Male involvement in birth preparedness and complication readiness for emergency obstetric referrals in rural Uganda.
Male involvement in birth preparedness and complication readiness for emergency obstetric referrals in rural Uganda.
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DOI：
10.1186/1742-4755-8-12
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发表时间：
2011-05-07
影响因子：
3.4
通讯作者：
Osinde MO
中科院分区：
文献类型：
--
作者：
Kakaire O;Kaye DK;Osinde MO
每个孕妇都面临着危及生命的产科并发症的风险。分娩准备包促进积极准备，并协助决策，以寻求医疗保健的情况下，这种并发症。其目的是评估与分娩准备和并发症准备有关的因素，以及乌干达农村地区产科急诊转诊中男性参与分娩计划的程度。这是一项在卡巴莱地区医院产科病房进行的横断面研究，纳入了140名在产前、分娩或产后期间因产科急诊转诊入院的妇女。收集了有关社会人口统计和生育准备的数据，以及配偶在制定生育计划过程中所扮演的角色。任何接受过至少4次产前保健、接受过关于怀孕和分娩危险信号的健康教育、为紧急情况存钱、制定了从哪里分娩的计划并为分娩伴侣做好准备的妇女都被视为制定了分娩计划。进行多变量logistic回归分析，以分析与生育计划独立相关的因素。平均年龄为26.8 ± 6.6岁，而配偶的平均年龄为32.8 ± 8.3岁。100多名妇女（73.8%）和75名配偶（55.2%）没有受过正规教育或只有小学教育。在多变量分析中，初偏头痛科与经产妇科相比，OR 1.8 95%CI（1.0-3.0），配偶文化程度为中学或以上vs小学或无，OR 3.8 95%CI（1.2-11.0），配偶正式职业与非正式职业的OR值为1.6 95%CI（1.1-2.5）、有无妊娠并发症OR 1.495%CI（1.1-2.0）、预期分娩方式为剖宫产与阴道分娩OR 1.695%CI（1.0-2.4）与有无生育计划有关。需要增强妇女个人、家庭和社区的权能，使其能够通过制定生育计划，为使怀孕更加安全作出积极贡献。
Every pregnant woman faces risk of life-threatening obstetric complications. A birth-preparedness package promotes active preparation and assists in decision-making for healthcare seeking in case of such complications. The aim was to assess factors associated with birth preparedness and complication-readiness as well as the level of male participation in the birth plan among emergency obstetric referrals in rural Uganda. This was a cross-sectional study conducted at Kabale regional hospital maternity ward among 140 women admitted as emergency obstetric referrals in antenatal, labor or the postpartum period. Data was collected on socio-demographics and birth preparedness and what roles spouses were involved in during developing the birth plan. Any woman who attended antenatal care at least 4 times, received health education on pregnancy and childbirth danger signs, saved money for emergencies, made a plan of where to deliver from and made preparations for a birth companion, was deemed as having made a birth plan. Multivariate logistic regression analysis was conducted to analyze factors that were independently associated with having a birth plan. The mean age was 26.8 ± 6.6 years, while mean age of the spouse was 32.8 ± 8.3 years. Over 100 (73.8%) women and 75 (55.2%) of their spouses had no formal education or only primary level of education respectively. On multivariable analysis, Primigravidae compared to multigravidae, OR 1.8 95%CI (1.0-3.0), education level of spouse of secondary or higher versus primary level or none, OR 3.8 95%CI (1.2-11.0), formal occupation versus informal occupation of spouse, OR 1.6 95%CI (1.1-2.5), presence of pregnancy complications OR 1.4 95%CI (1.1-2.0) and the anticipated mode of delivery of caesarean section versus vaginal delivery, OR 1.6 95%CI (1.0-2.4) were associated with having a birth plan. Individual women, families and communities need to be empowered to contribute positively to making pregnancy safer by making a birth plan.
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DOI：
10.1080/09540120701687059
发表时间：
2008-01-01
影响因子：
1.7
作者：
Msuya, S. E.;Mbizvo, E. M.;Stray-Pedersen, B.
通讯作者：
Stray-Pedersen, B.
DOI：
10.1080/01443610120085492
发表时间：
2001-11-01
期刊：
Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology
影响因子：
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作者：
Onwudiegwu, U;Ezechi, O C
通讯作者：
Ezechi, O C
影响因子：
3.5
作者：
Bloom, SS;Wypij, D;Das Gupta, M
通讯作者：
Das Gupta, M
影响因子：
5.4
作者：
Carter, M
通讯作者：
Carter, M
DOI：
10.1016/0020-7292(95)02322-4
发表时间：
1995-06-01
影响因子：
3.8
作者：
KOBLINSKY, MA
通讯作者：
KOBLINSKY, MA