Department of Midwifery, College of Medicine and Health Sciences, Debre Tabor University, Debra Tabor, Ethiopia.
J Health Popul Nutr. 2024 Feb 15;43(1):26. doi: 10.1186/s41043-024-00524-4.
Postnatal care is care that is provided to mothers and newborn baby after delivery. The care given after childbirth is the most critical time because most maternal and neonatal mortality occurs during this period. Utilization of this service is low in Ethiopia, and no evidence exists to describe the status of early postnatal care service utilization among women in the study area.
This study aimed to assess the utilization of early postnatal care services and associated factors among mothers who gave birth in the last 12 months in the South Gondar Zone District, Amhara Region, Ethiopia, in 2021.
This study was conducted in South Gondar Zone Districts from October 1 to 30, 2021. A total of 761 participants were included in this study using a simple random sampling method. The study participants were mothers who gave birth in the last 12 months. The data were collected via interview-guided semistructured questionnaires. The collected data were coded and entered into EPI Info version 7.2 and exported into SPSS version 23 for analysis. Both binary and multivariate logistic regression analyses were applied to identify factors affecting the outcome variables. The results of the final model are presented as the adjusted odds ratio (AOR) and 95% confidence interval (CI). A P value less than 0.05 was considered to indicate statistical significance.
In this study, 761 mothers participated, for a response rate of 100%. The overall prevalence of early utilization of postnatal care services was 20.6%. Mothers who live in urban areas were five times more likely to have early visits than those living in rural areas with adjusted odds ratio [AOR (95% CI) = 5.2 (3.19, 8.54)], a mothers who had a history of more than four parity had more likely to visit than the others at [AOR (95% CI) = 2.25 (1.18, 4.29)], mothers who had a history of pregnancy had two times more likely to visit than the other [AOR (95% CI) = 2.06 (1.05, 4.05)], and mothers who had delivered by instrumental vaginal delivery or cesarean section delivery and those mothers who had mass media exposure were two and five times more likely to visit, respectively [AOR (95% CI) = 2.62 (1.40, 4.91)] and [AOR (95% CI) = 5.18 (2.55, 10.52)].
Compared with those of other studies, the overall prevalence of early utilization of postnatal care services was low. Improving mothers' knowledge of early postnatal care visits is very important for enhancing quality of life and minimizing neonatal and maternal morbidity and mortality.
产后护理是指分娩后为母亲和新生儿提供的护理。分娩后提供的护理是最关键的时期，因为大多数产妇和新生儿死亡都发生在此期间。在埃塞俄比亚，这种服务的利用率很低，而且没有证据表明在研究地区描述了妇女对早期产后护理服务的利用情况。
本研究旨在评估 2021 年在埃塞俄比亚阿姆哈拉地区南贡达尔地区在过去 12 个月内分娩的母亲中早期产后护理服务的利用情况及其相关因素。
本研究于 2021 年 10 月 1 日至 30 日在南贡达尔地区进行。采用简单随机抽样法，共纳入 761 名参与者。研究参与者为过去 12 个月内分娩的母亲。通过访谈引导的半结构式问卷收集数据。收集的数据被编码并输入 EPI Info 版本 7.2 并导出到 SPSS 版本 23 进行分析。应用二项和多变量逻辑回归分析来确定影响结果变量的因素。最终模型的结果表示为调整后的优势比（AOR）和 95%置信区间（CI）。P 值小于 0.05 表示具有统计学意义。
在这项研究中，761 名母亲参与了调查，应答率为 100%。早期利用产后护理服务的总体流行率为 20.6%。与居住在农村地区的母亲相比，居住在城市地区的母亲更有可能进行早期访问，调整后的优势比（95%CI）为 5.2（3.19,8.54），有四个以上生育史的母亲比其他母亲更有可能进行访问，调整后的优势比（95%CI）为 2.25（1.18,4.29），有妊娠史的母亲比其他母亲更有可能进行访问，调整后的优势比（95%CI）为 2.06（1.05,4.05），通过器械阴道分娩或剖宫产分娩的母亲和接触大众媒体的母亲分别更有可能进行访问，调整后的优势比（95%CI）分别为 2.62（1.40,4.91）和 5.18（2.55,10.52）。
与其他研究相比，早期利用产后护理服务的总体流行率较低。提高母亲对早期产后护理访问的认识对于提高生活质量和最大限度地减少新生儿和产妇发病率和死亡率非常重要。
