Leno Niouma Nestor, Leno Daniel William Athanase, Sow Abdoulaye, Kambadouno Gaston, Camara Alioune, Mayaka Serge, Delamou Alexandre
African Center of Excellence for the Prevention and Control of Transmissible Diseases (CEA-PCMT), Gamal Abdel Nasser University of Conakry, Conakry, Guinea.
Department of Public Health, Faculty of Health Sciences and Techniques, Gamal Abdel Nasser University of Conakry, Conakry, Guinea.
Front Reprod Health. 2024 Sep 12;6:1324011. doi: 10.3389/frph.2024.1324011. eCollection 2024.
The continuum of maternal health care ensures consistency in the delivery of care from pregnancy to the postnatal period. It recommends a minimum of 4 antenatal visits, skilled birth attendance, and 42 days of postnatal care. This approach helps reduce maternal deaths. The aim of this study was to estimate the proportion of women who had completed the different stages of the continuum of maternal health care (four antenatal visits, given birth under the care of qualified personnel, and received postnatal care within 42 days of delivery).
This was a cross-sectional analytical study conducted in the five communes of Conakry, using a two-stage cluster sampling for data collection. Results were described using medians and percentages. The proportions of women in the continuum of care, and at the different stages of this continuum, have been weighted. Multivariate logistic regression was used to identify the factors associated with non-completion of the different stages of the maternal health care continuum among the women included in this study.
We found that 26.9% of women had completed all stages of the maternal health care continuum, while 73.1% had not. While 56.7% received four antenatal visits, only 29.5% delivered under the care of a qualified healthcare professional. Key factors associated with discontinuity were not attending school (AOR 1.825: 1.594-2.089), unemployment (AOR 4.588: 3.983-5.285), having two or more living children (AOR 1.890: 1.016-1.296), and not receiving a free Long-Lasting Insecticidal Net at the first Antenatal Care.
Maternal care discontinuity is a major issue in Guinea. The country's Health Development Plan had set an expected level for maternal care which has not been met as of 2022. The completeness of care is influenced by various factors, including individual socio-demographic characteristics and factors related to the organization, availability, and quality of health services. To reduce maternal and child mortality rates, it is essential to improve interpersonal communication during antenatal care, ensure the availability of quality health services, and conduct a national study on maternal health service quality and maternal satisfaction. This will help establish a proper continuum of care for mothers and children.
孕产妇保健的连续性可确保从孕期到产后护理的连贯性。它建议至少进行4次产前检查、由熟练的医护人员接生以及产后护理42天。这种方法有助于降低孕产妇死亡率。本研究的目的是估计完成孕产妇保健连续过程不同阶段（4次产前检查、在合格人员护理下分娩以及在分娩后42天内接受产后护理）的妇女比例。
这是一项在科纳克里的5个社区进行的横断面分析研究，采用两阶段整群抽样进行数据收集。结果用中位数和百分比描述。对处于护理连续过程以及该连续过程不同阶段的妇女比例进行了加权。采用多变量逻辑回归来确定本研究纳入的妇女中未完成孕产妇保健连续过程不同阶段的相关因素。
我们发现26.9%的妇女完成了孕产妇保健连续过程的所有阶段，而73.1%的妇女未完成。虽然56.7%的妇女接受了4次产前检查，但只有29.5%的妇女在合格医护人员的护理下分娩。与护理中断相关的关键因素包括未上学（比值比1.825：1.594 - 2.089）、失业（比值比4.588：3.983 - 5.285）、育有两个或更多存活子女（比值比1.890：1.016 - 1.296）以及在首次产前检查时未获得免费长效驱虫蚊帐。
孕产妇护理中断是几内亚的一个主要问题。该国的《健康发展计划》设定了孕产妇护理的预期水平，但截至2022年尚未实现。护理的完整性受到多种因素影响，包括个人社会人口学特征以及与卫生服务的组织、可及性和质量相关的因素。为降低孕产妇和儿童死亡率，必须改善产前护理期间的人际沟通，确保提供优质的卫生服务，并开展关于孕产妇卫生服务质量和孕产妇满意度的全国性研究。这将有助于为母亲和儿童建立适当的护理连续过程。
