意图在埃塞俄比亚孕妇中使用母婴同室及其预测因素：系统评价和荟萃分析。

Intention to use maternal waiting home and its predictors among pregnant women in Ethiopia: systematic review and meta-analysis.

机构信息

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

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

出版信息

Eur J Med Res. 2023 Aug 7;28(1):274. doi: 10.1186/s40001-023-01248-7.

DOI:10.1186/s40001-023-01248-7

PMID:37550705

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10405426/

Abstract

BACKGROUND

A high maternal death rate is a result of maternal delays in seeking emergency obstetric care, particularly in countries with limited resources like Ethiopia. Utilizing maternity waiting homes is a strategy to overcome geographical barriers and improve maternal and neonatal health outcomes. Pregnant women must intend to use this service in addition to it being available. Therefore, the goal of this study was to assess pregnant women's intentions to use maternity waiting homes and associated characteristics.

METHODS

PubMed, Google Scholar, Scopus, Science Direct, and online institutional repository homes were searched. Data were extracted using Microsoft Excel and analyzed using STATA statistical software (v. 14). Publication bias was checked by forest plot, Begg's, and Egger's tests. To look for heterogeneity, I was computed, and an overall estimated analysis was carried out. Subgroup analysis was done by study region, sample size, and publication. The pooled odds ratio for associated factors was also computed.

RESULTS

Out of 258 articles assessed, 8 studies with 4111 study participants met the criteria and were included in this study. The pooled prevalence of intention to use maternity waiting home was 52.25% (95% CI 45.88-58.66), I = 93.8%). Amhara region had a higher intention to use maternal waiting for home prevalence (63.5%), per subgroup analysis. In studies with sample sizes higher than 5000, the usage of maternity waiting homes was less prevalent (45.2%). Between published research (52.9%) and unpublished studies (51.3%), there was no appreciable difference in the intention to use a maternity waiting home. Experience of maternity waiting home (AOR = 3.337; 95% CI 2.038-5.463), direct subjective norm (AOR = 2.763; 95% CI 1.395-5.471), and direct perceived behavioral control (AOR = 23.147; 95% CI 2.341-4.231).

CONCLUSION

In Ethiopia, the intention to use maternity waiting was low. There was an intentional variation in to use of maternity waiting homes across regions of Ethiopia. Improving behavioral perception through intervention programs such as antenatal education should have been strengthened.

摘要

背景

高孕产妇死亡率是孕产妇寻求紧急产科护理延误的结果，尤其是在埃塞俄比亚等资源有限的国家。利用孕妇等候之家是克服地理障碍和改善母婴健康结果的一种策略。孕妇必须打算使用这项服务，并且该服务必须是可用的。因此，本研究的目的是评估孕妇使用孕妇等候之家的意愿及其相关特征。

方法

在 PubMed、Google Scholar、Scopus、Science Direct 和在线机构知识库中进行了搜索。使用 Microsoft Excel 提取数据，并使用 STATA 统计软件（v.14）进行分析。通过森林图、贝格和埃格检验检查发表偏倚。为了寻找异质性，计算了 I2，并进行了总体估计分析。按研究区域、样本量和出版物进行亚组分析。还计算了相关因素的汇总优势比。

结果

在评估的 258 篇文章中，有 8 项研究（4111 名研究参与者）符合标准并纳入本研究。使用孕妇等候之家的意愿的总体流行率为 52.25%（95%CI 45.88-58.66），I=93.8%）。按亚组分析，阿姆哈拉地区使用产妇等候之家的意愿更高（63.5%）。在样本量大于 5000 的研究中，使用孕妇等候之家的情况较少（45.2%）。在已发表的研究（52.9%）和未发表的研究（51.3%）之间，使用孕妇等候之家的意愿没有明显差异。孕妇等候之家的体验（AOR=3.337；95%CI 2.038-5.463）、直接主观规范（AOR=2.763；95%CI 1.395-5.471）和直接感知行为控制（AOR=23.147；95%CI 2.341-4.231）。