Factors Associated with the Unplanned Pregnancy at Suhul General Hospital, Northern Ethiopia, 2018

Background. Unplanned pregnancy is a fundamental concept that is used to recognize the fertility of populations and the unmet need for contraception and family planning. Unplanned pregnancy happened mainly due to the results of not using contraception or inconsistent or incorrect use of effective methods. Reducing the number of unplanned pregnancy endorses reproductive health mainly by reducing the number of times a woman is exposed to the risk of pregnancy and childbearing. Objective. This study is aimed at assessing the magnitude of unplanned pregnancy and associated factors among pregnant mothers attending antenatal care at Suhul General Hospital, Northern Ethiopia. Methods. A facility-based cross-sectional study design was conducted among pregnant mothers visiting antenatal care follow-up from February to April 2018 at Suhul General Hospital, Shire, and Northern Ethiopia. The study participants were selected using a systematic sampling method, and the data was collected using a pretested structured questionnaire through face-to-face interviews. Bivariate and multivariate logistic regression analyses were done to determine the association of each independent variable with the dependent variable. Result. The magnitude of unplanned pregnancy among 379 pregnant mothers was 20.6%. Unmarried women [AOR: 4.73, 95% CI: (1.56, 14.33)], age above forty [AOR: 4.17, 95% CI: (1.18, 14.6)], had no history of unplanned pregnancy [AOR: 3.26 95% CI: (1.65, 6.44)], and unemployed [AOR: 6.79; 95% CI: (2.05, 22.46)] were the variables significantly associated with the magnitude of unplanned pregnancy. Conclusion and Recommendation. The findings of this study showed that the magnitude of unplanned pregnancy was high and age, marital status, occupation, and history of unplanned pregnancy were statistically associated with an unplanned pregnancy. There is seeming necessity to plan strategies of communication within couples or individuals on reproductive especially on fertility and promote family planning methods.

Download Full-text

Determinants of late antenatal care follow up among pregnant women in Easter zone Tigray, Northern Ethiopia, 2018. Unmatched case- control study

10.21203/rs.2.14434/v4 ◽

2019 ◽

Author(s):

Gebrehiwot Gebremariam ◽

Berhane Fseha Teklehaimanot ◽

Hirut Teame Gebru ◽

Znabu Asfaw Gebrezgi ◽

Kidanemaryam Berhe Tekola ◽

...

Keyword(s):

Family Planning ◽

Antenatal Care ◽

Case Control Study ◽

Unplanned Pregnancy ◽

Antenatal Visit ◽

Northern Ethiopia ◽

Great Role ◽

Eastern Zone ◽

Control Study

Abstract Objective: The purpose of the study was to identify determinants of late antennal care at first visit in health facilities of eastern zone of Tigray, Northern Ethiopia 2018. Result: Women with unplanned pregnancy (AOR= 4.03, 95%, CI: 1.56-5.67), Participants whose previous first antenatal care was after 16 weeks (AOR= 3.9, 95% CI: 1.98-7.68), Participants did not accompanied by their partner for antenatal visit (AOR= 1.29,95%, CI: 1.05-4.67), women recognized their current pregnancy at three months or late ( AOR= 4.7,95%,CI: 2.49-9.04) and participants provided adequate time for their previous antenatal care by health professionals ( AOR = 0.461, 95% CI 0.342- 0.875) were found the determinant factors of late antenatal care at first Visit. Hence family planning utilization, times of first visit antenatal, information flow and supporting by partners have a great role in improving antenatal care at first visit. There for responsible bodies should give focuses on utilization of family planning, increasing awareness of pregnancy symptoms and health provisional provide adequate time during visits.

Download Full-text

Fear of Childbirth and Associated Factors Among Pregnant Mothers Who Attend Antenatal Care Service at Jinka Public Health Facilities, Jinka Town, Southern Ethiopia

International Journal of Childbirth ◽

10.1891/ijcbirth-d-20-00029 ◽

2021 ◽

pp. IJCBIRTH-D-20-00029

Author(s):

Aynalem Yetwale ◽

Eneyew Melkamu

Keyword(s):

Antenatal Care ◽

Health Center ◽

Previous History ◽

Southern Ethiopia ◽

Systematic Sampling ◽

Fear Of Childbirth ◽

Childbirth Fear ◽

Two Samples ◽

History Of ◽

Pregnant Mothers

BACKGROUNDWomen face many challenges from conception to postpartum, and fear of childbirth is one of the challenges the women encounter during pregnancy. This could have resulted from different perspectives and it could in turn lead to various pregnancy and childbirth problems. Thus, understanding childbirth fear and factors associated with this is of paramount importance and this study was aimed at addressing this issue.METHODOLOGYA facility-based cross-sectional study was done on 423 pregnant mothers who came for antenatal care services at Jinka hospital and Jinka health center. The study was conducted from June 1to 30, 2018. The sample size was calculated using the single population proportion formula and samples were taken after proportional allocation was done for the hospital and health center using the proportion allocation formula. Individual participants were selected with a systematic sampling technique using k-value of 2 for both the hospital and health center and the first participant was selected by the lottery method from the first two samples. Data were entered into epi-data version 3.1.1. and exported into statistical packages for social sciences version 21.0 for cleaning and further analysis. The level of significance was declared at a p value of less than 0.05 in multivariable logistic regression model. Narratives, figures, and tables were used to put the result.RESULTFrom 423 samples, two of the questionnaires were incomplete and thus 421 were used for analysis giving a response rate of 99.5%. Around a quarter of 102 (24.2%) mothers had fear of childbirth and the remaining 319 (75.8%) had no fear of childbirth. From the factors under consideration, history of previous pregnancy complications, previous history of labor and delivery complications, educational status, and depression status were significantly associated with a mother’s fear of childbirth.CONCLUSIONEven though it is physiological to have some fear of childbirth, the figure obtained is relatively higher. Factors found to have a significant effect on childbirth fear are those which could be tackled through improved health literacy and integrated maternal health services.

Download Full-text

PROPORTION OF EARLY ANTENATAL CARE BOOKING AND ASSOCIATED FACTORS IN MEKELLE CITY, PUBLIC HEALTH INSTITUTIONS, NORTHERN ETHIOPIA, 2015

Asian Journal of Pharmaceutical and Clinical Research ◽

10.22159/ajpcr.2018.v11i4.23955 ◽

2018 ◽

Vol 11 (4) ◽

pp. 409

Author(s):

Gebreamlak Gidey ◽

Desta Abraha

Keyword(s):

Antenatal Care ◽

Associated Factors ◽

Sampling Technique ◽

Cross Sectional Study ◽

Early Initiation ◽

World Health ◽

Systematic Sampling ◽

Northern Ethiopia ◽

Cross Sectional ◽

Mekelle City

Objective: The objective of this study was to assess the proportion and associated factors for early initiation of antenatal care visit in Mekelle City, Tigray, Northern Ethiopia, 2015.Method: An institution-based cross-sectional study was employed among 391 pregnant women’s in Mekelle special zone. A systematic sampling technique was used to select study participants. Pretested structured questionnaire was used to collect the data through interview. Data were entered into EPI info version 7 and analyzed using SPSS version 20, respectively. Bivariate and multivariate logistic regression was done to see significant variables with p<0.05 at 95% confidence interval (CI).Result: The proportion of pregnant women who initiate early antenatal care (ANC) visit was found to be 41.1%. Perceived correct time of initiation before 4 months (adjusted odds ratio [AOR]=3.261, 95% CI 1.391–7.645) and correct time told by others before 4 months with (AOR=6.617, 95% CI 2.580, 16.971) were found to have statistically significant positive outcomes association with early initiation of antenatal care visit.Conclusion: The proportion of early ANC initiation in Mekelle is lower than the World Health Organization recommendation which is <16 weeks gestation. Therefore, providing information to the community, initiation counseling, and providing health education on the benefits early ANC is crucial to improving maternal, neonatal, and child health outcomes.

Download Full-text

Unplanned Pregnancy and Its Associated Factors

Global Journal of Health Science ◽

10.5539/gjhs.v10n8p132 ◽

2018 ◽

Vol 10 (8) ◽

pp. 132

Author(s):

Muslimah Yusof ◽

Azah Abdul Samad ◽

Maisarah Omar ◽

Noor Ani Ahmad

Keyword(s):

Intimate Partner Violence ◽

Low Income ◽

Partner Violence ◽

Household Income ◽

Unplanned Pregnancy ◽

Unmet Need ◽

Intimate Partner ◽

Health Concern ◽

Cross Sectional ◽

History Of

INTRODUCTION: Unplanned pregnancy is a major public health concern globally. Numerous studies found various factors that can predict or determine unplanned pregnancy. However, there were no studies that reported this problem in Malaysia. The objective of this study is to determine the prevalence of unplanned pregnancy in Malaysia and the associated factors.METHODS: This nationwide cross-sectional study targeted to women at postpartum period at government primary health care clinics throughout Malaysia. Structured questionnaire with face-to-face interview was used for data collection. The factors studied included mothers’ age, husband’s age, ethnicity, religion, marital status, education, occupation, household income, polygamous marriage, family support, contraception used, and disagreement of husband on contraception, smoking and alcohol consumption. History of emotional, physical and sexual intimate partner violence (IPV) were also studied.RESULTS: A total of 5727 Malaysian postpartum mothers were involved in this survey. The prevalence of unplanned pregnancy was 42.9% (95% CI: 38.6, 47.4). The multivariate logistic regression revealed that older mothers aged 45-49 years old (aOR: 8.010; 95%CI: 1.909, 33.013) and Muslim mothers (aOR: 2.465; 95%CI: 1.432-4.241) were significantly associated with unplanned pregnancy. In terms of household income, mothers with less than RM1000 per month were 1.712 (95% CI: 1.080, 2.713) times more likely to have unplanned pregnancy. The other significant associated factor was history of emotional intimate partner violence; aOR [1.720 (95% CI: 1.011, 2.925)].CONCLUSIONS: Unplanned pregnancies were observed to be higher among older Muslim women from low income family. A possibility of unmet need for family planning should be considered and appropriate intervention strategies planned for these at-risk population.

Download Full-text

Determinants of late antenatal care follow up among pregnant women in Easter zone Tigray, Northern Ethiopia, 2018. Unmatched case- control study

10.21203/rs.2.14434/v3 ◽

2019 ◽

Author(s):

Gebrehiwot Gebremariam ◽

Berhane Fseha Teklehaimanot ◽

Hirut Teame Gebru ◽

Znabu Asfaw Gebrezgi ◽

Kidanemaryam Berhe Tekola ◽

...

Keyword(s):

Family Planning ◽

Antenatal Care ◽

Case Control Study ◽

Unplanned Pregnancy ◽

Antenatal Visit ◽

Northern Ethiopia ◽

Great Role ◽

Eastern Zone ◽

Control Study

Abstract Abstract Objective: The purpose of the study was to identify determinants of late antennal care at first visit in health facilities of eastern zone of Tigray, Northern Ethiopia 2018. Result : Women with unplanned pregnancy (AOR= 4.03, 95%, CI: 1.56-5.67),Participants whose previous first antenatal care was after 16 weeks (AOR= 3.9, 95% CI: 1.98-7.68), Participants did not accompanied by their partner for antenatal visit (AOR= 1.29,95%, CI: 1.05-4.67), women recognized their current pregnancy at three months or late ( AOR= 4.7,95%,CI: 2.49-9.04) and participants provided adequate time for their previous antenatal care by health professionals ( AOR = 0.461, 95% CI 0.342- 0.875) were found the determinant factors of late antenatal care at first Visit. Hence family planning utilization, times of first visit antenatal, information flow and supporting by partners have a great role in improving antenatal care at first visit. There for responsible bodies should give focuses on utilization of family planning, increasing awareness of pregnancy symptoms and health provisional provide adequate time during visits.

Download Full-text

Determinants of late antenatal care follow up among pregnant women in Easter zone Tigray, Northern Ethiopia, 2018: unmatched case–control study

BMC Research Notes ◽

10.1186/s13104-019-4789-8 ◽

2019 ◽

Vol 12 (1) ◽

Author(s):

Gebrehiwot Gebremariam Weldearegawi ◽

Berhane Fseha Teklehaimanot ◽

Hirut Teame Gebru ◽

Znabu Asfaw Gebrezgi ◽

Kidanemaryam Berhe Tekola ◽

...

Keyword(s):

Family Planning ◽

Antenatal Care ◽

Case Control Study ◽

Unplanned Pregnancy ◽

Antenatal Visit ◽

Northern Ethiopia ◽

Great Role ◽

Eastern Zone ◽

Control Study

Abstract Objective The purpose of the study was to identify determinants of late antennal care at first visit in health facilities of eastern zone of Tigray, Northern Ethiopia 2018. Result Women with unplanned pregnancy (AOR = 4.03, 95%, CI 1.56–5.67), Participants whose previous first antenatal care was after 16 weeks (AOR = 3.9, 95% CI 1.98–7.68), Participants did not accompanied by their partner for antenatal visit (AOR = 1.29, 95%, CI 1.05–4.67), women recognized their current pregnancy at 3 months or late (AOR = 4.7, 95%, CI 2.49–9.04) and participants provided adequate time for their previous antenatal care by health professionals (AOR = 0.461, 95% CI 0.342–0.875) were found the determinant factors of late antenatal care at first Visit. Hence family planning utilization, times of first visit antenatal, information flow and supporting by partners have a great role in improving antenatal care at first visit. There for responsible bodies should give focuses on utilization of family planning, increasing awareness of pregnancy symptoms and health provisional provide adequate time during visits.

Download Full-text

Fear of child birth and associated factors among pregnant mothers who attend antenatal care service at Jinka public health facilities, Jinka town, Southern Ethiopia

10.21203/rs.3.rs-30566/v1 ◽

2020 ◽

Author(s):

Aynalem Yetwale ◽

Eneyew Melkamu

Keyword(s):

Antenatal Care ◽

Health Center ◽

Previous History ◽

Southern Ethiopia ◽

Systematic Sampling ◽

K Value ◽

Child Birth ◽

Two Samples ◽

History Of ◽

Pregnant Mothers

Abstract BackgroundWomen face many challenges from conception to postpartum and fear of childbirth is one of the challenges the women encounters during pregnancy. This could have been resulted from different perspectives and it could intern lead to various pregnancy and child birth problems. Thus, understanding child birth fear and factors associated with this is of paramount importance and this study was aimed at addressing this issue.MethodologyA facility base cross sectional study was done on 423 pregnant mothers who came for antenatal care services at Jinka hospital and Jinka health center. The study was conducted from June 01 to 30, 2018. Sample size was calculated using single population proportion formula and samples was taken after proportional allocation was done for the hospital and health center using proportion allocation formula. Individual participants were selected with systematic sampling technique using k- value of 2 for both the hospital and health center and the first participant was selected by lottery method from the first two samples. Data were entered in to epi-data version 3.1.1.and exported in to statistical packages for social sciences version 21.0 for cleaning and further analysis. Level of significance was declared at p-value less than 0.05 in multivariable logistic regression model. Narratives, figure and tables were used to put the result.ResultFrom 423 samples, two of the questionnaires were incomplete and thus 421 were used for analysis giving a response rate of 99.5%. Around a quarter of 102 (24.2%) mothers had fear of child birth and the remaining 319 (75.8%) had no fear of child birth. From the factors under consideration, history of previous pregnancy complication, previous history of labor and delivery complications, educational status and depression status were significantly associated with mother’s fear of child birth.ConclusionEven though it is physiological to have some fear of child birth, the figure obtained is relatively higher. Factors found to have significant effect on child birth fear are those which could be tackled through improved health literacy and integrated maternal health services

Download Full-text

Determinants of late antenatal care follow up among pregnant women in Easter zone Tigray, Northern Ethiopia, 2018. Unmatched case- control study

10.21203/rs.2.14434/v2 ◽

2019 ◽

Author(s):

Gebrehiwot Gebremariam ◽

Berhane Fsseha Teklehaimanot ◽

Hurut Teame Gebru ◽

Zinabu Asfaw Gebrezgi ◽

Kidanemaryam Berhe Tekola ◽

...

Keyword(s):

Family Planning ◽

Antenatal Care ◽

Case Control Study ◽

Unplanned Pregnancy ◽

Antenatal Visit ◽

Northern Ethiopia ◽

Great Role ◽

Care Visit ◽

Control Study

Abstract Abstract Objective: The purpose of the study was to identify determinants of late antennal care at first visit in health facilities of eastern zoneof Tigray, Northern Ethiopia 2018. Result : Women with unplanned pregnancy (AOR= 4.03, 95%, CI: 1.56-5.67),Participants attended first antenatal care visit after 16 weeks for previous pregnancies (AOR= 3.9, 95% CI: 1.98-7.68), Participants did not accompanied by partner for antenatal visit (AOR= 1.29,95%, CI: 1.05-4.67), women who recognized their pregnancy at three months or late ( AOR= 4.7,95%,CI: 2.49-9.04) and participants who provided adequate time for their previous antenatal care by health professionals ( AOR = 0.461, 95% CI 0.342- 0.875) were found the determinant factors of late antenatal care at first Visit. Hence family planning utilization, times of first visit antenatal, information flow and supporting by partners have a great role in improving antenatal care at first visit. There for responsible bodies should give focuses on utilization of family planning, increasing awareness of pregnancy symptoms and health provisional provide adequate time during visits.

Download Full-text

A cross-sectional study on utilisation and content of antenatal services among pregnant women in a coastal area of Thrissur district

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20172183 ◽

2017 ◽

Vol 4 (6) ◽

pp. 2094

Author(s):

Sruthi M. V. ◽

Bablu Raphael

Keyword(s):

Family Planning ◽

Antenatal Care ◽

Pregnant Women ◽

Economic Status ◽

First Trimester ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Pregnant Mothers ◽

Antenatal Services

Background: Antenatal care is ‘care before birth’ to promote wellbeing of mother and foetus. The number of antenatal care visits and the timing of the first visit are important for the health of the mother and the outcome of the pregnancy. The use of ANC varies from country to country considerably, with underutilization among pregnant women, in low income countries like Asia & Africa. Within the country ANC utilization varies with mother’s age, education, occupation, income, parity, place of residents, availability and cost of services. In coastal areas most of the people belong to fisherman community and their socio-demographic characteristics are different from that of other areas. Not enough studies have been conducted previously; in coastal areas to obtain data on utilization of ANC services. It is in this background that the present study was carried out to assess the utilization and content of antenatal services among pregnant women in a coastal area.Methods: A cross-sectional study was conducted in Kadappuram gramapanchayath, Chavakkad Taluk, during the period of December 2013 to March 2014. Data collection was done by interviewing total 286 registered mothers from four subcentres from Kadappuram CHC, using a pretested validated questionnaire.Results: Out of 286 mothers, 179 (62.6%) of pregnant mothers had taken optimum antenatal care and remaining 107 (37.4%) of mothers had taken sub-optimum antenatal care. Among utilisation and content of antenatal services, only 228 (79.7%) of pregnant mothers done the Hb estimation and blood screening in first trimester itself. The proportion of mothers consumed 100 IFA tablets were 279 (89.5%), but 30 (10.5%) mothers had not taken full course of IFA tablets. Only 202 (70.6%) of mothers received the advice on family planning method during their antenatal visits and remaining 84 (29.4%) mothers did not received any advice. There was a statistically significant difference between socio-economic status of pregnant mothers and services like family planning advice and Hb estimation and screening at first trimester.Conclusions: The study revealed that, even though all the pregnant women were literate and majority had educational status up to high school, the antenatal services like routine blood examination in the first trimester, Iron and folic acid coverage and advice on family planning services were relatively low. Improving the socio-economic status of pregnant women would improve the utilization and content of antenatal care. The study also emphasizes the need for awareness programs for antenatal mothers on content and utilisation of proper ANC.

Download Full-text

National Estimates of Genetic Testing in Women With a History of Breast or Ovarian Cancer

Journal of Clinical Oncology ◽

10.1200/jco.2017.73.6314 ◽

2017 ◽

Vol 35 (34) ◽

pp. 3800-3806 ◽

Cited By ~ 112

Author(s):

Christopher P. Childers ◽

Kimberly K. Childers ◽

Melinda Maggard-Gibbons ◽

James Macinko

Keyword(s):

Ovarian Cancer ◽

Genetic Testing ◽

Unmet Need ◽

Cancer Control ◽

The United States ◽

Eligibility Criteria ◽

Cross Sectional ◽

Age Of Diagnosis ◽

History Of ◽

Interview Survey

Purpose In the United States, 3.8 million women have a history of breast (BC) or ovarian cancer (OC). Up to 15% of cases are attributable to heritable mutations, which, if identified, provide critical knowledge for treatment and preventive care. It is unknown how many patients who are at high risk for these mutations have not been tested and how rates vary by risk criteria. Methods We used pooled cross-sectional data from three Cancer Control Modules (2005, 2010, 2015) of the National Health Interview Survey, a national in-person household interview survey. Eligible patients were adult females with a history of BC and/or OC meeting select 2017 National Comprehensive Cancer Network eligibility criteria on the basis of age of diagnosis and family history. Outcomes included the proportion of individuals reporting a history of discussing genetic testing with a health professional, being advised to undergo genetic testing, or undergoing genetic testing for BC or OC. Results Of 47,218 women, 2.7% had a BC history and 0.4% had an OC history. For BC, 35.6% met one or more select eligibility criteria; of those, 29.0% discussed, 20.2% were advised to undergo, and 15.3% underwent genetic testing. Testing rates for individual eligibility criteria ranged from 6.2% (relative with OC) to 18.2% (diagnosis ≤ 45 years of age). For OC, 15.1% discussed, 13.1% were advised to undergo, and 10.5% underwent testing. Using only four BC eligibility criteria and all patients with OC, an estimated 1.2 to 1.3 million individuals failed to receive testing. Conclusion Fewer than one in five individuals with a history of BC or OC meeting select National Cancer Comprehensive Network criteria have undergone genetic testing. Most have never discussed testing with a health care provider. Large national efforts are warranted to address this unmet need.

Download Full-text