Mdoe Mwajuma Bakari, Kibusi Stephen Mathew, Mselle Lilian Teddy
Department of Clinical Nursing, School of Nursing and Public Health, University of Dodoma, Tanzania.
Department of Clinical Nursing, School of Nursing, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
Womens Health (Lond). 2025 Jan-Dec;21:17455057251365372. doi: 10.1177/17455057251365372. Epub 2025 Sep 9.
The increasing rate of cesarean section births is a global concern, including in Tanzania, where cesarean section births account for 11% of live births. Following a cesarean section, mothers are commonly discharged early to reduce ward congestion; as a result, they are required to receive care at home. However, evidence indicates that mothers receive limited or no information on post-cesarean section home care, which increases the risk of complications.
To assess knowledge of home care after cesarean section birth among postpartum mothers in Central Tanzania.
An analytical cross-sectional study.
This study involved 467 randomly selected post-cesarean section mothers, assessed 24-48 h after birth. Participants' knowledge was evaluated using 60 items that covered essential home care, nutrition, and postnatal services utilization, as well as sexual and reproductive health. Data analysis was conducted using SPSS (version 27).
Overall, 63% of post-cesarean section mothers demonstrated adequate knowledge of essential healthcare needs, whereas 55% exhibited an inadequate knowledge of nutritional needs and the utilization of post-natal services. However, 93% had inadequate knowledge regarding sexual and reproductive healthcare. Being employed, residing in Dodoma, and having higher education attainment were significantly associated with adequate knowledge of essential healthcare needs, as well as meeting sexual and reproductive health, nutritional, and post-natal service utilization needs. Post-cesarean section mothers with only one prior cesarean section were less likely to possess adequate knowledge about essential healthcare needs and sexual and reproductive healthcare.
Generally, the knowledge of home care after cesarean section births is inadequate, especially regarding sexual and reproductive healthcare. Comprehensive and standardized health education on home care after cesarean section births is essential for improving knowledge of home care among post-caesarean section mothers and enhancing their recovery.
剖宫产分娩率的上升是一个全球关注的问题，在坦桑尼亚也是如此，该国剖宫产分娩占活产的11%。剖宫产术后，母亲们通常会提前出院以减少病房拥挤；因此，她们需要在家中接受护理。然而，有证据表明，母亲们在剖宫产术后家庭护理方面获得的信息有限或根本没有，这增加了并发症的风险。
评估坦桑尼亚中部产后母亲对剖宫产术后家庭护理的知识。
一项分析性横断面研究。
本研究涉及467名随机选择的剖宫产术后母亲，在产后24 - 48小时进行评估。使用涵盖基本家庭护理、营养、产后服务利用以及性与生殖健康的60个项目对参与者的知识进行评估。使用SPSS（版本27）进行数据分析。
总体而言，63%的剖宫产术后母亲对基本医疗保健需求有足够的了解，而55%的母亲对营养需求和产后服务利用的知识不足。然而，93%的母亲对性与生殖健康护理知识不足。就业、居住在多多马以及受过高等教育与对基本医疗保健需求的足够了解以及满足性与生殖健康、营养和产后服务利用需求显著相关。之前仅做过一次剖宫产的术后母亲不太可能对基本医疗保健需求以及性与生殖健康护理有足够的了解。
一般来说，剖宫产术后家庭护理的知识不足，尤其是在性与生殖健康护理方面。对剖宫产术后家庭护理进行全面、标准化的健康教育对于提高剖宫产术后母亲的家庭护理知识和促进她们的康复至关重要。
