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What factors are associated with forms of mistreatment during facility-based childbirth? A survey of referral health facilities in south-east Nigeria
Journal of Biosocial Science ( IF 2.148 ) Pub Date : 2021-09-13 , DOI: 10.1017/s002193202100047x
Ijeoma Nkem Okedo-Alex 1, 2 , Ifeyinwa Chizoba Akamike 1 , Ugonna Igwilo 3 , Chika Nwakanma Onwasigwe 1
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Mistreatment during childbirth in health facilities contributes significantly to suboptimal levels of skilled birth attendance. This study determined the factors associated with mistreatment during facility-based childbirth in two referral facilities in south-east Nigeria. A survey of 620 women whose childbirth occurred in two high-patronage referral hospitals of Ebonyi, Nigeria, was conducted in July–September 2018 using interviewer-administered questionnaires. Data analysis was performed using SPSS version 20. Logistic regression was used to identify predictors. The mean age of the respondents was 29.86 ± 4.4 years. Most had post-secondary education (71.0%), and had attended at least four antenatal visits (83.4%). The prevalence of any mistreatment during childbirth was 56%. Rural residence (adjusted odds ratio [AOR]: 0.53; CI: 0.35, 0.78, p = 0.002) and childbirth facilitated by a doctor (AOR: 1.7; CI: 1.14, 2.39, p = 0.007) were predictors of reporting at least one form of mistreatment during childbirth. Childbirth facilitated by a doctor (AOR: 1.66; CI: 1.05, 2.63, p = 0.031) and unemployment (AOR: 1.84; CI: 1.01, 3.07, p = 0.011) increased the odds of non-consented and non-dignified care, respectively. Rural residence (AOR: 0.57; CI: 0.37, 0.88, p = 0.011) and childbirth facilitated by a doctor (AOR: 0.65; CI: 0.45, 0.94, p = 0.020) were protective against abandonment/neglect. Vaginal birth (AOR: 0.33; CI: 0.16, 0.69, p = 0.003) reduced the odds of detention in the health facility following childbirth. Almost three-fifths of the women whose childbirths occurred in the surveyed facilities experienced at least one form of mistreatment during childbirth. Place of residence, health professional type, mode of childbirth, employment status and frequency of antenatal attendance were predictors of mistreatment during childbirth. Rights-based sensitization for women, especially in the rural areas, female empowerment, provider capacity-building on respectful client care and provision of subsidized maternal health services are recommended.



中文翻译:

哪些因素与设施分娩过程中的虐待形式有关?尼日利亚东南部转诊医疗机构调查

医疗机构中分娩期间的虐待严重导致熟练助产士的水平不理想。本研究确定了尼日利亚东南部两个转诊机构在以机构为基础的分娩过程中虐待的相关因素。2018 年 7 月至 2018 年 9 月,使用访问员管理的问卷对尼日利亚 Ebonyi 的两家高光顾转诊医院分娩的 620 名妇女进行了调查。使用 SPSS 20 版进行数据分析。Logistic 回归用于识别预测因子。受访者的平均年龄为 29.86 ± 4.4 岁。大多数人接受过高等教育(71.0%),并且至少参加过四次产前检查(83.4%)。分娩期间任何虐待的发生率为 56%。农村居民(调整优势比 [AOR]:0.53;CI:0.35、0.78、p = 0.002) 和由医生协助分娩 (AOR: 1.7; CI: 1.14, 2.39, p = 0.007) 是在分娩期间报告至少一种虐待形式的预测因素。由医生促成的分娩 (AOR: 1.66; CI: 1.05, 2.63, p = 0.031) 和失业 (AOR: 1.84; CI: 1.01, 3.07, p = 0.011) 增加了未经同意和没有尊严的护理的几率,分别。农村居住 (AOR: 0.57; CI: 0.37, 0.88, p = 0.011) 和由医生协助分娩 (AOR: 0.65; CI: 0.45, 0.94, p = 0.020) 可以防止遗弃/忽视。阴道分娩 (AOR: 0.33; CI: 0.16, 0.69, p= 0.003) 降低了分娩后被拘留在医疗机构的几率。在接受调查的设施中分娩的妇女中,近五分之三在分娩期间经历了至少一种形式的虐待。居住地、卫生专业人员类型、分娩方式、就业状况和产前检查频率是分娩期间虐待的预测因素。建议对妇女进行基于权利的宣传,特别是在农村地区,赋予女性权力,在尊重客户关怀方面进行提供者能力建设,并提供补贴的孕产妇保健服务。

更新日期:2021-09-13
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