Birth Preparedness and Complication Readiness Practice and Associated Factors among Pregnant Women, Northwest Ethiopia

Yewondwossen Bitew, W. Awoke, Simachew Chekol
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引用次数: 46

Abstract

Background. Little is known about birth preparedness and complication readiness (BPCR) plan in resource limited settings to decrease maternal mortality. Therefore, this study was done to assess the status of BPCR and associated factors among pregnant women in South Wollo, Northwest Ethiopia, by involving 819 pregnant women from March to April, 2014. Data were collected by using pretested interviewer administered questionnaire and analyzed using a computer program of SPSS version 20.00. Results. Pregnant women who were prepared for at least three elements of BPCR were 24.1%. Pregnant women knowing at least three key danger signs during pregnancy, delivery, and postnatal period were 23.2%, 22.6%, and 9.6%, respectively. Women having secondary education and higher were 6.20 (95% CI = [1.36, 28.120]) times more likely to be prepared than illiterates. Women having a lifetime history of stillbirth [5.80 (1.13, 29.63)], attending ANC for last child pregnancy [5.44 (2.07, 14.27)], participating in community BPCR group discussion [4.36 (1.17, 16.26)], and having their male partner involved in BPCR counseling during ANC follow-up [4.45 (1.95, 10.16)] were more likely to be prepared. Conclusions. BPCR was very low and should be strengthened through health communication by involving partner in BPCR counseling.
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埃塞俄比亚西北部孕妇的分娩准备和并发症准备实践及相关因素
背景。在资源有限的情况下,对分娩准备和并发症准备(BPCR)计划以降低孕产妇死亡率知之甚少。因此,本研究于2014年3月至4月对埃塞俄比亚西北部南沃罗地区819名孕妇进行BPCR检测及相关因素评估。采用预测问卷收集数据,采用SPSS 20.00软件进行分析。结果。准备了至少三种BPCR成分的孕妇占24.1%。孕妇在怀孕、分娩和产后至少知道三个关键危险信号的比例分别为23.2%、22.6%和9.6%。受过中等及以上教育的妇女比文盲作好准备的可能性高6.20倍(95% CI =[1.36, 28.120])。终生有死产史[5.80(1.13,29.63)]、最后一次怀孕参加过产前会诊[5.44(2.07,14.27)]、参加过社区BPCR小组讨论[4.36(1.17,16.26)]、在产前会诊随访中有男性伴侣参与BPCR咨询[4.45(1.95,10.16)]的女性更有可能做好准备。结论。BPCR很低,应通过健康沟通加强BPCR咨询。
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