The role of informational support from women's social networks on antenatal care initiation: qualitative evidence from pregnant women in Uganda.
The role of informational support from women's social networks on antenatal care initiation: qualitative evidence from pregnant women in Uganda.
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DOI：
10.1186/s12884-022-05030-1
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发表时间：
2022-09-16
影响因子：
3.1
通讯作者：
中科院分区：
文献类型：
--
作者：
及早和适当地利用产前保健服务对降低产妇和新生儿死亡率和发病率至关重要。然而，包括乌干达在内的撒哈拉以南非洲的大多数妇女直到怀孕后期才寻求产前护理。这项定性研究探讨了孕妇的依赖社会关系的信息启动产前保健。我们进行了半结构化的，深入的采访，30名孕妇寻求他们的第一次产前保健访问在Kawempe转诊医院在坎帕拉，乌干达。招募是有目的的，以获得差异的奇偶性和妇女目前是否有一个男性伴侣。研究招募于2020年8月25日至2020年10月26日进行。我们使用主题分析后，两个阶段的编码过程，演绎和归纳代码。演绎代码遵循社会网络和社会支持理论的关键领域。我们发现，最重要的信息来源，产前保健开始是这些妇女的母亲。其他来源包括她们的岳母、包括祖母在内的女性长辈和男性伴侣。姐妹篇和女性朋友对产前启蒙的影响较小。依赖自己的母亲、岳母和老年妇女的主要原因之一是这些妇女怀孕和分娩的生活经历。对关系的信任也是一个重要因素。一些孕妇不太可能依赖她们的姐妹篇或女性朋友，这要么是因为缺乏信任，要么是因为这些妇女缺乏怀孕和分娩的经验。孕妇从母亲和其他人那里得到的关于开始产前护理的理想时间的建议差异很大，包括关于何时开始产前护理的错误信息的例子。当一个以上的社会关系鼓励早期产前护理时，孕妇似乎不太可能推迟护理。教育妇女的社交网络，特别是她们的母亲、岳母和社区长者，使其了解早期产前护理的重要性，是鼓励孕妇在怀孕早期寻求护理的一个有希望的途径。
Early and appropriate use of antenatal care services is critical for reducing maternal and neonatal mortality and morbidity. Yet most women in sub-Saharan Africa, including Uganda, do not seek antenatal care until later during pregnancy. This qualitative study explored pregnant women’s reliance on social ties for information about initiation of antenatal care. We conducted semi-structured, in-depth interviews with 30 pregnant women seeking their first antenatal care visit at Kawempe Referral Hospital in Kampala, Uganda. Recruitment was done purposively to obtain variation by parity and whether women currently had a male partner. Study recruitment occurred from August 25th 2020 – October 26th, 2020. We used thematic analysis following a two-stage coding process, with both deductive and inductive codes. Deductive codes followed the key domains of social network and social support theory. We found that the most important source of information about antenatal care initiation was these women’s mothers. Other sources included their mothers-in-law, female elders including grandmothers, and male partners. Sisters and female friends were less influential information sources about antenatal initiation. One of the primary reasons for relying on their own mothers, mothers-in-law, and elder women was due to these women’s lived experience with pregnancy and childbirth. Trust in the relationship was also an important factor. Some pregnant women were less likely to rely on their sisters or female friends, either due to lack of trust or these women’s lack of experience with pregnancy and childbirth. The advice that pregnant women received from their mothers and others on the ideal timing for antenatal care initiation varied significantly, including examples of misinformation about when to initiate antenatal care. Pregnant women seemed less likely to delay care when more than one social tie encouraged early antenatal care. Educating women’s social networks, especially their mothers, mothers-in-law, and community elders, about the importance of early antenatal care initiation is a promising avenue for encouraging pregnant women to seek care earlier in pregnancy.
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影响因子：
3.7
作者：
Pell C;Meñaca A;Were F;Afrah NA;Chatio S;Manda-Taylor L;Hamel MJ;Hodgson A;Tagbor H;Kalilani L;Ouma P;Pool R
通讯作者：
Pool R
影响因子：
2.8
作者：
Jinga, Nelly;Mongwenyana, Constance;Onoya, Dorina
通讯作者：
Onoya, Dorina
影响因子：
3.8
作者：
Dalstrom, Matthew
通讯作者：
Dalstrom, Matthew
社会和提供商网络以及妇女的避孕药使用：马达加斯加的证据。
影响因子：
2.9
作者：
Comfort AB;Harper CC;Tsai AC;Moody J;Perkins JM;Rasolofomana JR;Alperin C;Ranjalahy AN;Heriniaina R;Krezanoski PJ
通讯作者：
Krezanoski PJ
了解阻止孕妇在NTCHEU地区 - 马拉维的怀孕的头三个月开始产前诊所的障碍。
影响因子：
3.4
作者：
Chimatiro CS;Hajison P;Chipeta E;Muula AS
通讯作者：
Muula AS