Practice of Preconception Care and Associated Factors among Pregnant Women in Manna District, Southwest Ethiopia: A Community-Based Cross-Sectional Study
Firanbon Teshome, Y. Kebede, Fira Abamecha, Z. Birhanu
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引用次数: 3
Abstract
Background: Preconception care is an intervention provided to women and couples of childbearing ages, regardless of pregnancy status or desire, before pregnancy to improve health outcomes for women, new-borns, and children. Preconception care bridges the gap in the continuum of care and addresses pre-pregnancy health risks and health problems that could have negative maternal and fetal consequences. Therefore, this study aimed to assess the practice of preconception care and associated factors among pregnant women in Manna district, Jimma zone, Oromia Region, Ethiopia. Methods: A community based cross-sectional design and triangulated with qualitative data was conducted among 636 pregnant women from March 02 to April 10, 2019. The 26 Gandas of the district were first stratified into urban and rural. Then, the urban Ganda was taken purposively and among the 25 rural Gandas, 8 Gandas were selected by using a simple random sampling technique. Judgmental sampling technique was used to select the qualitative participants. The data were collected using pre-tested and structured questionnaires through face-to-face interviews. The data were entered into Epi data Manager Version 4.0.2 and then exported to SPSS version 21. Descriptive analysis, Binary and multivariable logistic regression analyses were carried out. Qualitative data were analyzed by using Atlas ti version 7.0.71. Result: Among 623 respondents, 39(6.3%) of pregnant women had good practice of preconception care. Women who had formal education AOR 3.27[95% C.I 1.11-9.60], reside in urban AOR 3.33[95% C.I 1.26-8.81], those who were on follow up for pre-existing medical illnesses AOR 4.52[95% C.I 1.61-12.70] and those who had good knowledge of preconception care 4.18[1.64-10.65] were more likely to had good practice of preconception care compared to their counterparts. Conclusion: In this study, women’s practice of preconception care was low compared to other studies. Attending formal education, residing in urban, being on follow up for pre-existing medical illnesses, and having good knowledge of preconception care were independent predictors of women’s practice of preconception care. Therefore, all the concerned bodies are recommended to work towards the improvements of women’s practice of preconception care especially through raising the awareness of the community.
背景:孕前保健是向育龄妇女和夫妇提供的一种干预措施,无论怀孕状况或愿望如何,在怀孕前改善妇女、新生儿和儿童的健康结果。孕前护理弥补了连续护理方面的差距,并解决了可能对孕产妇和胎儿产生负面影响的孕前健康风险和健康问题。因此,本研究旨在评估埃塞俄比亚奥罗米亚州吉马区的曼纳区孕妇的孕前护理实践及其相关因素。方法:采用基于社区的横断面设计,对2019年3月2日至4月10日636名孕妇进行定性数据三角化分析。该地区的26个Gandas首先被划分为城市和农村。然后,采用简单随机抽样的方法,有目的地选取城市公羊,在25只农村公羊中选取8只。采用判断抽样技术选择定性参与者。数据收集采用预先测试和结构化问卷通过面对面访谈。数据输入Epi data Manager Version 4.0.2,导出到SPSS Version 21。描述性分析、二元和多变量logistic回归分析。定性资料采用Atlas ti版本7.0.71进行分析。结果:623名受访孕妇中,有39人(6.3%)对孕前保健有良好的实践。接受过正规教育的女性,AOR为3.27[95% C.I 1.11-9.60],居住在城市AOR为3.33[95% C.I 1.26-8.81],既往有医学疾病随访的女性,AOR为4.52[95% C.I 1.61-12.70],对孕前护理有良好了解的女性,AOR为4.18[1.64-10.65]的女性更有可能采取良好的孕前护理措施。结论:与其他研究相比,本研究中妇女的孕前保健实践较低。接受正规教育、居住在城市、对先前存在的疾病进行跟踪调查以及对孕前护理有良好的了解是妇女孕前护理实践的独立预测因素。因此,建议所有有关机构努力改进妇女的孕前护理做法,特别是通过提高社区的认识。