怀孕意图和母亲的健康行为:在18个非洲国家进行的观察性研究
Bolanle Olapeju1, Anna Maria van Eijk2, Michael Bride3
1Department of Preventive Medicine and Biostatistics, Uniformed Services University of the Health Sciences, Bethesda, Maryland, USA.
意想不到的怀孕与撒哈拉以南非洲较差的孕产妇健康行为有关. 改善生殖健康服务和干预措施对于更好的妊娠结果至关重要.
科学领域:
- 生殖健康 生殖健康
- 孕产妇健康 孕产妇健康
- 撒哈拉以南非洲的公共卫生
背景情况:
- 怀孕的意图显著影响母亲的健康行为和结果.
- 了解预期和非预期怀孕与健康实践之间的联系对于有针对性的干预至关重要.
研究的目的:
- 探索怀孕意图 (有意与无意) 与撒哈拉以南非洲的关键孕产妇健康行为之间的关系.
- 分析意外怀孕如何影响使用产前护理,预防疟疾,毒素疫苗接种和母乳养实践.
主要方法:
- 来自18个撒哈拉以南非洲国家的最近 (2018-2023) 横截面人口和健康调查的二次数据分析.
- 用后勤回归和元分析来检查15-49岁的39936名女性样本中的关联,这些女性有1岁以下的孩子.
- 母亲的健康行为包括早期产前护理 (ANC) 访问,4+ ANC接触者,妊娠期间间歇性预防性疟疾治疗 (IPTp3+),蚊帐使用,毒素接收和立即母乳养.
主要成果:
- 大约25%的妇女报告了意外指数怀孕,与国家一级的显著差异 (13%-49%).
- 意外怀孕与早期ANC,4+ANC接触,IPTp3+,毒素接收和立即母乳养的几率显著降低有关.
- 调整后的几率比率 (aOR) 从早期ANC的0.68到IPTp3+的0.87不等,这表明这些基本的孕产妇健康服务的采用率较低.
结论:
- 研究结果强调了生殖健康机构和怀孕准备在优化孕产妇健康行为的关键作用.
- 建议整合生殖健康服务,疟疾预防计划和行为改变干预措施,以改善母亲和新生儿的结果.
- 通过加强生殖健康服务来解决意外怀孕问题,可以更好地利用基本的孕产妇健康服务.
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