西非的高风险生育行为和卫生设施的提供
Eugene Budu1, Bright Opoku Ahinkorah2,3, Joshua Okyere4,5
1Korle Bu Teaching Hospital, P.O. Box 77, Accra, Ghana.
BMC pregnancy and childbirth
|December 7, 2023
概括
高风险的生育行为,如第一个出生时的年龄较大,分娩间隔较短和高的平价,与西非设施分娩的几率较低有关. 干预措施应针对有风险的人群,以改善孕产妇健康结果.
科学领域:
- 生殖健康 生殖健康
- 孕产妇健康 孕产妇健康
- 人口统计学 人口统计学
背景情况:
- 医疗机构的分娩与降低孕产妇死亡率和妊娠并发症有关.
- 了解高风险生育行为 (HRFB) 与设施交付的关联对于减少孕产妇死亡率的干预至关重要.
- 本研究研究了HRFB与西非卫生设施供应之间的关系.
研究的目的:
- 检查西非高风险生育行为与医疗机构分娩之间的关联.
- 确定影响交付地点的HRFB特定指标.
- 为促进以设施为基础的分娩提供有针对性的干预措施的信息.
主要方法:
- 利用来自西非12个国家的人口和健康调查 (2010-2020年) 的数据.
- 包括69,479名年龄在15-49岁的女性,分娩地点作为结果.
- 采用多变量二元逻辑回归分析与HRFB的指标:第一个出生时的年龄,出生间隔和平价.
主要成果:
- 超过三分之二 (67.64%) 的妇女在医疗机构分娩.
- 第一次分娩时的年龄较大 (>34岁),分娩间隔较短和高的平价率与更低的设施分娩几率有关.
- 第一次分娩时年龄较小 (<18岁) 与医院分娩的几率较高有关.
结论:
- 高风险的生育行为显著预测西非机构分娩的可能性较低.
- 干预措施应侧重于处于风险的子组:多胎妇女,分娩间隔较短的妇女和年长的首次母亲.
- 建议促进避孕药的使用和分娩间隔意识,以鼓励设施分娩.
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