2022 年埃塞俄比亚西北部贡达尔镇公立医疗机构中产后母亲寻求住院分娩服务的延迟及相关因素。

IF 1.6 Q3 OBSTETRICS & GYNECOLOGY
Women's health reports (New Rochelle, N.Y.) Pub Date : 2024-05-06 eCollection Date: 2024-01-01 DOI:10.1089/whr.2024.0014
Tazeb Alemu Anteneh, Zerfu Mulaw Endale, Getie Mihret Aragaw, Hana Yohanes Mamo, Betelhem Ketema, Temesgen Gashaw, Rahel Misaw, Tiringo Molla Tiruye
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引用次数: 0

摘要

背景:孕产妇和新生儿死亡是一个全球性问题,在包括埃塞俄比亚在内的中低收入国家非常普遍。孕产妇在寻求住院分娩服务方面的延迟在决定孕产妇和新生儿健康结果方面起着重要作用。尽管已对埃塞俄比亚住院分娩服务利用情况进行了研究,但对住院分娩服务就医延迟的因素却知之甚少:本研究旨在评估埃塞俄比亚西北部贡达尔(Gondar)公共医疗机构的产后母亲在寻求住院分娩服务时的延迟情况及相关因素:2022 年 7 月 15 日至 9 月 10 日进行了一项基于医疗机构的横断面研究。研究采用系统随机抽样法,共抽取了 391 名参与者。数据收集采用面对面访谈的方式,使用结构化的、经过预先测试的、由访谈者填写的问卷。数据输入 EpiData 4.6 版,并使用社会科学统计软件包 26 版进行分析。拟合了多变量逻辑回归模型,显著性水平设定为 p ≤ 0.05:结果:延迟住院分娩的发生率为 49.10%(95% 置信区间 [CI]:44.13, 54.08)。农村居民(调整后的几率比 [AOR] = 2.51;95% CI:1.43-4.41)、未进行产前检查(AOR:2.87;95% CI:1.34-6.13)、计划外怀孕(AOR:2.98;95% CI:1.78-5.0101)、产科护理服务决策自主性差(AOR:1.98;95% CI:1.15-3.40)和分娩准备计划不完善(AOR:4.88;95% CI:2.79-8.53)与延迟寻求住院分娩服务显著相关:结论:住院分娩服务的延迟率很高。最好促进妇女在自身保健方面的决策权。此外,最好安排能提高妇幼保健服务利用率的计划。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Delay in Seeking Institutional Delivery Services and Associated Factors Among Immediate Postpartum Mothers in Public Health Facilities in Gondar Town, Northwest Ethiopia, 2022.

Background: Maternal and neonatal mortality is a global problem that is highly prevalent in low- and middle-income countries, including Ethiopia. Maternal delay in seeking institutional delivery services utilization plays a significant role in determining maternal and neonatal health outcomes. Although studies have been conducted on institutional delivery service utilization in Ethiopia, little is known about factors for delays in seeking care for institutional delivery services.

Objective: This study aimed to assess the delay in seeking institutional delivery services and associated factors among immediate postpartum mothers in public health facilities in Gondar, northwest Ethiopia.

Methods: A facility-based cross-sectional study was conducted from July 15 to September 10, 2022. A total of 391 participants were selected using systematic random sampling. Data were collected through face-to-face interviews using structured, pretested, and interviewer-administered questionnaires. Data were entered into EpiData version 4.6, and the analysis was conducted using Statistical Package for Social Science version 26. The multivariable logistic regression model was fitted and the level of significance was set at p ≤ 0.05.

Result: The prevalence of delay in seeking institutional delivery was 49.10% (95% confidence interval [CI]: 44.13, 54.08). Rural residence (adjusted odds ratio [AOR] = 2.51; 95% CI: 1.43-4.41), no antenatal care visits (AOR: 2.87; 95% CI: 1.34-6.13), unplanned pregnancy (AOR: 2.98; 95% CI: 1.78-5.01), poor decision-making autonomy in maternity care services (AOR: 1.98; 95% CI: 1.15-3.40), and poor birth preparedness plan (AOR: 4.88; 95% CI: 2.79-8.53) were significantly associated with delays in seeking institutional delivery.

Conclusion: Delays in seeking institutional delivery services were high. It is better to promote women's decision-making power in their own health care. In addition, it is better to arrange programs that will improve maternal and child health service utilization.

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