关键词: South Gondar childbirth friendly care public health institutions women

来  源:   DOI:10.3389/fgwh.2024.1368388   PDF(Pubmed)

Abstract:
UNASSIGNED: \"Women-friendly care\" is one of the categories of respectful maternal care and is a method of providing care that improves women\'s access to safe parenting and to reproductive health services by creating a friendly environment at all levels. Improving service use is crucial, particularly in situations where it is low. There is limited data on women-friendly care during childbirth in Ethiopia.
UNASSIGNED: This study aimed to assess the provision of women-friendly care and its associated factors among mothers who gave birth at health institutions in the South Gondar zone, Northwest Ethiopia.
UNASSIGNED: A multicenter institutional-based cross-sectional study design was conducted among mothers who gave birth at South Gondar Zone public health institutions, from February 01 to March 30/2021. Three hundred forty-eight study participants were selected by using systematic random sampling. A validated questionnaire was used for data collection. For analysis, the data were imported into Epi-Data version 4.6 and exported to SPSS version 25. A multivariable logistic regression analysis was performed to identify factors associated with the outcome variable. An adjusted odds ratio with a 95% confidence interval was computed to determine the level of significance.
UNASSIGNED: The study had 344 participants in total, with a response rate of 98.85%. The study revealed that a full 73% [95%; CI: 68.6, 77.3%] its participants received women-friendly care. Having antenatal care follow-up [AOR: 3.02, 95% CI: 2.16-11.68], being a primipara [AOR = 2.30 95% CI: 1.23-5.49], not experiencing complications during childbirth [AOR: 2.13, 95% CI: 1.17-12.4], stays at health care facilities, specifically between 13 and 24 h [AOR: 0.25, 95% CI: 0.09-0.67], place for delivery [AOR: 2.01, 95% CI: 1.29-6.09] and delivering during daytime hours [AOR = 2.17, 95% CI: 1.08-5.65] were significantly associated with the provision of women-friendly care.
UNASSIGNED: Only two-thirds of the study participants received Women\'s-friendly care during childbirth. It was found to be low in our study area in contrast with the majority of the previous findings. Our own findings also suggest the importance of minimizing elective induction of labor during night, of providing comprehensive counseling on antenatal care follow-up, of ensuring mothers remain at health care facilities until the recommended duration, and of implementing early prevention and management of childbirth complications to ensure that mothers receive women-friendly care.
摘要:
“妇女友好型护理”是尊重产妇护理的类别之一,是一种提供护理的方法,通过在各级创造友好的环境,改善妇女获得安全育儿和生殖健康服务的机会。改善服务使用至关重要,特别是在低的情况下。关于埃塞俄比亚分娩期间关爱妇女的数据有限。
这项研究旨在评估在南贡达地区的卫生机构分娩的母亲提供对妇女友好的护理及其相关因素,埃塞俄比亚西北部。
对在南贡达区公共卫生机构分娩的母亲进行了一项基于多中心机构的横断面研究设计,从2021年2月1日至3月30日。通过系统随机抽样选择了348名研究参与者。使用经过验证的问卷进行数据收集。为了进行分析,将数据导入Epi-Data4.6版并导出到SPSS25版.进行多变量逻辑回归分析以确定与结果变量相关的因素。计算具有95%置信区间的调整比值比以确定显著性水平。
该研究共有344名参与者,有效率为98.85%。研究显示,有73%[95%;CI:68.6,77.3%]的参与者接受了对妇女友好的护理。进行产前护理随访[AOR:3.02,95%CI:2.16-11.68],初产妇[AOR=2.3095%CI:1.23-5.49],分娩期间未出现并发症[AOR:2.13,95%CI:1.17-12.4],留在医疗机构,特别是在13和24小时之间[AOR:0.25,95%CI:0.09-0.67],分娩地点[AOR:2.01,95%CI:1.29-6.09]和日间分娩时间[AOR=2.17,95%CI:1.08-5.65]与提供妇女友好型护理显著相关.
只有三分之二的研究参与者在分娩时接受了女性友好型护理。与以前的大多数发现相比,在我们的研究领域发现它很低。我们自己的发现也表明了在夜间尽量减少选择性引产的重要性,提供全面的产前护理随访咨询,确保母亲在建议的持续时间内一直呆在医疗保健设施中,并对分娩并发症进行早期预防和管理,以确保母亲得到对妇女友好的护理。
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