Mola Meseret, Arefeyine Mastewal, Abegaz Zinet, Kebede Natnael
Department of Reproductive and Family Health, Kemissie General Hospital, College of Medicine and Health Science, Wollo University, Dessie, Ethiopia (XX Mola).
Department of Public Health Officer, School of Public Health, College of Medicine and Health Science, Wollo University, Dessie, Ethiopia (XX Abegaz and XX Arefeyine).
AJOG Glob Rep. 2023 Jul 16;3(3):100255. doi: 10.1016/j.xagr.2023.100255. eCollection 2023 Aug.
Birth preparedness and complication readiness is a preparation strategy for normal birth and potential emergency situations, and is important for the safety and health of mothers and newborns during pregnancy, childbirth, and the postpartum period.
This study aimed to assess the prevalence of birth preparedness and complication readiness and the associated factors among pregnant women.
This was a community-based, cross-sectional study conducted among randomly selected 480 pregnant women from February to April of 2020. Bivariable logistic regression was performed to assess the association of each independent variable with the dependent variable. All variables with a value of <.2 were entered into a multivariable logistic regression model to identify associated factors. Adjusted odds ratios with 95% confidence intervals were estimated to measure the strength of the association.
Out of the 498 sampled pregnant women, 480 (96.4%) agreed to participate in the study; 104 were found to have satisfactory birth preparedness and complication readiness (21.7%; 95% confidence interval, 18.3-25.7). Having had an experience of obstetrical complications (adjusted odds ratio, 1.83; 95% confidence interval, 1.07-3.14), early starting time for antenatal care visits (adjusted odds ratio, 5.22; 95% confidence interval, 2.26-12.06), advice about birth preparedness (adjusted odds ratio, 2.99; 95% confidence interval, 1.21-7.39), and awareness about obstetrical danger signs during childbirth and the postpartum period (adjusted odds ratio, 2.23; 95% confidence interval, 1.33-3.74) were found to be significantly associated with birth preparedness and complication readiness.
The prevalence of birth preparedness and complication readiness was low. Experience of obstetrical complications, starting time for antenatal care visits, advice about birth preparedness and complication readiness, and awareness of key danger signs during childbirth and the postpartum period were significantly associated with birth preparedness and complication readiness.
分娩准备和并发症应对是针对正常分娩及潜在紧急情况的一种准备策略，对孕期、分娩期及产后母亲和新生儿的安全与健康至关重要。
本研究旨在评估孕妇中分娩准备和并发症应对的流行情况及其相关因素。
这是一项基于社区的横断面研究，于2020年2月至4月对随机选取的480名孕妇进行。采用双变量逻辑回归来评估每个自变量与因变量之间的关联。所有P值<0.2的变量都被纳入多变量逻辑回归模型以确定相关因素。估计调整后的比值比及其95%置信区间以衡量关联强度。
在498名抽样孕妇中，480名（96.4%）同意参与研究；其中104名被发现具备令人满意的分娩准备和并发症应对能力（21.7%；95%置信区间为18.3 - 25.7）。有产科并发症经历（调整后的比值比为1.83；95%置信区间为1.07 - 3.14）、产前检查开始时间早（调整后的比值比为5.22；95%置信区间为2.26 - 12.06）、接受过分娩准备建议（调整后的比值比为2.99；95%置信区间为1.21 - 7.39）以及对分娩期和产后期产科危险信号的知晓（调整后的比值比为2.23；95%置信区间为1.33 - 3.74）均被发现与分娩准备和并发症应对显著相关。
分娩准备和并发症应对的流行率较低。产科并发症经历、产前检查开始时间、分娩准备和并发症应对建议以及对分娩期和产后期关键危险信号的知晓与分娩准备和并发症应对显著相关。
