%置信区间=3.86 - 13.5），知道妊娠危险信号可能导致严重并发症（AOR=9.94，95%置信区间=5.23 - 18.93），知道如果面临妊娠危险信号该怎么做（AOR=3.37，95%置信区间=1.14 - 9.93），知道如果面临妊娠危险信号何时去医疗机构（AOR=3.97，95%置信区间=1.67 - 9.47）以及在本次妊娠中至少面临一种妊娠危险信号（AOR = 5.40，95%置信区间=1.46 - 19.99）与对妊娠危险信号的认识显著相关。经历过妊娠危险信号的母亲比例为27人（6.5%），其中21人（77.8%）采取了适当的寻求医疗行为，即前往医疗机构就诊。
在本研究地区，孕妇对妊娠危险信号的认识较低，而母亲们对妊娠危险信号的应对行为令人鼓舞。因此，需要通过增加受教育机会来增强妇女权能，特别是农村妇女。
