在切邦母亲中利用机构分娩服务及其相关因素
Bishesh Bhatta1, Alisha Chaulagain1, Sagar Devkota1
1National Open College, Sanepa Lalitpur, Nepal.
Journal of Nepal Health Research Council
|August 8, 2025
概括
在尼泊尔,大多数切潘格母亲由于距离,低教育和经济障碍而在家分娩. 改善获得机构分娩服务的机会对于孕产妇健康至关重要.
科学领域:
- 公共卫生 公共卫生
- 孕产妇健康 孕产妇健康
- 社会学 社会学 社会学
背景情况:
- 机构分娩是减少母婴死亡率的关键.
- 边缘化社区,如尼泊尔的切邦人,在获得医疗保健方面面临重大障碍.
- 家庭分娩仍然很普遍,特别是在弱势群体中.
研究的目的:
- 调查尼泊尔Chitwan的Chepang妇女在获得机构分娩服务时面临的障碍.
- 确定影响分娩地点决定的社会经济和后勤因素.
主要方法:
- 一项以社区为基础的横截面研究对174位在过去两年内分娩的母亲进行了调查.
- 数据是通过面对面采访收集的,采用半结构化问卷.
- 使用SPSS进行了统计分析.
主要成果:
- 在切邦中观察到家庭分娩的高率 (73.6%).
- 主要障碍包括长途旅行 (超过一个小时的66.7%),低教育水平 (34.5%文盲) 和经济限制.
- 识字率 (OR: 2.308) 和妊娠并发症 (OR: 0.147) 是机构分娩的重要预测因素,而农业收入来源与利用率较低有关.
结论:
- 严重的障碍阻碍了切潘格母亲获得机构分娩服务的机会.
- 迫切需要针对教育和交通的有针对性的干预措施.
- 改善医疗保健的准入对于更安全的分娩和更好的孕产妇健康结果在这个人群中至关重要.
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