Oni Olaolu O, Bello Oluwasomidoyin O, Ajayi Anjola-Oluwa A
Department of Obstetrics and Gynaecology, University College Hospital, Ibadan, Nigeria.
Department of Obstetrics and Gynaecology, College of Medicine, Faculty of Clinical Sciences, University of Ibadan, Ibadan, Nigeria.
BMC Pregnancy Childbirth. 2025 Aug 28;25(1):894. doi: 10.1186/s12884-025-08058-1.
Postpartum maternal morbidity or mortality is one of the common unexpected outcomes of childbirth, hence postnatal care is critical to reducing it. This study assessed the parturients' knowledge of postpartum warning signs and complications in a tertiary health facility at Ibadan, Nigeria.
This was a cross-sectional study among 450 parturients using a semi-structured self-administered questionnaire to assess their knowledge of postpartum warning signs and complications. Data were analysed with SPSS version 25.0 using descriptive statistics and logistic regression with level of statistically significant set at p < 0.05.
A total of 450 parturients, with a mean age of 30.1 ± 4.9 years participated. The most common complications known among the mothers were wound infection, 132 (29.3%), infection/sepsis, 116 (25.8%), episiotomy pain, 103 (22.9%), and hypertension, 102 (22.7%). Among the 180 parturients with the knowledge of warning signs, almost all 179 (99.4%) knew one warning sign, 136 (75.6%) knew two warning signs though only 21 (11.7%) knew five warning signs. About a third, 155 (34.4%) had adequate knowledge of postpartum complications. Determinants of adequate knowledge of postpartum complications were age (Odd ratio OR = 2.37, 95% CI = 1.107-5.057), educational status (OR = 0.37, 95% CI = 0.208-0.650), and duration of time used to relay the information by the healthcare providers (OR = 0.13, 95% CI = 0.041-0.425).
The inadequate knowledge of the postpartum mothers about postpartum warning signs and complications is a cause for concern. Maternal age, higher educational attainment, and longer counselling duration were independently associated with adequate knowledge. To improve maternal knowledge and early recognition of complications, standardized and structured postpartum counselling should be institutionalized as part of routine postnatal care.
产后产妇发病或死亡是分娩常见的意外后果之一，因此产后护理对于降低此类情况至关重要。本研究评估了尼日利亚伊巴丹一家三级医疗机构中产妇对产后警示信号及并发症的认知情况。
这是一项针对450名产妇的横断面研究，采用半结构化自填式问卷来评估她们对产后警示信号及并发症的认知。使用SPSS 25.0软件进行数据分析，采用描述性统计和逻辑回归分析，设定统计学显著性水平为p < 0.05。
共有450名产妇参与，平均年龄为30.1 ± 4.9岁。母亲们知晓的最常见并发症为伤口感染，132例（29.3%）；感染/败血症，116例（25.8%）；会阴切开术疼痛，103例（22.9%）；以及高血压，102例（22.7%）。在180名知晓警示信号的产妇中，几乎所有179例（99.4%）知晓一种警示信号，136例（75.6%）知晓两种警示信号，不过只有21例（11.7%）知晓五种警示信号。约三分之一，即155例（34.4%）对产后并发症有充分的认知。产后并发症充分认知的决定因素为年龄（比值比OR = 2.37，95%置信区间CI = 1.107 - 5.057）、教育程度（OR = 0.37，95% CI = 0.208 - 0.650）以及医护人员传递信息所用的时间（OR = 0.13，95% CI = 0.041 - 0.425）。
产后母亲对产后警示信号及并发症的认知不足令人担忧。产妇年龄、较高的教育程度以及较长的咨询时间与充分认知独立相关。为提高产妇知识水平并尽早识别并发症，应将标准化和结构化的产后咨询作为常规产后护理的一部分予以制度化。
