影响孟加拉国妇女接受安全分娩护理的因素

S. Kabir
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引用次数: 5

摘要

全世界每天每分钟就有一名妇女死于与妊娠有关的并发症,导致每年有586000名妇女死亡。据估计,孟加拉国的产妇死亡率为每10万例活产320至400例,与其他发展中国家相比要高得多(Hill等人,2001年)。如果在分娩期间有专业的保健人员在场,这些死亡中的大多数是可以避免的。尽管在基层有初级保健基础设施,但在家分娩在孟加拉国仍然很常见(90%)。约44%的妇女没有得到产前护理。总体而言,71%的城市妇女从受过医学培训的人员那里得到产前护理,而农村妇女的这一比例为43%。只有约13%的妇女在有专业技能的保健人员的帮助下分娩。本文利用2004年孟加拉国人口与健康调查(BDHS)数据的多变量回归分析,探讨了影响孟加拉国妇女接受安全分娩护理的因素。研究表明,人口和社会经济因素是影响孟加拉国妇女接受安全分娩护理的最重要因素。影响妇女接受安全分娩护理的独立因素包括产妇年龄、分娩期间产前检查问题、母亲的居住地教育和家庭经济状况。(作者)
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Factors Influencing Women Receiving Safe Child-Delivery Care in Bangladesh
Worldwide every minute of every day a woman dies of pregnancy-related complications resulting in 586000 women dying each year. Estimates of the maternal mortality ratio in Bangladesh range from 320 to 400 maternal deaths per 100000 live births which is considerably higher compared to other developing countries (Hill et al. 2001). The majority of these deaths could be prevented if professionally skilled health personnel were present during child-delivery. Despite the availability of primary healthcare infrastructure at the grassroots level home births are still common in Bangladesh (90%). About 44% of women do not receive antenatal care. Overall 71% of urban women receive antenatal care from a medically trained person compared with 43% of rural women. Only about 13% of women delivered their most recent baby with the assistance of a professionally skilled health provider. This paper examines the factors that influence women receiving safe child-delivery care in Bangladesh using multivariatelogistic regression analysis of Bangladesh Demographic and Health Survey (BDHS) 2004 data. The study shows that demographic and socio-economic factors were the most important aspects that influence women receiving safe child-delivery care in Bangladesh. The independent factors influencing women receiving safe child-delivery care included maternal age antenatal checkup problems during delivery education of mothers place of residence and household economic status. (authors)
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