背景:早期开始产前护理(ANC)对于早期发现和治疗不良妊娠结局至关重要。尽管免费的ANC服务广泛便利,埃塞俄比亚的大多数妇女参加最初的产前诊所很晚,没有回来接受后续护理,导致母体和胎儿并发症。尽管建议根据当地情况评估早期ANC预订的决定因素,它在研究领域没有得到很好的研究。
目的:这项研究旨在评估在NoleKaba区的公共卫生机构参加ANC的孕妇中早期ANC预订的决定因素,埃塞俄比亚西部。
方法:基于设施的无匹配病例对照研究设计于2020年4月至6月进行。系统随机抽样用于选择总共297名参与者。一个经过验证的,使用预先测试和结构化的工具采访参与者。在将数据输入Epi-InfoV.7.2.2.6并导出到SPSSV.25进行分析之前,对数据进行了清理和编码。进行逻辑回归分析以评估早期ANC预订的决定因素。估计具有95%CI的调整后比值比(AOR)来衡量关联的强度。统计显著性水平设定为p值<0.05。
结果:共有297名孕妇参加了研究(99例和198例对照),100%的反应率。居住地(AOR=2.21,95%CI1.11,2.72),教育水平(AOR=3.42,95%CI1.01,6.04),计划妊娠(AOR=8.01,95%CI2.79,23.03),流产史(AOR=5.96,95%CI2.07,17.13),先前交货地点(AOR=4.57,95%CI1.09,19.12),在ANC访视期间(AOR=2.48,95%CI2.77,7.98)和媒体暴露(AOR=6.95,95CI2.68,18.02)的存在有统计学意义。
结论:居住地,教育水平,怀孕,有堕胎史,在非国大访问期间由丈夫陪同,既往分娩地点和培养基暴露与ANC早期启动显著相关.因此,应通过优先考虑受教育程度较低和生活在农村地区的妇女,加强关于早期ANC启动的健康推广计划。
Early initiation of antenatal care (ANC) is vital for the early detection and treatment of adverse pregnancy outcomes. Despite the widespread convenience of free ANC services, most women in Ethiopia attend their initial antenatal clinic late and fail to come back for follow-up care, which results in both maternal and fetal complications. Despite the fact that assessing the determinants of early ANC booking based on the local context is advised, it is not well studied in the study area.
This study aimed to assess determinants of early ANC booking among pregnant women attending ANC at public health facilities in the Nole Kaba district, western Ethiopia.
Facility-based unmatched
case-control study design was conducted from April to June 2020. Systematic random sampling was used to select a total of 297 participants. A validated, pretested and structured instrument was used to interview the participants. The data were cleaned and coded before being entered into Epi-Info V.7.2.2.6 and exported to SPSS V.25 for analysis. The logistic regression analyses were done to assess the determinants of early ANC booking. Adjusted odds ratio (AOR) with 95% CI was estimated to measure the strength of the association. The level of statistical significance was set at a p value <0.05.
A total of 297 pregnant women participated in the study (99 cases and 198 controls), with a 100% response rate. Place of residence (AOR=2.21, 95% CI 1.11, 2.72), level of education (AOR=3.42, 95% CI 1.01, 6.04), planned pregnancy (AOR=8.01, 95% CI 2.79, 23.03), history of abortion (AOR=5.96, 95% CI 2.07, 17.13), places of previous delivery (AOR=4.57, 95% CI 1.09, 19.12), presence of accompanied by husband during ANC visit (AOR=2.48, 95% CI 2.77, 7.98) and media exposure (AOR=6.95, 95 CI 2.68, 18.02) were found statistically significant.
Places of residence, educational level, pregnancy, having a history of abortion, accompanied by the husband during ANC visit, place of previous delivery and media exposure were significantly associated with early initiation of ANC. Therefore, health extension programmes on early ANC initiation should be strengthened by giving priority to less educated women and living in rural areas.