22 research outputs found
ニカラグア国グラナダ州における妊婦ケアへの参加に関連する要因
Objectives: Several studies have indicated the effectiveness of appropriate antenatal care(ANC)attendance to reduce general perinatal complications, neonatal tetanus and death, and low birth weight. This study was performed to evaluate factors associated with ANC attendance in the early gestational period and frequency of ANC attendance among pregnant women in underserved settings, such as the Granada Department, Nicaragua.Methods: Four of 33 health facilities in the Granada Department, Nicaragua, were randomly selected for this study. ANC information, including age, number of years of formal education, number of previous pregnancies, number of children, gestational week at the first ANC attendance, and number of ANC attendances during the pregnancy, was collected from ANC records, which were administered by four selected health facilities from January 1, 2000 to December 31, 2000. Descriptive analysis, Spearman’s rank correlation coefficient, and multiple linear regression analysis were conducted.Results: ANC record data from 245 pregnant women, estimated as 4% of the annual number of pregnancies in the Granada Department, were analyzed in the present study. Having a partner was an independent factor contributing to early gestational week at the first ANC attendance, and higher educational status was an independent factor contributing to high number of ANC attendances in the present study.Conclusions: Having a stable partner and higher educational status may improve timely and appropriate ANC attendances. Health care providers should encourage better maternal health behavior among women without partners and those with low educational status.適切な妊婦ケア(ANC;antenatal care) への参加は,周産期合併症,新生児破傷風,新生児死亡,低出生体重の減少に効果があると報告されている.本研究の目的は,ニカラグアのような十分な保健サービスのない状況において,妊娠初期のANCへの参加と妊婦のANCの参加頻度に関連する要因を明らかにすることである.ニカラグア,グラナダ県の33保健施設から 4 か所の保健施設を無作為抽出し,年齢,教育年数,出産回数,子どもの数,初回ANC参加時の妊娠週数,妊娠中のANC参加回数についてANCカードの記録からデータ収集を行った.調査期間は2000年 1 月 1 日から12月31日である.妊婦245人のANCカード記録を分析対象とし,これはグラナダ県の年間妊娠数の 4 %を占めた.年齢,子どもの数,出産経験の有無を考慮した重回帰分析モデルにおいて,パートナーがいることが妊娠初期の初回ANCへの参加に,教育年数の長さがANC参加回数に有意に関連した.安定したパートナーがいることおよび教育年数の長さはANC参加の適切な時期や適度な参加を向上させる可能性がある.ヘルスケア提供者は,パートナーのいない女性や教育歴の少ない女性の良好な母子保健行動を促進する必要がある
The social functional outcome of being naturalistically treated with paliperidone extended-release in patients with schizophrenia
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Inhibitory effect of Actinidia arguta on mutagenesis, inflammation and two-stage mouse skin tumorigenesis
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Factors associated with maternal health knowledge among pregnant women in a remote region of Paraguay
ニカラグア国グラナダ州における妊婦ケアへの参加に関連する要因
Objectives: Several studies have indicated the effectiveness of appropriate antenatal care(ANC)attendance to reduce general perinatal complications, neonatal tetanus and death, and low birth weight. This study was performed to evaluate factors associated with ANC attendance in the early gestational period and frequency of ANC attendance among pregnant women in underserved settings, such as the Granada Department, Nicaragua.
Methods: Four of 33 health facilities in the Granada Department, Nicaragua, were randomly selected for this study. ANC information, including age, number of years of formal education, number of previous pregnancies, number of children, gestational week at the first ANC attendance, and number of ANC attendances during the pregnancy, was collected from ANC records, which were administered by four selected health facilities from January 1, 2000 to December 31, 2000. Descriptive analysis, Spearman’s rank correlation coefficient, and multiple linear regression analysis were conducted.
Results: ANC record data from 245 pregnant women, estimated as 4% of the annual number of pregnancies in the Granada Department, were analyzed in the present study. Having a partner was an independent factor contributing to early gestational week at the first ANC attendance, and higher educational status was an independent factor contributing to high number of ANC attendances in the present study.
Conclusions: Having a stable partner and higher educational status may improve timely and appropriate ANC attendances. Health care providers should encourage better maternal health behavior among women without partners and those with low educational status.適切な妊婦ケア(ANC;antenatal care) への参加は,周産期合併症,新生児破傷風,新生児死亡,低出生体重の減少に効果があると報告されている.本研究の目的は,ニカラグアのような十分な保健サービスのない状況において,妊娠初期のANCへの参加と妊婦のANCの参加頻度に関連する要因を明らかにすることである.ニカラグア,グラナダ県の33保健施設から 4 か所の保健施設を無作為抽出し,年齢,教育年数,出産回数,子どもの数,初回ANC参加時の妊娠週数,妊娠中のANC参加回数についてANCカードの記録からデータ収集を行った.調査期間は2000年 1 月 1 日から12月31日である.妊婦245人のANCカード記録を分析対象とし,これはグラナダ県の年間妊娠数の 4 %を占めた.
年齢,子どもの数,出産経験の有無を考慮した重回帰分析モデルにおいて,パートナーがいることが妊娠初期の初回ANCへの参加に,教育年数の長さがANC参加回数に有意に関連した.安定したパートナーがいることおよび教育年数の長さはANC参加の適切な時期や適度な参加を向上させる可能性がある.ヘルスケア提供者は,パートナーのいない女性や教育歴の少ない女性の良好な母子保健行動を促進する必要がある