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乌干达东部卡塔克维综合医院产前保健诊所就诊母亲的分娩准备及并发症应对能力的影响因素:一项横断面研究

Determinants of birth preparedness and complications readiness among mothers attending the antenatal care clinic at Katakwi General Hospital, Eastern Uganda: a cross-sectional study.

作者信息

Opus Benjamin, Namatovu Jane Francis, Besigye Innocent Kabahena, Okuuny Vincent, Onyango Jude Tadeo

机构信息

Department of Family Medicine, School of Medicine, College of Health Sciences, Makerere University, Kampala, Uganda.

出版信息

Pan Afr Med J. 2025 Apr 23;50:107. doi: 10.11604/pamj.2025.50.107.45514. eCollection 2025.

Abstract

INTRODUCTION

Birth Preparedness and Complications Readiness (BPCR) is an essential component of antenatal care intended to reduce delays to access skilled care for birth and pregnancy/birth-related complications. Birth preparedness and complications readiness levels have been notably low, especially in sub-Saharan Africa and particularly in Uganda. This study established the level and determinants of birth preparedness and complications´ readiness among mothers attending the antenatal care clinic at Katakwi General Hospital.

METHODS

this was a cross-sectional study involving 378 mothers receiving antenatal care at Katakwi General Hospital between March and June 2024. Participants were interviewed using a structured questionnaire to record determinants and practices of birth preparedness and complications´ readiness. Three hundred and sixty-six questionnaires were analyzed, and 12 (3.2%) were dropped due to errors.

RESULTS

the overall level of birth preparedness and complication readiness was unsatisfactory. Antenatal care attendance was associated with better birth preparedness and complications readiness, while urban/semi-urban residence and history of miscarriage conversely had negative influences.

CONCLUSION

the overall level of birth preparedness and complications´ readiness was unsatisfactory. Antenatal care attendance was associated with better birth preparedness and complications readiness while urban/semi-urban residence and history of miscarriage had negative effects. The health care providers should improve on mothers´ education to increase levels of birth preparedness and complications readiness. Educating/counselling mothers from urban/semi-urban areas and those with histories of miscarriages should be emphasized to encourage and improve practices of birth preparedness and complication readiness.

摘要

引言

生育准备与并发症应对(BPCR)是产前护理的重要组成部分,旨在减少在获得分娩及妊娠/分娩相关并发症的专业护理方面的延误。生育准备和并发症应对水平一直很低,尤其是在撒哈拉以南非洲地区,特别是在乌干达。本研究确定了在卡塔克维综合医院产前护理诊所就诊的母亲们的生育准备和并发症应对水平及其决定因素。

方法

这是一项横断面研究,涉及2024年3月至6月期间在卡塔克维综合医院接受产前护理的378名母亲。使用结构化问卷对参与者进行访谈,以记录生育准备和并发症应对的决定因素及做法。共分析了366份问卷,并因错误剔除了12份(3.2%)。

结果

生育准备和并发症应对的总体水平不尽人意。产前护理就诊与更好的生育准备和并发症应对相关,而城市/半城市居住情况和流产史则相反,有负面影响。

结论

生育准备和并发症应对的总体水平不尽人意。产前护理就诊与更好的生育准备和并发症应对相关,而城市/半城市居住情况和流产史有负面影响。医疗服务提供者应加强对母亲们的教育,以提高生育准备和并发症应对水平。应着重对来自城市/半城市地区以及有流产史的母亲进行教育/咨询,以鼓励并改善生育准备和并发症应对的做法。

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