Department of Public Health, Hosanna Health Sciences College, Hosanna, Ethiopia.
School of Nursing and Midwifery, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.
J Pregnancy. 2024 May 2;2024:1474213. doi: 10.1155/2024/1474213. eCollection 2024.
The early postnatal period is defined as the first 48 h to 7 days after delivery. The early postnatal visit is especially the most critical time for the survival of mothers and newborns, particularly through early detection and management of postpartum complications. Despite the benefits, most mothers and newborns do not receive early postnatal care services from healthcare providers during the critical first few days after delivery. This study is aimed at assessing the prevalence of early postnatal care utilization and associated factors among mothers who gave birth within the last 6 weeks in Hosanna town, Southern Ethiopia, from April 20 to May 30, 2022. A community-based cross-sectional study was conducted in Hadiya Zone, Hosanna town, Southern Ethiopia. A simple random sample technique was used to recruit 403 mothers who had given birth in the previous 6 weeks from a family folder. Data was collected through face-to-face interviews using a standardized questionnaire. Binary logistic regression was used to assess the association between outcomes and explanatory variables, and the strength of the association was interpreted using an odds ratio with a 95% confidence interval. In our study, values of 0.05 were considered statistically significant. The prevalence of early postnatal care utilization among mothers who gave birth within 1 week of the study area was 25.8% (95% CI: 21.7-30.0). No formal and primary educational level of husband (AOR = 0.05, 95% CI: [0.02, 0.16]), antenatal care follow-up (AOR = 2.13, 95% CI: [1.11, 4.1]), length of hospital stay before discharge (≥24 h) ( = 0.3, 95% CI: [0.16, 0.55]), and information about early postnatal care utilization (AOR = 3.08, 95% CI: [1.72, 5.52]) were factors significantly associated with early postnatal care utilization. In comparison to World Health Organization standards, the study's overall prevalence of early postnatal care utilization was low. Early postnatal care use was significantly associated with antenatal care follow-up, the husband's educational level, knowledge of early postnatal care use, and length of stay at the health institution following birth. As a result, the strength of health facilities is to improve service provision, information education, and communication.
产后早期被定义为分娩后 48 小时至 7 天。产后早期访视是母婴生存的关键时期，尤其是通过早期发现和管理产后并发症。尽管有这些好处，但在分娩后最初的几天里，大多数母婴并没有从医疗保健提供者那里获得产后早期护理服务。本研究旨在评估在 2022 年 4 月 20 日至 5 月 30 日期间，在埃塞俄比亚南部霍萨纳镇分娩后最近 6 周内的母亲中，利用产后早期护理的情况及其相关因素。这项在埃塞俄比亚南部哈迪亚地区霍萨纳镇进行的基于社区的横断面研究采用简单随机抽样技术，从家庭档案中招募了 403 名最近 6 周内分娩的母亲。通过使用标准化问卷进行面对面访谈收集数据。采用二元逻辑回归评估结局与解释变量之间的关系，用比值比（95%置信区间）来解释关联的强度。在我们的研究中， 0.05 的值被认为具有统计学意义。在研究区域内分娩后 1 周内，利用产后早期护理的母亲比例为 25.8%（95%CI：21.7-30.0）。丈夫没有正规和小学教育水平（OR = 0.05，95%CI：[0.02，0.16]）、产前保健随访（OR = 2.13，95%CI：[1.11，4.1]）、出院前住院时间（≥24 小时）（OR = 0.3，95%CI：[0.16，0.55]）和关于产后早期护理利用的信息（OR = 3.08，95%CI：[1.72，5.52]）是与产后早期护理利用显著相关的因素。与世界卫生组织的标准相比，该研究中产后早期护理利用的总体流行率较低。产后早期护理的利用与产前保健随访、丈夫的教育水平、对产后早期护理利用的知识以及在医疗机构的住院时间长短显著相关。因此，要增强卫生机构的实力，就要改善服务提供、信息教育和沟通。
