2021 年埃塞俄比亚西北部阿姆哈拉州 Jabi Tehnan 地区医疗中心产前检查孕妇的妊娠风险认知及相关因素。

International Journal of Reproductive Medicine Pub Date : 2022-12-13 eCollection Date: 2022-01-01 DOI:10.1155/2022/6847867
Demeke Andebet Alemu, Ambaye Minayehu Zegeye, Liknaw Bewket Zeleke, Wale Kumlachew Dessie, Yilkal Dagnaw Melese, Yaregal Desselaw Tarik, Fentahun Tamene Zeleke, Dawit Misganaw Belay, Alemitu Ayele Siyoum, Berhane Teklay Asfaha
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引用次数: 0

摘要

背景:妊娠风险认知会影响孕妇对医疗服务的决定,如产前护理、分娩地点、医疗干预的选择、医疗程序的遵守和建议。因此,本研究旨在评估在贾比特南区医疗中心接受产前检查的孕妇的妊娠风险认知及相关因素:方法:2021 年 4 月 1 日至 30 日,对在贾比特南区保健中心接受产前护理的 424 名母亲进行了一项基于机构的横断面研究。数据收集采用了根据健康信念模型编制的结构化问卷,通过面对面访谈的方式进行。采用逻辑回归模型,以调整后的几率(95% CI)和 P 值 < 0.05 表示显著性和关联性:对 424 名孕妇进行了访谈,其中近一半的受访者 48% (43.2%,52.7%)具有良好的妊娠风险认知。有产科并发症病史的妇女(AOR:95% CI = 3.44 : 1.73, 6.83)、知道至少一个妊娠危险信号的妇女(AOR:95% CI = 5.22, 2.46, 11.07)、有不良产科病史的孕妇(AOR:95% CI = 2.23 : 1.13, 4.41),以及知道因妊娠相关并发症而死亡的妇女(AOR:95% CI = 2.85 : 1.45, 5.60)与同类妇女相比,更有可能对妊娠风险有良好的认知:结论:产科并发症、对妊娠危险征兆的认识、不良产科病史以及知道因妊娠相关并发症而死亡的妇女与妊娠风险认知有显著关联。
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Pregnancy Risk Perception and Associated Factors among Pregnant Women Attending Antenatal Care at Health Centers in Jabi Tehnan District, Amhara, Northwestern Ethiopia, 2021.

Background: Pregnancy risk perception affects a pregnant woman's decision about health care services such as prenatal care, place of birth, choices about medical interventions, adherence to medical procedures, and recommendations. Therefore, the study is aimed at assessing pregnancy risk perception and associated factors among pregnant women attending antenatal care at health centers in Jabi Tehnan District.

Methods: An institutional-based cross-sectional study was conducted among 424 mothers attending ANC at health centers in the Jabi Tehnan District from April 1 to 30, 2021. Data was collected through a face-to-face interview using a structured questionnaire which was developed according to the health belief model. The logistic regression model was used using an adjusted odds ratio with 95% CI and pvalue < 0.05 to declare significance and associations.

Result: Four hundred twenty four (424) pregnant women were interviewed of which nearly half of the respondents 48% (43.2%, 52.7%) had good pregnancy risk perception. Women who had a history of obstetric complications (AOR: 95% CI = 3.44 : 1.73, 6.83), those who knew at least one pregnancy danger sign (AOR: 95% CI = 5.22, 2.46, 11.07), pregnant women who had a bad obstetric history (AOR: 95% CI = 2.23 : 1.13, 4.41), and knowing women who died due to pregnancy-related complications (AOR: 95% CI = 2.85 : 1.45, 5.60) were more likely to have good perception towards pregnancy risk compared to their counterparts.

Conclusion: Obstetric complications, awareness of pregnancy danger signs, bad obstetric history, and known women who died due to pregnancy-related complications were found to be significantly associated with pregnancy risk perception.

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