Puerperal sepsis-related knowledge and reported self-care practices among postpartum women in Dar es salaam, Tanzania

IF 2.7 Q2 OBSTETRICS & GYNECOLOGY

Womens Health Pub Date : 2022-01-01 DOI:10.1177/17455057221082954

Dorice B Nchimbi, A. Joho

{"title":"Puerperal sepsis-related knowledge and reported self-care practices among postpartum women in Dar es salaam, Tanzania","authors":"Dorice B Nchimbi, A. Joho","doi":"10.1177/17455057221082954","DOIUrl":null,"url":null,"abstract":"Background: Knowledge and reported self-care practices of postpartum women are important for early detection, prevention and treatment of puerperal sepsis. Objectives: This study analyzes the knowledge and self-care practices for prevention of puerperal sepsis and their determinants among postpartum women. Methods: A hospital-based analytical cross-sectional study which included 343 postpartum women was conducted from February to March 2021. Data were collected using interviewer-administered questionnaire. Predictors of knowledge and self-care reported practice were determined using binary logistic regression. p < 0.05 was considered significant. Results: More than half (n = 213, 62.1%) of the postpartum women had adequate knowledge on prevention of puerperal sepsis. Only 39 (11.4%) of the women reported adequate self-care practices toward prevention of puerperal sepsis. Secondary education (adjusted odds ratio = 0.18, 95% confidence interval = 0.06–0.49, p = 0.001), tertiary education (adjusted odds ratio = 0.52, 95% confidence interval = 0.19–1.38, p = 0.021) and getting information from healthcare providers (adjusted odds ratio = 1.06, 95% confidence interval = 0.55–2.06, p = 0.049) were significant determinants of knowledge on prevention of puerperal sepsis. Also, secondary education (adjusted odds ratio = 0.11, 95% confidence interval = 0.04–0.30, p = 0.001), tertiary education (adjusted odds ratio = 0.16, 95% confidence interval = 0.06–0.39, p = 0.001), and having more than four antenatal care visits (adjusted odds ratio = 1.21, 95% confidence interval = 0.49–3.27, p = 0.041) were significant determinants of reported self-care practices for prevention of puerperal sepsis. Conclusion: A significant gap in reported self-care practices to prevent puerperal sepsis was evidence. Secondary and tertiary education were significant predictors for both knowledge and self-care reported practices. Special attention should be given to women with low education level.","PeriodicalId":47398,"journal":{"name":"Womens Health","volume":" ","pages":""},"PeriodicalIF":2.7000,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"7","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Womens Health","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/17455057221082954","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"OBSTETRICS & GYNECOLOGY","Score":null,"Total":0}

引用次数: 7

Abstract

Background: Knowledge and reported self-care practices of postpartum women are important for early detection, prevention and treatment of puerperal sepsis. Objectives: This study analyzes the knowledge and self-care practices for prevention of puerperal sepsis and their determinants among postpartum women. Methods: A hospital-based analytical cross-sectional study which included 343 postpartum women was conducted from February to March 2021. Data were collected using interviewer-administered questionnaire. Predictors of knowledge and self-care reported practice were determined using binary logistic regression. p < 0.05 was considered significant. Results: More than half (n = 213, 62.1%) of the postpartum women had adequate knowledge on prevention of puerperal sepsis. Only 39 (11.4%) of the women reported adequate self-care practices toward prevention of puerperal sepsis. Secondary education (adjusted odds ratio = 0.18, 95% confidence interval = 0.06–0.49, p = 0.001), tertiary education (adjusted odds ratio = 0.52, 95% confidence interval = 0.19–1.38, p = 0.021) and getting information from healthcare providers (adjusted odds ratio = 1.06, 95% confidence interval = 0.55–2.06, p = 0.049) were significant determinants of knowledge on prevention of puerperal sepsis. Also, secondary education (adjusted odds ratio = 0.11, 95% confidence interval = 0.04–0.30, p = 0.001), tertiary education (adjusted odds ratio = 0.16, 95% confidence interval = 0.06–0.39, p = 0.001), and having more than four antenatal care visits (adjusted odds ratio = 1.21, 95% confidence interval = 0.49–3.27, p = 0.041) were significant determinants of reported self-care practices for prevention of puerperal sepsis. Conclusion: A significant gap in reported self-care practices to prevent puerperal sepsis was evidence. Secondary and tertiary education were significant predictors for both knowledge and self-care reported practices. Special attention should be given to women with low education level.

查看原文本刊更多论文

坦桑尼亚达累斯萨拉姆产后妇女的产褥病相关知识和自我保健实践报告

背景：产后妇女的知识和自我护理实践对产后败血症的早期发现、预防和治疗很重要。目的：本研究分析了产后妇女预防产后败血症的知识和自我护理实践及其决定因素。方法：2021年2月至3月，对343名产后妇女进行了一项基于医院的横断面分析研究。使用访谈者管理的问卷收集数据。使用二元逻辑回归确定知识和自我护理报告实践的预测因素。p < 0.05被认为是显著的。结果：超过一半（n = 213例（62.1%）产后妇女对预防产后败血症有足够的认识。只有39名（11.4%）妇女报告了足够的自我护理措施来预防产后败血症。中等教育（调整后的比值比 = 0.18，95%置信区间 = 0.06–0.49，p = 0.001），高等教育（调整后的比值比 = 0.52，95%置信区间 = 0.19–1.38，p = 0.021），并从医疗保健提供者那里获得信息（调整后的比值比 = 1.06,95%置信区间 = 0.55–2.06，p = 0.049）是预防产后败血症知识的重要决定因素。此外，中等教育（调整后的比值比 = 0.11，95%置信区间 = 0.04–0.30，p = 0.001），高等教育（调整后的比值比 = 0.16，95%置信区间 = 0.06–0.39，p = 0.001），并且有四次以上的产前护理就诊（调整后的比值比 = 1.21，95%置信区间 = 0.49–3.27，p = 0.041）是报告的预防产后败血症的自我护理实践的重要决定因素。结论：据报道，在预防产后败血症的自我护理实践方面存在显著差距。中等和高等教育是知识和自我保健报告实践的重要预测因素。应特别关注受教育程度低的妇女。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Womens Health OBSTETRICS & GYNECOLOGY-

CiteScore

2.80

自引率

4.20%

发文量

审稿时长

15 weeks

期刊介绍： For many diseases, women’s physiology and life-cycle hormonal changes demand important consideration when determining healthcare management options. Age- and gender-related factors can directly affect treatment outcomes, and differences between the clinical management of, say, an adolescent female and that in a pre- or postmenopausal patient may be either subtle or profound. At the same time, there are certain conditions that are far more prevalent in women than men, and these may require special attention. Furthermore, in an increasingly aged population in which women demonstrate a greater life-expectancy.