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在印度特伦甘纳邦海得拉巴市一家三级护理医院就诊的孕妇对产科危险信号的认知:一项横断面研究。

Awareness of Obstetric Danger Signs Among Pregnant Women Attending a Tertiary Care Hospital in Hyderabad, Telangana: A Cross-Sectional Study.

作者信息

Misra Garima, A Durga, Sangem Sai Sadhgun, Saharan Vikas

机构信息

Department of Community Medicine, Employees' State Insurance Corporation (ESIC) Medical College and Hospital, Hyderabad, IND.

出版信息

Cureus. 2025 Jul 31;17(7):e89132. doi: 10.7759/cureus.89132. eCollection 2025 Jul.

Abstract

Introduction Knowledge of obstetric danger signs among pregnant women can facilitate the timely recognition of obstetric danger signs, thereby leading to a reduction in overall maternal morbidity and mortality. Our cross-sectional study assessed the level of awareness among pregnant women about these obstetric danger signs and understood the influence of sociodemographic factors and obstetric history on their knowledge. Methods The study enrolled 165 participants who were pregnant women attending the antenatal outpatient department of a tertiary care hospital in Telangana. The participants, who gave consent for the study, were followed over two months and were surveyed using a semi-structured, interviewer-based questionnaire. This not only evaluated their awareness about obstetric danger signs but also included questions on their sociodemographic and obstetric profile. Their knowledge was graded in terms of a score of 0-10 based on the questions asked. Data were further analyzed using Microsoft Excel (Microsoft Corp., Redmond, WA, US) and GraphPad Prism Software version 5 (Insight Venture Management, LLC, New York, NY, US). Results All the study participants (165) gave consent for the survey. Our study concluded that about 64.84% (107 out of 165) of the pregnant women had adequate knowledge about obstetric danger signs. In addition to this, there was a statistically significant (p < 0.05) association noted between adequate knowledge and occupation as a homemaker (53.37%, 57 out of 107), having their second pregnancy (36.44%, 39 out of 107), and a history of zero miscarriages (58.87%, 63 out of 107). Conclusions The study concluded that more than half of the participants had adequate knowledge, which could contribute significantly to improved maternal outcomes. The findings also highlight the various factors associated with awareness that can help tailor healthcare initiatives and policies in the long term.

摘要

引言 孕妇了解产科危险信号有助于及时识别这些信号,从而降低孕产妇总体发病率和死亡率。我们的横断面研究评估了孕妇对这些产科危险信号的知晓程度,并了解了社会人口学因素和产科病史对其知识的影响。

方法 该研究招募了165名参与者,他们是在特伦甘纳邦一家三级护理医院产前门诊就诊的孕妇。同意参与研究的参与者在两个月内接受跟踪,并使用基于访谈者的半结构化问卷进行调查。这不仅评估了她们对产科危险信号的知晓情况,还包括有关其社会人口学和产科情况的问题。根据所提问题,她们的知识以0至10分进行评分。数据进一步使用Microsoft Excel(美国华盛顿州雷德蒙德市微软公司)和GraphPad Prism软件版本5(美国纽约市洞察风险投资管理有限责任公司)进行分析。

结果 所有研究参与者(165人)均同意参与调查。我们的研究得出结论,约64.84%(165人中的107人)的孕妇对产科危险信号有足够的了解。除此之外,在足够的知识与家庭主妇职业(53.37%,107人中的57人)、第二次怀孕(�6.44%,107人中的39人)以及零流产史(58.87%,107人中的63人)之间存在统计学上显著的(p < 0.05)关联。

结论 该研究得出结论,超过一半的参与者有足够的知识,这可对改善孕产妇结局做出重大贡献。研究结果还突出了与知晓程度相关的各种因素,这些因素有助于长期制定有针对性的医疗保健举措和政策。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6eec/12399023/1a9059fb1da0/cureus-0017-00000089132-i01.jpg

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