在尼日利亚伊巴丹选定的初级保健中心,影响产后妇女分娩准备和并发症准备的因素

Damilola E. Adeteye, C. Ndikom, M. Akinwaare, T. O. Dosunmu
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摘要

背景:分娩准备和并发症准备是一项战略干预措施,以实现降低孕产妇死亡率。然而,尽管这种干预措施很重要且易于使用,但据观察,有几个因素阻碍了这种做法。因此,有必要考虑影响产后妇女分娩准备和并发症准备的知识、态度、做法和因素。方法:本描述性横断面研究采用多阶段抽样技术,在奥约州伊巴丹北部地方政府区选定的初级卫生中心选择116名产后妇女。采用自适应的结构化问卷调查方法,对分娩准备和并发症准备的知识、态度、实践及影响实践的因素进行评估。采用SPSS 21.0版社会科学统计软件包进行统计分析。描述性资料以频率和百分比表示,采用卡方检验检验假设,P值< 0.05。结果:绝大多数受访者(86.2%)知识水平较高。受访者对分娩准备和并发症准备持积极态度(75%)。受访者的实践水平较高(71.6%)。而影响实践的因素为知识缺乏(X2=4.578, P= 0.032)、早产(X2=19.929, P=0.000)和环境不安全感(X2=6.556, P=0.010)。结论:缺乏足够的知识,早产和环境不安全因素与分娩准备和并发症准备的实践有关。因此,应采取措施,以解决确定的因素,以提高生产准备和并发症准备的做法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Factors Influencing Birth Preparedness and Complication Readiness among Post-Natal Women in Selected Primary Health Centers in Ibadan, Nigeria
Background: Birth preparedness and complication readiness is a strategic intervention to achieve a reduction in the rate of maternal mortality. However, despite the importance and ease of use of this intervention, it has been observed that several factors have hindered the practice. Hence, the need to consider the knowledge, attitude, practice, and factors that influences Birth preparedness and Complication readiness among post-natal women. Method: This descriptive cross-sectional study used a multi-stage sampling technique to select 116 post-natal women in selected primary health centers in Ibadan North Local Government Area, Oyo state. An adapted structured questionnaire was used to assess the knowledge, attitude, practice and factors influencing the practice of birth preparedness and complication readiness. Statistical analysis was done using Statistical Package for the social science (SPSS) version 21.0 software. Descriptive data were presented as frequency and percentages while the chi-square test was used to test the hypotheses at P value < 0.05. Result: The majority of respondents were highly knowledgeable (86.2%). The respondents had a positive attitude towards birth preparedness and complication readiness (75%). The practice level was high among the respondents (71.6%). However, the factors that influenced practice were lack of adequate knowledge (X2=4.578, P =0.032), pre-mature delivery (X2=19.929, P=0.000) and environmental insecurities (X2=6.556, P=0.010). Conclusion: There is a relationship between factors (lack of adequate knowledge, premature delivery and environmental insecurities) and the practice of birth preparedness and complication readiness. Hence, measures should be employed to address the identified factors to improve the practice of birth preparedness and complication readiness.
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