Arage Mulugeta Wodaje, Shimels Samrawit, Kassaw Abebe Tarekegn, Yilak Gizachew
Department of Midwifery, College of Health Sciences, Woldia University, Woldia, Ethiopia.
Department of Pharmacy, College of Health Sciences, Woldia University, Woldia, Ethiopia.
Ther Adv Reprod Health. 2024 Nov 19;18:26334941241301392. doi: 10.1177/26334941241301392. eCollection 2024 Jan-Dec.
Maternal and child mortality rates remain a serious public health challenge in Ethiopia. Short interpregnancy intervals are known to negatively impact perinatal and child health; therefore, improving this practice is a key strategy to reduce mortality and adverse outcomes.
This study aimed to evaluate the extent of short intervals between pregnancies and the factors associated with them among women who gave birth at public hospitals in the North Wollo Zone of northeastern Ethiopia in 2023.
A facility-based cross-sectional study was conducted in the North Wollo Zone of northeastern Ethiopia in 2023.
This study was conducted on mothers who delivered at public hospitals in the North Wollo Zone of northeastern Ethiopia. The study participants were selected using a systematic random sampling technique between February 1, 2023, and April 1, 2023. Data were collected through an interviewer-administered questionnaire using the Kobo Collect tool and analyzed using SPSS version 27.0. Bivariable and multivariable analyses were performed to determine the relationship between the outcome and predictor variables. A value of less than 0.05 was considered significant in the multivariable analysis.
The study found that 51.5% of participants had short interpregnancy intervals. Several independent factors were associated with a short birth interval, including the status of the last pregnancy (adjusted odds ratio (AOR): 9.51; 95% CI: 3.932-23.0028), educational status of the woman (AOR: 4.545; 95% CI: 1.208-17.108), and use of modern contraceptives in previous pregnancies (AOR: 6.460, 95% CI: 3.882-23.008).
Despite the efforts made through public health interventions in Ethiopia, the prevalence of short interpregnancy intervals in this study was high. Therefore, increasing the utilization of modern contraceptives and promoting health education at both health facilities and community levels could contribute to addressing this issue.
在埃塞俄比亚，孕产妇和儿童死亡率仍然是一项严峻的公共卫生挑战。已知妊娠间隔时间短会对围产期和儿童健康产生负面影响；因此，改善这种情况是降低死亡率和不良后果的关键策略。
本研究旨在评估2023年在埃塞俄比亚东北部北沃洛地区公立医院分娩的妇女中妊娠间隔时间短的情况及其相关因素。
2023年在埃塞俄比亚东北部北沃洛地区开展了一项基于机构的横断面研究。
本研究针对在埃塞俄比亚东北部北沃洛地区公立医院分娩的母亲进行。研究参与者采用系统随机抽样技术于2023年2月1日至2023年4月1日期间选取。数据通过使用Kobo Collect工具的访谈式问卷收集，并使用SPSS 27.0版本进行分析。进行了双变量和多变量分析以确定结果变量与预测变量之间的关系。在多变量分析中，P值小于0.05被认为具有统计学意义。
研究发现，51.5%的参与者妊娠间隔时间短。几个独立因素与短生育间隔相关，包括上次妊娠状况（调整后的优势比（AOR）：9.51；95%置信区间：3.932 - 23.0028）、妇女的教育状况（AOR：4.545；95%置信区间：1.208 - 17.108）以及前次妊娠中现代避孕方法的使用情况（AOR：6.460，95%置信区间：3.882 - 23.008）。
尽管埃塞俄比亚通过公共卫生干预措施做出了努力，但本研究中妊娠间隔时间短的患病率仍然很高。因此，提高现代避孕方法的使用率并在医疗机构和社区层面开展健康教育可能有助于解决这一问题。
