Background:Postpartum Care is a strategy to improve survival of women and newborns,especially in low-and middle-income countries.Early post-partum care can promote healthy behaviors and the identification of risk fact...Background:Postpartum Care is a strategy to improve survival of women and newborns,especially in low-and middle-income countries.Early post-partum care can promote healthy behaviors and the identification of risk factors associated with poorer pregnancy-related outcomes.The objective of this study was to assess the association of perceived social support with attendance to post-partum care in women from three Latin-American and Caribbean countries:Costa Rica,Dominican Republic and Honduras.Methods:Women aged 18+who completed a pregnancy in the past 5 years were interviewed in local healthcare and community settings in each country.Perceived social support(PSS)was the primary explanatory variable and the primary outcome was self-reported attendance to post-partum care.Odds Ratios(OR)with 95%confidence intervals derived from logistic regression documented the association between variables.Adjusted Odds Ratios(AOR)were calculated,controlling for social and pregnancy-related confounders.Hosmer–Lemeshow’s Goodnessof-Fit statistic was computed to assess model fit.Results:Our cohort of 1199 women across the three Latin-American and Caribbean countries showed relatively high attendance to post-partum care(82.6%,n=990).However,51.7%(n=581)of women reported lower levels of total PSS.Women were more likely to attend postpartum care if they had mean and higher levels of PSS Family subscale(OR:1.9,95%CI:1.4,2.7),Friends subscale(OR 1.3,95%CI:0.9,1.8),Significant Other subscale(OR 1.8,95%CI:1.3,2.4)and the Total PSS(OR 1.8,95%CI:1.3,2.5).All associations were statistically significant at p<0.05,with exception of the Friends subscale.Women with higher levels of total PSS were more likely to attend to post-partum care(AOR:1.40,0.97,1.92)even after controlling for confounders(education,country,and food insecurity).Conclusions:Women with higher perceived social support levels were more likely to attend to post-partum care.From all countries,women from Dominican Republic had lower perceived social support levels and this may influence attendance at post-partum care for this subgroup.Societal and geographic factors can act as determinants when evaluating perceived social support during pregnancy.展开更多
Objective:To assess the utilization of reproductive health services in urban slum of Jodhpur city,India.Methods:A community based cross-sectional study was conducted in an urban slums of Jodhpur city amongst 300 marri...Objective:To assess the utilization of reproductive health services in urban slum of Jodhpur city,India.Methods:A community based cross-sectional study was conducted in an urban slums of Jodhpur city amongst 300 married women of reproductive age between March and June 2021.Semi-structured questionnaire was used to gather demographic data and information about utilization of antenatal care(ANC)services,delivery and post-partum services.Results:The majority of females were aged less than 25 years(n=195;65.0%),married after 18 years(n=240;80%),living in extended families(n=265;88.3%)and with monthly family income less than 10000 rupees(n=182;60.7%).Statistically significant associations were found between≥4 ANC visits and educational level of secondary and above(OR 2.47,95%CI 1.03–6.28;P=0.04),older age(OR 15.70,95%CI 14.87–16.54 for women aged 26-35 years,OR 16.14,95%CI 12.12–20.01 for women aged≥36 years;P<0.01),and backward and general castes(OR 15.91,95%CI 13.57–17.85 for backward caste and OR 8.11,95%CI 8.07–8.26 for general category of caste;P<0.01).Seven percent of females had undergone parturition.Older age was associated with higher risks of postpartum complications(OR 1.06,95%CI 1.01–1.57 for women aged 26-35 years,OR 3.56,95%CI 1.29–4.69 for women aged≥36 years;P<0.01).In addition,risks of postpartum complications were associated with backward and general castes(OR 1.69,95%CI 1.34–2.13 for backward classes and OR 5.01,95%CI 4.29–5.31 for general category castes;P<0.01),and more than 4 ANC visits(OR 0.20,95%CI 0.09–0.34;P<0.01).Conclusions:More frequent ANC visits are associated with a lower risk of postpartum complications.Furthermore,a high utilization of reproductive health services represents good implementation of reproductive and child health programme at the peripheral level resulting in a stark rise in maternal health indicators in the state of Rajasthan.展开更多
目的:编制适用于农村地区孕产妇的母婴健康素养(maternal and infant health literacy,MIHL)问卷,并在广西灵山县进行应用,为广西壮族自治区农村乃至更广泛的我国农村地区开展有指向性的妇幼健康保健工作提供测评工具和科学依据。方法:...目的:编制适用于农村地区孕产妇的母婴健康素养(maternal and infant health literacy,MIHL)问卷,并在广西灵山县进行应用,为广西壮族自治区农村乃至更广泛的我国农村地区开展有指向性的妇幼健康保健工作提供测评工具和科学依据。方法:通过文献检索和专家讨论,建立MIHL框架体系,并初步确定条目清单,采用德尔菲法确定问卷核心条目。于2022年10月—2023年9月将该问卷应用于灵山县妇幼保健院就诊的1743名孕产妇,同时收集孕产妇的基本信息;采用Cron⁃bach’s α系数和验证性因子分析进行问卷的信效度检验,采用χ^(2)检验对不同组别间MIHL水平进行单因素分析,采用多元logistic回归分析MIHL的影响因素。结果:问卷共包含24个条目,总问卷Cronbach’s α系数为0.719;验证性因子分析结果提示模型拟合良好。应用结果显示,灵山县孕产妇MIHL得分为46分,MIHL具备率为27.25%。多因素分析显示,孕产阶段、产次、文化程度、与配偶关系、与父母关系是MIHL的影响因素。结论:该研究编制的MIHL问卷在农村孕产妇中具备良好的信度和效度,使用该问卷测评得到的灵山县孕产妇MIHL水平较低,需加强健康教育的精准度和实效性,应重点关注孕期阶段、初产、文化程度低、与父母及配偶关系一般的群体。展开更多
基金funded by The National Institutes of Health/Fogarty International Center Grant#1 R25 TW 009697-01A1NIH National Center for Advancing Translational Sciences,“NRSA Training Core”(TL1 TR002000).
文摘Background:Postpartum Care is a strategy to improve survival of women and newborns,especially in low-and middle-income countries.Early post-partum care can promote healthy behaviors and the identification of risk factors associated with poorer pregnancy-related outcomes.The objective of this study was to assess the association of perceived social support with attendance to post-partum care in women from three Latin-American and Caribbean countries:Costa Rica,Dominican Republic and Honduras.Methods:Women aged 18+who completed a pregnancy in the past 5 years were interviewed in local healthcare and community settings in each country.Perceived social support(PSS)was the primary explanatory variable and the primary outcome was self-reported attendance to post-partum care.Odds Ratios(OR)with 95%confidence intervals derived from logistic regression documented the association between variables.Adjusted Odds Ratios(AOR)were calculated,controlling for social and pregnancy-related confounders.Hosmer–Lemeshow’s Goodnessof-Fit statistic was computed to assess model fit.Results:Our cohort of 1199 women across the three Latin-American and Caribbean countries showed relatively high attendance to post-partum care(82.6%,n=990).However,51.7%(n=581)of women reported lower levels of total PSS.Women were more likely to attend postpartum care if they had mean and higher levels of PSS Family subscale(OR:1.9,95%CI:1.4,2.7),Friends subscale(OR 1.3,95%CI:0.9,1.8),Significant Other subscale(OR 1.8,95%CI:1.3,2.4)and the Total PSS(OR 1.8,95%CI:1.3,2.5).All associations were statistically significant at p<0.05,with exception of the Friends subscale.Women with higher levels of total PSS were more likely to attend to post-partum care(AOR:1.40,0.97,1.92)even after controlling for confounders(education,country,and food insecurity).Conclusions:Women with higher perceived social support levels were more likely to attend to post-partum care.From all countries,women from Dominican Republic had lower perceived social support levels and this may influence attendance at post-partum care for this subgroup.Societal and geographic factors can act as determinants when evaluating perceived social support during pregnancy.
文摘Objective:To assess the utilization of reproductive health services in urban slum of Jodhpur city,India.Methods:A community based cross-sectional study was conducted in an urban slums of Jodhpur city amongst 300 married women of reproductive age between March and June 2021.Semi-structured questionnaire was used to gather demographic data and information about utilization of antenatal care(ANC)services,delivery and post-partum services.Results:The majority of females were aged less than 25 years(n=195;65.0%),married after 18 years(n=240;80%),living in extended families(n=265;88.3%)and with monthly family income less than 10000 rupees(n=182;60.7%).Statistically significant associations were found between≥4 ANC visits and educational level of secondary and above(OR 2.47,95%CI 1.03–6.28;P=0.04),older age(OR 15.70,95%CI 14.87–16.54 for women aged 26-35 years,OR 16.14,95%CI 12.12–20.01 for women aged≥36 years;P<0.01),and backward and general castes(OR 15.91,95%CI 13.57–17.85 for backward caste and OR 8.11,95%CI 8.07–8.26 for general category of caste;P<0.01).Seven percent of females had undergone parturition.Older age was associated with higher risks of postpartum complications(OR 1.06,95%CI 1.01–1.57 for women aged 26-35 years,OR 3.56,95%CI 1.29–4.69 for women aged≥36 years;P<0.01).In addition,risks of postpartum complications were associated with backward and general castes(OR 1.69,95%CI 1.34–2.13 for backward classes and OR 5.01,95%CI 4.29–5.31 for general category castes;P<0.01),and more than 4 ANC visits(OR 0.20,95%CI 0.09–0.34;P<0.01).Conclusions:More frequent ANC visits are associated with a lower risk of postpartum complications.Furthermore,a high utilization of reproductive health services represents good implementation of reproductive and child health programme at the peripheral level resulting in a stark rise in maternal health indicators in the state of Rajasthan.
文摘目的:编制适用于农村地区孕产妇的母婴健康素养(maternal and infant health literacy,MIHL)问卷,并在广西灵山县进行应用,为广西壮族自治区农村乃至更广泛的我国农村地区开展有指向性的妇幼健康保健工作提供测评工具和科学依据。方法:通过文献检索和专家讨论,建立MIHL框架体系,并初步确定条目清单,采用德尔菲法确定问卷核心条目。于2022年10月—2023年9月将该问卷应用于灵山县妇幼保健院就诊的1743名孕产妇,同时收集孕产妇的基本信息;采用Cron⁃bach’s α系数和验证性因子分析进行问卷的信效度检验,采用χ^(2)检验对不同组别间MIHL水平进行单因素分析,采用多元logistic回归分析MIHL的影响因素。结果:问卷共包含24个条目,总问卷Cronbach’s α系数为0.719;验证性因子分析结果提示模型拟合良好。应用结果显示,灵山县孕产妇MIHL得分为46分,MIHL具备率为27.25%。多因素分析显示,孕产阶段、产次、文化程度、与配偶关系、与父母关系是MIHL的影响因素。结论:该研究编制的MIHL问卷在农村孕产妇中具备良好的信度和效度,使用该问卷测评得到的灵山县孕产妇MIHL水平较低,需加强健康教育的精准度和实效性,应重点关注孕期阶段、初产、文化程度低、与父母及配偶关系一般的群体。
