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与使用传统助产员进行分娩相关的因素:一个横截面研究
Genevieve Agboyo1, Andrews Asamoah2, John Ganle3
1St Anne's Polyclinic, Christian Health Association of Ghana, Tagadzi, Ghana.
Global journal on quality and safety in healthcare
|May 10, 2024
概括
尽管熟练的助产士降低了孕产妇死亡率,但有些妇女更喜欢传统的助产士 (TBA). 这项研究调查了影响北通古地区TBA使用的因素,揭示了年龄,宗教,教育,平等,产前检查和卫生工作者态度作为关键影响因素.
科学领域:
- 孕产妇健康 孕产妇健康
- 公共卫生 公共卫生
- 社会学 社会学 社会学
背景情况:
- 熟练的助产士 (SBAs) 降低了孕产妇死亡率,但传统的助产士 (TBAs) 仍在使用.
- 尽管辅助分娩率下降,但北通古区的TBA使用量正在增加.
- 了解TBA利用的驱动因素对于改善孕产妇医疗保健结果至关重要.
研究的目的:
- 评估影响北通区孕妇使用传统助产士 (TBA) 的因素.
- 确定与TBA偏好相关的人口,社会和态度因素.
- 为促进熟练分娩的有针对性的干预提供信息.
主要方法:
- 进行了基于设施的回顾性横截面调查.
- 其中包括449名在北通古区获得产后护理服务的妇女.
- 使用双变量和多变量分析来确定与TBA使用相关的重要因素.
主要成果:
- 在分娩期间使用传统助产员 (TBA) 的流行率为26.5%.
- 影响TBA使用的重要因素包括母亲的年龄,宗教,教育状况和性别平等.
- 产前护理访问的数量和卫生工作者的态度也对TBA利用产生了重大影响.
结论:
- 在研究区,传统助产员 (TBA) 服务的利用率仍然很高.
- 建议教育使用产前和产后护理的妇女了解熟练分娩的好处.
- 将TBA重新定位为转介代理来将妇女与医疗保健机构联系起来是一个潜在的策略.
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