出生准备和并发症准备的个人水平预测因素:城乡比较
Onyinye Ginika Mba1, Ibitein Ngowari Okeafor2
1Department of Community Medicine, University of Port Harcourt Teaching Hospital, Port Harcourt, Rivers State, Nigeria.
城市妇女表现出更高的分娩准备,而农村妇女表现出更好的并发症准备. 教育,就业和产前护理出席等因素影响了这些结果,突出了改善孕产妇健康战略的有针对性的干预措施的需要.
科学领域:
- 公共卫生 公共卫生
- 孕产妇健康 孕产妇健康
- 健康差异 在健康上的差异
背景情况:
- 孕产妇死亡率仍然是一个关键的全球卫生问题.
- 出生准备和并发症准备 (BP/CR) 是减少孕产妇死亡率的关键策略.
- 在BP/CR的采用方面存在显著的城乡差异.
研究的目的:
- 为了比较尼日利亚河流州城市和农村妇女之间的BP/CR实践.
- 在这些人群中确定个人水平的BP/CR预测因子.
主要方法:
- 一项基于设施的,横截面的比较研究涉及924名妇女 (462名城市妇女,462名农村妇女) 在过去一年内分娩.
- 按特定标准定义BP/CR,包括产前护理,艾滋病毒检测,储蓄,危险信号意识,决策和应急规划.
- 进行了双变量和多变量分析,以确定显著的预测因素.
主要成果:
- 与农村妇女 (56.7%) 相比,城市妇女的分娩准备度更高 (85.9%).
- 农村妇女表现出更高的复杂性准备 (31.8%) 比城市妇女 (18.2%).
- 城市地区的关键预测因素包括高等教育,就业和产前护理 (ANC) 出勤率;在农村地区,只有ANC出勤率显著.
结论:
- 城市地区在分娩准备方面表现出色,而农村地区在并发症准备方面领先.
- 对于有效的BP/CR来说,母亲的教育,就业和一致的ANC出席至关重要.
- 干预措施应侧重于促进ANC吸收,孕产妇教育和赋权,以提高整体BP/CR.
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