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生育准备和并发症准备的实践及其相关因素:基于卫生机构的横断面研究设计。

Practice of Birth Preparedness and Complication Readiness and Its Associated Factors:A Health Facility-Based Cross-Sectional Study Design.

机构信息

Department of Midwifery, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia.

出版信息

Inquiry. 2024 Jan-Dec;61:469580241236016. doi: 10.1177/00469580241236016.

Abstract

Time of labor or time of emergency is not the time to decide what to do, instead it is time to seek care from skilled health care providers. Birth preparedness and complication readiness is the process of planning for a normal birth and anticipating the action needed in case of an emergency, which helps to minimize obstetric complications. Even though birth preparedness and complication readiness reduce maternal and newborn morbidity and mortality, the practice of birth preparedness and complication readiness is still low in Ethiopia. This study aimed to assess the practice of birth preparedness and complication readiness and its associated factors among pregnant women who attended antenatal care in the public health facilities of Debre Tabor town, northwest, Ethiopia. A health facility-based cross-sectional study was conducted from August 1/2022 to September 15/2022 among 397 pregnant mothers. The study was collected using a systematic random sampling technique and the collected data were entered and analyzed using SPSS version 25.0. Bivariate and multivariate logistic regression analyses were employed to estimate the crude and adjusted odds ratio and considered significant at a confidence interval of 95% and a -value of less than .05. The proportion of birth preparedness and complication readiness practice was found to be 32.2%. Having formal education, primigravida, starting antenatal care contact in the first trimester of pregnancy, having knowledge of danger signs of labor and delivery, and birth preparedness and complication readiness were significantly associated with the practice of preparedness and complication readiness. In this study area, the practice of birth preparedness and complication readiness was low. Therefore, it is important to strengthen counseling on the advantage of starting antenatal care contact early and creating awareness of birth preparedness and complication readiness.

摘要

分娩时间或紧急情况不是决定该做什么的时间,而是寻求熟练保健提供者护理的时间。分娩准备和并发症准备是规划正常分娩和预测紧急情况下所需行动的过程,有助于最大限度地减少产科并发症。尽管分娩准备和并发症准备降低了孕产妇和新生儿的发病率和死亡率,但在埃塞俄比亚,分娩准备和并发症准备的实践仍然很低。本研究旨在评估在德布雷塔博镇公共卫生设施接受产前护理的孕妇的分娩准备和并发症准备实践及其相关因素。这是一项基于卫生设施的横断面研究,于 2022 年 8 月 1 日至 9 月 15 日期间在 397 名孕妇中进行。使用系统随机抽样技术收集研究,使用 SPSS 版本 25.0 输入和分析收集的数据。进行了单变量和多变量逻辑回归分析,以估计粗和调整后的优势比,并考虑置信区间为 95%和 -值小于 0.05 的显著水平。发现分娩准备和并发症准备实践的比例为 32.2%。具有正规教育、初产妇、在妊娠早期开始产前保健接触、了解分娩和分娩的危险信号以及分娩准备和并发症准备与准备和并发症准备的实践显著相关。在这个研究领域,分娩准备和并发症准备的实践很低。因此,加强关于尽早开始产前保健接触的优势的咨询以及提高对分娩准备和并发症准备的认识非常重要。

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