尼日利亚东南部育龄妇女的孕前护理利用情况

Chika C.H.O., Edith N.C., Christiana N.O., Adaobi M.I.
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引用次数: 1

摘要

在尼日利亚,不良妊娠结局仍然是一个具有挑战性的健康问题。在受孕之前,夫妻需要利用先入为主的护理,这是为了解决大多数生殖健康风险。然而,这项服务的使用及其决定因素并没有在全球范围内得到很好的调查。这项横断面研究旨在评估尼日利亚东南部母亲对先入为主护理的利用情况及其决定因素。使用经过预测试和验证的结构化孕前护理利用问卷,从33个抽样卫生机构中系统选择350名产后妇女,收集数据。对数据进行整理并输入SPSS版本20。使用二元逻辑回归来确定母亲的人口统计学特征与使用孕前护理之间的关系。统计学显著性设定为p<0.05。结果显示,只有23.4%的母亲使用了孕前护理。胎次、就业状况和妊娠意向与孕前护理的利用显著相关。经产妇使用孕前护理的几率比初产妇低60.2%。与没有工作的母亲相比,工人阶级母亲利用先入为主护理的可能性要低70%以上。有意怀孕的母亲使用孕前护理的可能性是意外怀孕的母亲的3.4倍。卫生机构应建立功能性诊所,提供循证指南,以提高对先入为主护理的接受率。卫生保健专业人员应加强努力,鼓励妇女接受先入为主的护理。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Preconception Care Utilization among Childbearing Women in South-East Nigeria
Adverse pregnancy outcomes remain a challenging health problem in Nigeria. Before conception, couples need to utilize preconception care which is meant to address most of the reproductive health risks. However, the use of this service and its determinants is not well investigated globally. This Cross-sectional study was aimed at assessing the utilization of preconception care and its determinants among mothers in South-East Nigeria. Pre-tested and validated structured Questionnaire on Preconception Care Utilization was used to collect data from 350 postnatal women who were systematically selected from 33 sampled health facilities. Data were collated and entered into SPSS version 20. Binary logistic regression was used to determine the association between the demographic characteristics of the mothers and the utilization of preconception care. Statistical significance was set at p<0.05. Results show that only 23.4% of the mothers utilized preconception care. Parity, employment status, and pregnancy intention were significantly associated with preconception care utilization. The odd of utilizing preconception care were 60.2% lower among multiparous women than primiparous women. Working-class mothers were more than 70% less likely to utilize preconception care than mothers who were not employed. Mothers whose pregnancy was intended were 3.4 times more likely to utilized preconception care than mothers whose pregnancy was unintended. Health facilities should establish functional clinics with the availability of evidence-based guidelines to improve uptake of preconception care. Health care professionals should intensify their efforts in encouraging women to receive preconception care.
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