分娩准备和并发症准备的个体水平预测因素:城乡比较。

IF 0.8 Q3 MEDICINE, GENERAL & INTERNAL
Nigerian Postgraduate Medical Journal Pub Date : 2024-04-01 Epub Date: 2024-06-03 DOI:10.4103/npmj.npmj_275_23
Onyinye Ginika Mba, Ibitein Ngowari Okeafor
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引用次数: 0

摘要

引言孕产妇死亡是一个重大的公共卫生问题。分娩准备和并发症准备(BP/CR)是降低孕产妇死亡率的有效策略,但采用率很低,城乡差异很大:本研究的目的是比较尼日利亚河流州城乡地区妇女的分娩准备和并发症预防实践,并确定个人层面的预测因素:方法:采用多阶段抽样方法,对过去 12 个月中在城市和农村地方政府地区分娩的 924 名妇女(462 名城市妇女和 462 名农村妇女)进行了基于设施的横断面比较研究。结果测量指标为分娩准备(定义为在熟练助产士的帮助下接受产前护理(ANC)、自愿接受 HIV 咨询和检测、在熟练助产士的帮助下在约定的分娩地点为分娩储蓄资金)和并发症准备(定义为了解危险信号、确定决策者、最近的功能性机构以防万一、应急交通工具和资金以及合适的献血者)。以 P < 0.05 为标准进行二元和多元分析:城市妇女做好分娩准备的比例(85.9%;95% 置信区间[CI]:82.7%-89.1%)明显高于农村妇女(56.7%;95% 置信区间:52.2%-61.2%),而农村妇女做好并发症准备的比例(31.8%;95% 置信区间:27.6%-36.1%)明显高于城市妇女(18.2%;95% 置信区间:15.2%-47.8%)。在城市,预测因素是拥有中学或以上教育水平(调整后的几率比 [AOR]:4.9;95% CI:1.5-15.5)、有工作(AOR:2.7;95% CI:1.5-15.0)和产前检查率(AOR:29.2;95% CI:8.8-96.9),而在农村,预测因素是产前检查率(AOR:20.0;95% CI:9.1-43.7):结论:与农村地区的妇女相比,城市地区有更多的妇女做好了分娩准备,而有更少的妇女做好了并发症的准备,城市地区的预测因素包括教育、就业和产前保健出席率,而农村地区只有产前保健出席率。提高产前护理率、孕产妇教育和赋权措施可促进 BP/CR 的发展。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Individual-level Predictors of Birth Preparedness and Complication Readiness: Urban-Rural Comparison.

Introduction: Maternal mortality is a major public health problem. Birth preparedness and complication readiness (BP/CR) constitute a veritable strategy for reducing maternal mortality, yet adoption is low with wide urban-rural discrepancies.

Objectives: The objectives of this study were to compare the practice of BP/CR amongst women in rural and urban areas of Rivers State, Nigeria, and determine the individual-level predictors.

Methods: A facility-based cross-sectional comparative study using a multistage sampling method was employed in the selection of 924 (462 urban and 462 rural) women who gave birth within the last 12 months in urban and rural local government areas. Outcome measures were birth preparedness (defined as undergoing antenatal care (ANC) with a skilled birth provider, voluntary counselling and testing for HIV and saving money for childbirth at an agreed place of delivery with a skilled birth attendant) and complication readiness (defined as being knowledgeable about danger signs, identifying decision-maker, a nearest functional institution in case of emergency, emergency means of transport and funds and a suitable blood donor). Bivariate and multivariate analyses were performed at P < 0.05.

Results: The proportion of women who were birth prepared was significantly higher amongst women in urban areas (85.9%; 95% confidence interval [CI]: 82.7%-89.1%) versus rural counterparts (56.7%; 95% CI: 52.2%-61.2%), whereas the proportion of complication readiness was significantly higher in rural (31.8%; 95% CI: 27.6%-36.1%) than urban (18.2%; 95% CI: 15.2%-47.8%) groups. Predictors were possession of secondary educational level or higher (adjusted odds ratio [AOR]: 4.9; 95% CI: 1.5-15.5), being employed (AOR: 2.7; 95% CI: 1.5-15.0) and ANC attendance (AOR: 29.2; 95% CI: 8.8-96.9) in urban, whereas amongst the rural, it was ANC attendance (AOR: 20.0; 95% CI: 9.1-43.7).

Conclusion: In urban areas, more women were birth prepared while fewer women were complication ready compared to the women in rural areas, with predictors such as education, employment and ANC attendance in urban areas and only ANC attendance in rural areas. Measures to promote ANC uptake, maternal education and empowerment could promote BP/CR.

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Nigerian Postgraduate Medical Journal
Nigerian Postgraduate Medical Journal MEDICINE, GENERAL & INTERNAL-
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