Hussein Hasen Feisal, Alemu Solomon Seyife, Eshetu Derese, Mohammed Bedria, Nebi Eden, Israel Hana, Geneti Yomilan, Wedajo Lema Fikadu, Gebretsadik Woiynshet
Department of Midwifery, Madda Walabu University, Shashamanne Campus, Shashamanne, Ethiopia.
Department of Midwifery, Madda Walabu University, Robe, Ethiopia.
SAGE Open Med. 2024 Oct 17;12:20503121241272580. doi: 10.1177/20503121241272580. eCollection 2024.
Maternal mortality in Ethiopia is estimated to be 205 per 100,000 live births, with postpartum morbidities expected to surpass maternal mortality substantially. Beside this, there is a lack of information on postpartum morbidities in the study area. Thus, the purpose of this study was to assess the magnitude of postpartum morbidities and associated factors in Bale Robe Town, southeast Ethiopia.
An institution-based cross-sectional study was employed among 371 from 1 April to 30 May 2022 among postpartum women attending postnatal care service in the Bale-Robe Town public health facilities. A face-to-face interviewer administered a structured questionnaire, and the participants were selected through a systematic random sampling technique. A bivariate analysis was performed to see the association between each independent variable and dependent variable, and variables with -values less than 0.25 in the bivariate analysis were retrieved for multivariable analyses. A -value of less than 0.05 indicated a 95% confidence interval as the level of statistical significance.
A total of 366 participants were involved in the study, giving us a response rate of 98.6%. The magnitude of postpartum morbidities among mothers was found to be 102 (27.9%), with a confidence interval of 95% CI: 23.3, 32.8. Women who hadn't had antenatal care follow-up (AOR = 2.47, 95% CI: 1.36, 4.50), instrumental delivery (AOR = 2.69, 95% CI: 1.16, 6.26), unskilled birth attendant (AOR = 3.35, 95% CI: 1.06, 10.63), rural residence (AOR = 2.21, 95% CI: 1.26, 3.89), and current pregnancy-related morbidity or abnormality (AOR = 3.81, 95% CI: 2.00, 7.25) were significantly associated factors.
This study revealed that the occurrence of postpartum morbidity in Bale Robe is a great health concern. Therefore, we recommend health professionals and health extension workers strengthen early detection and management of intrapartum abnormalities, give attention during instrumental deliveries, and strengthen skilled birth attendants.
据估计，埃塞俄比亚的孕产妇死亡率为每10万例活产中有205例，产后发病率预计将大幅超过孕产妇死亡率。除此之外，研究地区缺乏有关产后发病率的信息。因此，本研究的目的是评估埃塞俄比亚东南部巴勒罗贝镇产后发病率的严重程度及其相关因素。
2022年4月1日至5月31日，在巴勒罗贝镇公共卫生设施中对371名接受产后护理服务的产后妇女进行了一项基于机构的横断面研究。由面对面的访谈员发放一份结构化问卷，通过系统随机抽样技术选取参与者。进行双变量分析以观察每个自变量与因变量之间的关联，在双变量分析中P值小于0.25的变量被纳入多变量分析。P值小于0.05表明具有95%置信区间，作为统计学显著性水平。
共有366名参与者参与了该研究，应答率为98.6%。母亲中产后发病率的严重程度为102例（27.9%），95%置信区间为CI：23.3，32.8。未进行产前检查随访的妇女（调整后比值比[AOR]=2.47，95%置信区间：1.36，4.50）、器械助产（AOR=2.69，95%置信区间：1.16，6.26）、非熟练接生员（AOR=3.35，95%置信区间：1.06，10.63）、农村居住（AOR=2.21，95%置信区间：1.26，3.89）以及当前与妊娠相关的发病率或异常情况（AOR=3.81，95%置信区间：2.00，7.25）是显著相关因素。
本研究表明，巴勒罗贝产后发病情况是一个重大的健康问题。因此，我们建议卫生专业人员和健康推广工作者加强产时异常情况的早期发现和管理，在器械助产时给予关注，并加强熟练接生员队伍建设。
