第一次母亲对二级医疗机构剖腹产的看法和态度 (混合方法研究)
Olajumoke Ayisat Olalude1, Olatunji O Lawal2, Imran O Morhason-Bello3,4
1Reproductive Health Sciences Program, Pan African University Life and Earth Sciences Institute (including Health and Agriculture), Ibadan, Oyo, Nigeria.
Journal of the West African College of Surgeons
|March 17, 2025
概括
尼日利亚的新生母亲对剖腹产的知识有限,对剖腹产的态度不同. 增加产前教育和支持对于改善了解和解决有关CS的担忧至关重要.
科学领域:
- 产科和妇科 产科和妇科
- 公共卫生 公共卫生
- 孕产妇健康 孕产妇健康
背景情况:
- 尼日利亚的剖腹产率为2.8%,远低于世卫组织建议的10%-15%.
- 第一次母亲 (primigravidas) 是一个易受产科紧急情况影响的弱势群体,如头骨不成比例和受阻分娩.
- 了解他们对CS的看法对于改善母婴护理结果至关重要.
研究的目的:
- 评估初生母亲对剖腹产的知识,看法和态度.
- 确定影响他们对CS的理解和观点的因素.
- 为更好的孕产妇健康教育提供有针对性的干预信息.
主要方法:
- 一项混合方法研究,涉及275名第一次母亲 (怀孕和CS分娩) 在伊巴丹Adeoyo产科教学医院.
- 通过评估知识和态度的问卷收集的定量数据;深度访谈的定性数据.
- 使用STATA 15进行统计分析,知识分类为好 (>70%),公平 (50% - 70%),和差 (<50%).
主要成果:
- 只有13.45%的参与者表现出良好的CS知识,其态度通常模两可.
- 显著多数 (84%) 认为CS可以挽救生命.
- 知识水平显示出基于教育,职业,宗教,种族和收入的统计学显著差异;雇佣的基督徒女性比穆斯林女性有更好的知识.
结论:
- 第一次母亲对剖腹产 (CS) 的知识存在重大差距.
- 人们对CS的看法是多样化的,态度是混合的,这凸显了改善沟通的需要.
- 建议加强产前教育,宣传和财务支持 (例如保险),以解决知识缺陷并减少CS成本的负担.
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