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首页> 外文期刊>International Journal of Reproductive Medicine >Factors Affecting Choice of Childbirth Place among Childbearing Age Women in Western Ethiopia: A Community-Based Cross-Sectional Study
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Factors Affecting Choice of Childbirth Place among Childbearing Age Women in Western Ethiopia: A Community-Based Cross-Sectional Study

机译：影响西埃塞俄比亚育龄妇女分娩职位选择的因素：基于社区的横断面研究

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Background. Access to proper medical attention and hygienic conditions during delivery can reduce the risk of complications and infections that may lead to serious illness or death or for the mother, baby, or both. In Ethiopia, the high maternal mortality rate with delivery by unskilled birth attendants shows low utilization of maternal health services. Objective. This study was aimed at assessing factors determining the choice of childbirth place among women of childbearing age in Jimma Arjo District. Method. A cross-sectional design was conducted in Jimma Arjo District, East Wollega Zone, Ethiopia, from March 20 to April 20, 2018. Multistage sampling technique was used to select a total sample of 506 participants. Data were collected using structured questionnaires to interview women of childbearing age with two trained data collectors. Data was entered into Epi Info and exported to SPSS software version 20 for analysis. Data was checked for its completeness, cleaned, entered, and analyzed accordingly. Bivariate and multivariable data analyses were used to examine factors affecting choice of childbirth place. Results. A total of 506 women participated in this study, giving a response rate of 97.8%. The study investigated that home delivery was found to be 200 (39.5%)in the study area. Factors found to be statistically associated with choice of institutional delivery at p0.05 were history of obstetric difficulties (AOR=6, 95%CI=2.08,17.60), woman educational status (AOR=4.4, 95%CI=1.47,13.42), husband educational status (AOR=4, 95%CI=1.43,11.60), two or more ANC visits (AOR=4, 95%CI=1.95,8.52), and accessibility to vehicle transportation (AOR=2.8, 95%CI=1.23,6.46). Conclusion. Preferring health facility as the birthplace in this study seems relatively better compared to other studies. It is shown that both mothers and their husbands attending secondary and greater educational level, history of obstetric difficulties, two or more ANC visits, and physical accessibility to health care facility have influenced mothers to prefer a health institution as the childbirth place. Therefore, any programs aimed at increasing the choice of institutional delivery should work on increasing ANC attendance and transportation facilities in the study area.
机译：背景。在交付期间获得适当的医疗注意力和卫生条件可以降低可能导致严重疾病或死亡或母亲，婴儿或两者的并发症和感染的风险。在埃塞俄比亚，不熟练的出生员的高孕产妇死亡率汇率显示出低利用产妇卫生服务。客观的。本研究旨在评估确定Jimma Arjo区育龄妇女中分娩所在药的选择的因素。方法。 2018年3月20日至4月20日，埃塞俄比亚东·沃尔利加地区的吉姆玛阿尔霍区进行了横截面设计。多级采样技术用于选择506名参与者的总样本。使用结构化问卷收集数据，以采访育龄增长的妇女，有两个培训的数据收集者。数据被输入到EPI Info中，并导出到SPSS软件版本20进行分析。根据其完整性，清洁，输入和相应分析数据。双变量和多变量数据分析用于检查影响分娩位置选择的因素。结果。共有506名妇女参加了这项研究，给出了97.8％的响应率。该研究调查了该研究发现，在研究区内发现了200（39.5％）。发现在P <0.05的制度递送选择统计相关的因素是产科困难的历史（AOR = 6,95％CI = 2.08,17.60），女性教育身份（AOR = 4.4,95％CI = 1.47,13.42） ，丈夫教育身份（AOR = 4,95％CI = 1.43,11.60），两种或更多的ANC访问（AOR = 4,95％CI = 1.95,8.52），以及车辆运输的可用性（AOR = 2.8,95％CI = 1.23,6.46）。结论。与其他研究相比，偏爱卫生设施作为本研究的出生地似乎相对较好。结果表明，母亲及其丈夫参加了中学和更大的教育水平，产科困难的历史，两种或更多的ANC访问，以及对医疗保健设施的身体无障碍都影响了母亲更喜欢卫生机构作为分娩的卫生机构。因此，旨在增加机构交付选择的任何方案都应努力增加研究区的熊口出勤和运输设施。

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