怀孕期间补充:在资源不足的环境中分析潜在的决定因素
Atem Bethel Ajong1,2, Bruno Kenfack3, Innocent Mbulli Ali2
1Department of Mother and Child care, Kekem District Hospital, Kekem, West Region, Cameroon.
怀孕期间补充可以改善结果,但喀麦隆的摄入量很低. 早期产前护理,频繁访问和伴侣支持显著增加了孕妇使用补充剂的比例.
科学领域:
- 孕产妇和胎儿健康 孕产妇和胎儿健康
- 营养流行病学 营养流行病学
- 公共卫生干预 公共卫生干预
背景情况:
- 怀孕期间补充对于母胎的结果至关重要.
- 尽管有证据,但在喀麦隆,怀孕期间补充的坚持是不理想的.
- 了解影响摄入量的因素在资源较少的环境中至关重要.
研究的目的:
- 确定影响喀麦隆孕妇补充的因素.
- 评估当前补充的做法和信念,在一个低资源的环境中.
主要方法:
- 一项基于医院的横截面研究,涉及喀麦隆的1074名健康孕妇.
- 通过面试管理的半结构化问卷收集数据.
- 使用Epi Info版本7.2.4.0进行统计分析,显著性值为p=0.05.
主要成果:
- 只有72.62%的妇女报告服用补充剂,其坚持不良 (整个怀孕期间只有12%).
- 以胎儿生长和预防为中心的信念,而不是预防高血压疾病.
- 早期产前护理开始 (4个月前),>3次访问和伴侣支持与更高的补充剂摄入量有显著联系.
结论:
- 怀孕期间补充的做法仍然低于世卫组织对这一群体的建议.
- 早期和一致的产前护理参与和伴侣参与是改善补充摄入的关键.
- 提高妇女对早期产前护理的敏感性,促进男性参与,可以提高产前补充剂的坚持.
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