Maternal Third Delay and Associated Factors among Women Admitted for Emergency Obstetric Care in Public Hospitals in Sidama Regional State, Ethiopia.
Journal
Journal of pregnancy
ISSN: 2090-2735
Titre abrégé: J Pregnancy
Pays: Egypt
ID NLM: 101553823
Informations de publication
Date de publication:
2023
2023
Historique:
received:
27
10
2022
revised:
25
03
2023
accepted:
30
03
2023
medline:
25
4
2023
pubmed:
24
4
2023
entrez:
24
04
2023
Statut:
epublish
Résumé
Timing to get obstetric care is critical in preventing maternal death and disability. Maternal third delay, the delay in receiving care after reaching health facilities, involves factors related to organization, quality of care, patient referral, and availability of staff and equipment. However, data is limited on maternal third delay and its associated factors at higher health facilities in Ethiopia. This study is aimed at assessing the magnitude of maternal third delay and associated factors among women admitted for emergency obstetric care in public hospitals in Sidama Regional State, Ethiopia, 2021. An institution-based cross-sectional study was conducted from September to November 2021. Face-to-face interview with a structured questionnaire and data extraction from medical charts were carried out in selected 542 women (using systematic sampling method). The collected data were coded and entered using EpiData, and bivariable and multivariable logistic regression analyses were done using SPSS version 25. Statistical significances were declared at Maternal third delay was identified among 29.3% (95%CI = 25.2 - 33.5) of the respondents. Additionally, women who arrived with a referral from other health facilities (AOR = 0.311, 95%CI = 0.181 - 0.534), well prepared for birth and its complications (AOR = 2.418, 95%CI = 1.51 - 3.869), self-employed (AOR = 0.223, 95%CI = 0.122 - 0.409), being a government employee (AOR = 0.157, 95%CI = 0.063 - 0.396), having ANC follow-up (AOR = 2.795, 95%CI = 1.318 - 5.928), and absence of health professional (AOR = 4.63, 95%CI = 2.857 - 7.50) were significantly associated with maternal third delay. This study identified that maternal third delay was high, which indicates that women have not received emergency obstetric care in the recommended time range after they arrived at the health facilities.
Sections du résumé
Background
UNASSIGNED
Timing to get obstetric care is critical in preventing maternal death and disability. Maternal third delay, the delay in receiving care after reaching health facilities, involves factors related to organization, quality of care, patient referral, and availability of staff and equipment. However, data is limited on maternal third delay and its associated factors at higher health facilities in Ethiopia.
Objective
UNASSIGNED
This study is aimed at assessing the magnitude of maternal third delay and associated factors among women admitted for emergency obstetric care in public hospitals in Sidama Regional State, Ethiopia, 2021.
Methods
UNASSIGNED
An institution-based cross-sectional study was conducted from September to November 2021. Face-to-face interview with a structured questionnaire and data extraction from medical charts were carried out in selected 542 women (using systematic sampling method). The collected data were coded and entered using EpiData, and bivariable and multivariable logistic regression analyses were done using SPSS version 25. Statistical significances were declared at
Results
UNASSIGNED
Maternal third delay was identified among 29.3% (95%CI = 25.2 - 33.5) of the respondents. Additionally, women who arrived with a referral from other health facilities (AOR = 0.311, 95%CI = 0.181 - 0.534), well prepared for birth and its complications (AOR = 2.418, 95%CI = 1.51 - 3.869), self-employed (AOR = 0.223, 95%CI = 0.122 - 0.409), being a government employee (AOR = 0.157, 95%CI = 0.063 - 0.396), having ANC follow-up (AOR = 2.795, 95%CI = 1.318 - 5.928), and absence of health professional (AOR = 4.63, 95%CI = 2.857 - 7.50) were significantly associated with maternal third delay.
Conclusion
UNASSIGNED
This study identified that maternal third delay was high, which indicates that women have not received emergency obstetric care in the recommended time range after they arrived at the health facilities.
Identifiants
pubmed: 37091530
doi: 10.1155/2023/7767208
pmc: PMC10118880
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
7767208Informations de copyright
Copyright © 2023 Esuyawkal Mislu et al.
Déclaration de conflit d'intérêts
The authors declare that they have no competing interests.
Références
Int J Reprod Med. 2020 Jun 03;2020:9082179
pubmed: 32566647
BMC Pregnancy Childbirth. 2020 Oct 6;20(1):585
pubmed: 33023523
BMC Health Serv Res. 2019 Apr 11;19(1):225
pubmed: 30975142
BMC Pregnancy Childbirth. 2020 Oct 19;20(1):636
pubmed: 33076869
BMC Health Serv Res. 2020 Jan 10;20(1):32
pubmed: 31924203
BMC Pregnancy Childbirth. 2014 May 05;14:159
pubmed: 24886330
BMC Pregnancy Childbirth. 2016 Sep 02;16:257
pubmed: 27590589
Int J Womens Health. 2020 Mar 04;12:127-138
pubmed: 32184676
BMJ Open. 2020 Jun 23;10(6):e033771
pubmed: 32580981
J Health Popul Nutr. 2017 Dec 21;36(Suppl 1):48
pubmed: 29297392
Acta Obstet Gynecol Scand. 2013 May;92(5):496-507
pubmed: 23278232
Arch Public Health. 2017 Aug 14;75:35
pubmed: 28811893
Soc Sci Med. 1994 Apr;38(8):1091-110
pubmed: 8042057
Syst Rev. 2018 Nov 13;7(1):183
pubmed: 30424808
J Public Health Afr. 2017 Dec 31;8(2):717
pubmed: 29456825
BMC Pregnancy Childbirth. 2018 Apr 12;18(1):96
pubmed: 29649972
Int J Womens Health. 2021 Feb 15;13:177-187
pubmed: 33623442
PLoS One. 2013 May 21;8(5):e63846
pubmed: 23704943
Lancet. 2013 May 18;381(9879):1747-55
pubmed: 23683641
Ann Glob Health. 2019 Mar 21;85(1):
pubmed: 30924620
Int J Reprod Med. 2020 Mar 18;2020:5257431
pubmed: 32258094
BMC Res Notes. 2019 Sep 18;12(1):585
pubmed: 31533861
BMC Pregnancy Childbirth. 2019 Aug 28;19(1):314
pubmed: 31455258