埃塞俄比亚东南部产后母亲的机构分娩延迟和相关因素:一个横截面研究
Derese Eshetu Debela1, Zeleke Aschalew2, Agegnehu Bante2
1Department of Midwifery, College of Medicine & Health Sciences, Madda Walabu University, Goba, Ethiopia. dereseeshetu12@gmail.com.
BMC pregnancy and childbirth
|March 19, 2024
概括
近30%的产后母亲在决定寻求机构分娩时遇到了延迟. 以前的怀孕问题和对危险迹象的认识增加了这种延迟,而更好的决策减少了它. 解决这些因素对于改善孕产妇健康结果至关重要.
科学领域:
- 孕产妇健康 孕产妇健康
- 公共卫生 公共卫生
- 产科 产科 产科 产科 产科
背景情况:
- 在低收入和中等收入国家,孕产妇死亡率往往是由延迟寻求医疗保健,不充分的护理和无法获得设施造成的.
- 三次延迟方法是理解导致产妇死亡的因素的框架.
- 关于在贝尔和东贝尔地区提供机构服务的决策延迟的数据有限.
研究的目的:
- 评估寻求机构分娩服务的第一个孕产妇延迟的流行情况.
- 确定在贝尔和东贝尔地区的产后母亲中与这种延迟相关的因素.
主要方法:
- 对407名产后母亲进行了一项基于机构的横截面研究.
- 数据是使用开放数据套件以电子方式收集的,并使用SPSS进行分析.
- 使用双变量和多变量二元逻辑回归模型来识别相关因素,统计学意义设置为P < 0.05.
主要成果:
- 在决定寻求机构分娩方面,母亲第一次延迟的幅度为29.2% (95% CI:24.9,33.9).
- 与这种延迟显著相关的因素包括先前的怀孕问题 (AOR = 1.8) 和对分娩危险迹象的了解 (AOR = 1.78).
- 有效的决策与延迟的减少有关 (AOR = 0.42).
结论:
- 在研究区域中,很大一部分产后母亲在决定寻求机构分娩时遇到了延迟.
- 干预措施应集中在促进妇女赋权和提高对分娩和分娩期间关键危险迹象的认识上.
- 解决这些决策延迟对于减少孕产妇死亡率至关重要.
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