埃塞俄比亚西南部2019冠状病毒病大流行期间在公立医院接受产前护理的妇女意外怀孕及其相关因素:一项横断面研究

IF 16.4 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY
Accounts of Chemical Research Pub Date : 2022-01-19 eCollection Date: 2022-01-01 DOI:10.2147/OAJC.S350467
Shegaw Geze Tenaw, Fantaye Chemir, Bitew Tefera Zewudie, Bogale Chekole, Muche Argaw, Yibelital Mesfin, Mebratu Demissie, Keyredin Nuriye Metebo, Yirgalem Yosef, Daniel Tsega, Haimanot Abebe, Shegaw Tesfa, Seblework Abeje
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引用次数: 1

摘要

背景:COVID-19大流行限制了妇女获得计划生育和其他生殖健康服务的机会,从而直接或间接地增加了意外怀孕的负担。2019冠状病毒病每年导致额外1500万例意外怀孕。之前几乎所有关于意外怀孕的研究都是在COVID-19在埃塞俄比亚大流行之前进行的。因此,本研究的目的是评估在埃塞俄比亚西南部公立医院接受产前保健的妇女在COVID-19大流行期间意外怀孕的患病率及其相关因素。方法:本研究采用横断面方法,于2021年6月14日至7月14日在埃塞俄比亚西南部公立医院接受产前护理的妇女中进行。数据是通过面对面访谈收集的。采用校正优势比和95%置信区间的二元和多元logistic回归分析与意外妊娠相关的因素。最后,使用p值作为证据的分级度量来量化显著性程度。结果:共有405名女性参与了本研究。在COVID-19大流行期间参加产前保健的妇女中,意外怀孕的总体发生率为19.5% (95% CI: 1.44-6.92)。其中,50.6%是不合时宜的,49.4%是不必要的。城市居民(AOR: 3.1 95% CI: 1.44 ~ 6.92)和非主要决策者(AOR: 2.85 95CI: 1.18 ~ 6.88)与意外妊娠有高度相关性。既往妊娠无ANC (AOR: 3.40;95% CI: 1.02-11.94)和未接受社区孕产妇保健教育(AOR: 2.36;95% CI: 1.06-5.27)与意外妊娠有中等显著性。结论:在COVID-19大流行期间,五分之一接受产前护理的妇女意外怀孕。需要努力扩大妇女在计划生育服务和获得社区教育方面的决策权,以防止意外怀孕。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Unintended Pregnancy and Associated Factors Among Women Attending Antenatal Care in Public Hospitals During COVID-19 Pandemic, Southwest Ethiopia: A Cross-Sectional Study.

Background: COVID-19 pandemic directly or indirectly increases the burden of unintended pregnancy by limiting women's access to family planning and other reproductive health services. COVID-19 results in extra 15 million unintended pregnancies over a year. Almost all previous studies conducted about unintended pregnancy were before COVID-19 pandemic in Ethiopia. Therefore, the purpose of this study was to assess the prevalence and associated factors of unintended pregnancy during the COVID-19 pandemic among women attending antenatal care in public hospitals of southwest Ethiopia.

Methods: This study was cross-sectional and conducted among women attending antenatal care at public hospitals of southwest Ethiopia from June 14 to July 14, 2021. Data were collected using a face-to-face interview. Factors associated with unintended pregnancy were analyzed using binary and multiple logistic regressions with an adjusted odds ratio and 95% confidence interval. Finally, the p-value was used as a graded measure of evidence to quantify the degree of significance.

Results: A total of 405 women participated in this study. The overall prevalence of unintended pregnancy was 19.5% (95% CI: 1.44-6.92) among women attending antenatal care during COVID-19 pandemic. Of which, 50.6% were mistimed and 49.4% unwanted. Urban residence (AOR: 3.1 95% CI: 1.44-6.92) and not being primary decision-maker (AOR: 2.85 95CI: 1.18-6.88) had high significance with unintended pregnancy. Not having ANC in a previous pregnancy (AOR: 3.40; 95% CI: 1.02-11.94) and not being exposed to community education about maternal health care (AOR: 2.36; 95% CI: 1.06-5.27) had medium significance with unintended pregnancy.

Conclusion: One-fifth of women attending antenatal care had unintended pregnancies during the COVID-19 pandemic. Efforts to scale up women's decision-making power on family planning services and access to community education are needed to prevent unintended pregnancy.

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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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