Factors associated with four or more antenatal care services among pregnant women: a cross-sectional survey in eight South Central Coast provinces of Vietnam

Background: Adequate utilization of antenatal health care services is associated with improved maternal and neonatal health outcomes. The World Health Organization recommends pregnant women to attend antenatal care services as early as in the first trimester. However, many women due to various reasons fail to meet the recommendations. The objective of this study was to determine the prevalence and factors associated with late antenatal booking among pregnant women in Lushoto district of north-eastern Tanzania.Methods: This hospital based cross sectional study involved pregnant women and was conducted in August-September 2015. A standardized questionnaire was used to obtain participants demographic characteristics and obstetrics history. Data analysis was done using (SPSS) and relationship between outcome variables and exposure variable was done using Chi-square test. Multivariate logistic regression was used to measure the association.Results: A total of 240 participants were involved in the study. Out of these, 169 (70.4%) participants booked late for antenatal care (ANC) services. Delayed booking was mainly associated with not being married (AOR=3.08; 95%CI 1.149-8.275; P value=0.025) and unemployment (AOR=4.28; 95% CI 2.11-8.679; p-value=0.000)Conclusion: Late first antenatal clinic visit was high in Lushoto, and was highly associated with unmarried and unemployment status. Therefore, provision of continuous health education and community sensitization on the importance of timely seeking ANC services should be strengthened.

Download Full-text

Prevalence and obstetric factors associated with anaemia among pregnant women, attending antenatal care in Unguja island, Tanzania

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20190577 ◽

2019 ◽

Vol 6 (3) ◽

pp. 950 ◽

Cited By ~ 1

Author(s):

Mwanaisha M. Ali ◽

Agatha F. Ngowi ◽

Nyasiro S. Gibore

Keyword(s):

Antenatal Care ◽

Pregnant Women ◽

Multivariate Logistic Regression Analysis ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Major Health Problem ◽

Factors Associated ◽

Obstetric Factors ◽

Anaemia In Pregnancy ◽

In Pregnancy

Background: Anaemia in pregnancy remains a major health problem with adverse maternal and fetal outcome worldwide, especially in developing countries such as Tanzania. The study aimed to establish prevalence and obstetric factors associated with anaemia among pregnant women attending antenatal care visits in Unguja Island, Tanzania.Methods: This cross sectional survey used systemic random sampling in three hospitals of Unguja Island to select 388 pregnant women. Demographic and obstetric characteristics of respondents were collected using a structured questionnaire. Hemoglobin levels were measured by using Hemocue machine. Multivariate logistic regression analysis was carried out in SPSS version 21.0 to measure obstetric factors associated with anaemia among pregnant women.Results: The overall prevalence of anaemia among pregnant women was 80.8%, whereby 68.64% of respondents had mild anaemia, 11.24% had moderate anaemia and 0.89% had severe anaemia. The factors associated with anaemia in pregnancy were gravidity, (AOR= 1.185, 95% CI=0.317-4.338, p<0.001), irregular taking of iron tablets (AOR=0.288, 95% CI=0.149-0.556, p<0.001) and age of the child <2 years, (AOR 3.635, 95% CI= 1.103-11.882, p<0.034).Conclusions: The prevalence of anaemia among pregnant women in Unguja is high. Timely and regular intake of iron tablets during pregnancy, child spacing as well as having children within the capacity of parents to raise them up may significantly reduce the prevalence of anaemia in pregnancy. Therefore health education on family planning and the importance of taking of iron tablet is critical.

Download Full-text

Determinants of Antenatal Care Attendance among Pregnant Women Living in Endemic Malaria Settings: Experience from the Democratic Republic of Congo

Obstetrics and Gynecology International ◽

10.1155/2016/5423413 ◽

2016 ◽

Vol 2016 ◽

pp. 1-7 ◽

Cited By ~ 12

Author(s):

Célestin Ndosimao Nsibu ◽

Célestin Manianga ◽

Serge Kapanga ◽

Esther Mona ◽

Philippe Pululu ◽

...

Keyword(s):

Antenatal Care ◽

Pregnant Women ◽

Democratic Republic ◽

Democratic Republic Of Congo ◽

Male Partner ◽

First Trimester ◽

Reproductive Age ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Republic Of Congo

Background. Antenatal care (ANC) attendance helps pregnant women to benefit from preventive and curative services.Methods. Determinants for ANC attendance were identified through a cross-sectional survey in the Democratic Republic of Congo. Sociocultural bottlenecks were assessed via focus groups discussion of married men and women.Results. In this survey, 28 of the 500 interviewed pregnant women (5.6%) did not attend ANC services and 82.4% booked over the first trimester. The first visit is positively influenced by the reproductive age (OR: 0.52, 95% CI(0.28–0.95),p<0.04), the educational level (OR: 0.41,95% CI(0.17–0.97),p<0.04), the nearby health center (OR: 0.43, 95% CI(0.2–0.92),p<0.03), and the presence of a male partner (OR: 10.48, 95% CI(2.1–52.23),p<0.001). The barriers to early booking were (i) the cost of service; (ii) the appearance or individual income; (iii) the geographical inaccessibility or distance to health facilities; (iv) social and religious prohibitions; (v) the stigmatization from other women when conceiving in the late ages or young or while still lactating (parity); (vi) the time for waiting for services.Conclusion. The early ANC attendance is delayed among poor women with little education and living alone.

Download Full-text

Prevalence and Correlates of Pregnancy Self-Testing Among Pregnant Women Attending Antenatal Care in Western Kenya

10.21203/rs.3.rs-78174/v1 ◽

2020 ◽

Author(s):

Nina Njeri Nganga ◽

Julia Dettinger ◽

John Kinuthia ◽

Jared Baeten ◽

Grace John-Stewart ◽

...

Keyword(s):

Antenatal Care ◽

Pregnant Women ◽

Sub Saharan Africa ◽

Future Research ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Western Kenya ◽

Self Testing ◽

Sub Saharan ◽

Exposure Prophylaxis

Abstract In sub-Saharan Africa little is known about how often women use pregnancy self-tests or characteristics of these women despite evidence that pregnancy self-testing is associated with early antenatal care (ANC) attendance. Understanding the characteristics of women who use pregnancy self-tests may facilitate early access to ANC and preventive interventions in pregnancy. We conducted a cross-sectional survey on an ongoing pre-exposure prophylaxis (PrEP) implementation study which enrolled pregnant women to determine the prevalence and factors associated with pregnancy self-testing among women in western Kenya. Overall in our study population, the prevalence of pregnancy self-testing was 22% and higher among women who were employed, currently in school, had previous pregnancy complications, received services from urban health facilities, and had partners who had at least attended secondary school. The most reported reasons for non-use of pregnancy self-tests included not thinking it was necessary, lack of knowledge, and lack of money to pay for the test. Future research should focus on understanding the knowledge and attitudes of women toward pregnancy self-testing.

Download Full-text

Magnitude and factors associated with anemia among pregnant women attending antenatal care at St. Paul's Hospital Millennium Medical College, Addis ababa, Ethiopia - a cross sectional type of study

10.21203/rs.3.rs-35290/v1 ◽

2020 ◽

Author(s):

Desta Samuel Umuro ◽

Yared Lasebew Asres ◽

Gezahegn Mamo Muluneh

Keyword(s):

Antenatal Care ◽

Pregnant Women ◽

Addis Ababa ◽

Antenatal Clinic ◽

Parasitic Infestation ◽

Cross Sectional ◽

Care Clinic ◽

Factors Associated ◽

Medical College ◽

History Of

Abstract Background This study aimed to assess magnitude and factors associated with anemia among pregnant women attending antenatal clinic at St. Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia. Methods Institution based cross sectional study design was conducted from December 1–30, 2018 on 405 pregnant women attending antenatal clinic. All pregnant women visiting the Antenatal care clinic during the study period and who fulfilled the eligibility criteria were included in the study. Secondary data was collected from clients register and personal files on hemoglobin, HIV, stool, and other variables. Descriptive statistics was used to analysis some variables by using SPSS. Logistic regression was carried out to identify factors associated with anemia in pregnancy. Adjusted odds ratio with their 95% of confidence interval and p < 0.05 are consider to have significant association. Results The magnitude of Anemia in pregnant women in this study was 19.8%, (95% CI 16.00-23.70). HIV infection (AOR = 6.12(95% CI 2.19, 17.08) parasitic infestation (AOR = 11.88 (95% CI 5.60, 25.20) and history of not taking fruit after meal during pregnancy (AOR = 3.12(95% CI 1.72, 5.67) were the major determinants of anemia. Conclusion This study showed that the magnitude of anemia among pregnant women was high especially at third trimester. Living with HIV /AIDS, parasitic infestation and no history of taking fruits after meal were the main factors.

Download Full-text

Factors associated with antenatal depression among pregnant women in Vietnam: A multisite cross-sectional survey

Health Psychology Open ◽

10.1177/2055102920914076 ◽

2020 ◽

Vol 7 (1) ◽

pp. 205510292091407

Author(s):

Mai Thi Hue ◽

Nguyen Hang Nguyet Van ◽

Phung Phuong Nha ◽

Ngo Tuan Vu ◽

Pham Minh Duc ◽

...

Keyword(s):

Pregnant Women ◽

Antenatal Depression ◽

Cross Sectional Study ◽

Tobit Regression ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Screening Programs ◽

Factors Associated ◽

The Status ◽

Structured Questionnaire

This study aimed to describe the status of antenatal depression and its associated factors among pregnant women in Vietnam. A cross-sectional study was conducted in four obstetric hospitals in Vietnam from January to September 2019. A total of 1260 pregnant women were interviewed using a structured questionnaire. A Tobit regression model was used to determine factors associated with antenatal depression. Results showed that pregnant women were at high risk of antenatal depression (24.5%). Women with fetus abnormalities and higher education were at higher risk of antenatal depression. We highlighted the need for implementing formal screening programs to early detect antenatal depression.

Download Full-text

Faktor-Faktor Yang Mempengaruhi Kunjungan Antenatal Care Terhadap Perilaku Antenatal Care

CoMPHI Journal: Community Medicine and Public Health of Indonesia Journal ◽

10.37148/comphijournal.v1i2.14 ◽

2020 ◽

Vol 1 (2) ◽

pp. 67-76

Author(s):

Puji Astuti Wiratmo ◽

Lisnadiyanti ◽

Nurkamilia Sopianah

Keyword(s):

Risk Factors ◽

Health Care ◽

Antenatal Care ◽

Pregnant Women ◽

Family Support ◽

Health Workers ◽

P Value ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Correlation Design

Introduction: Antenatal Care (ANC) is an effort to detect the occurrence of high risk in pregnant women. However, ANC non-compliance was still found due to several factors. Aim of study: This study aims to determine factors that influence ANC visits to ANC behavior at Puskesmas Pasar Rebo East Jakarta. Method: This study used a descriptive correlation design with a cross-sectional survey. Data analysis used Spearman's rho with 117 respondents. Results and Discussion: The results showed that there are some factors that influence ANC visits to ANC behavior, including age with a correlation value (r = 0.419), a p-value of 0.000; education with a correlation value (r = 0.425), p-value of 0.000; jobs with a correlation value (r = 0.279), p-value of 0.002; income with a correlation value (r = 0.407), p-value of 0.000; knowledge with a correlation value (r = 0.409), p-value of 0.000; husband / family support with a correlation value (r = 0.417), p-value of 0.000; attitude with a correlation value (r = 0.597), p-value of 0.000 (<0.05). Irregularity in carrying out ANC has a bad impact on pregnant women because they are not aware of the risk factors that may occur to the mother and her fetus and can not be detected early on the disease suffered by pregnant women. Conclusion: The conclusion of this study is nurses as health workers need to increase their role as educators and health care provider to pregnant women and their families about the importance of ANC to reduce maternal mortality and monitor the state of the fetus.

Download Full-text

Prevalence And Factors Associated With Psychological Distress Among Pregnant Women Attending The Antenatal Clinic At A National Referral Hospital In Uganda.

10.21203/rs.3.rs-226920/v1 ◽

2021 ◽

Author(s):

Henry Sembatya ◽

Justine Namuli ◽

Judith Ajeani ◽

Sam Ononge

Keyword(s):

Mental Health ◽

Psychological Distress ◽

Antenatal Care ◽

Pregnant Women ◽

Public Health Problem ◽

Antenatal Clinic ◽

P Value ◽

Multivariable Logistic Regression Analysis ◽

Cross Sectional ◽

Factors Associated

Abstract Background: Psychological distress (PD) among pregnant women has a bearing both on the mother and the outcome of the pregnancy and is thus a public health problem. It is a precursor for other severe mental health conditions that include anxiety, depression, bipolar disorder and so if screened and diagnosed early it can prevent progress to severe mental illness. PD has however not been screened among pregnant women and thus no available data in Uganda. The objective of this study was to determine the prevalence and factors associated with PD among pregnant women at Kawempe hospital Uganda.Methods: A cross sectional study was conducted among 530 pregnant women attending antenatal care at Kawempe hospital Uganda. The SRQ-20 tool was used to screen for PD and data on socio-demographic and clinical factors was collected using a. socio-demographic questionnaire and medical records respectively. Descriptive statistics were applied to determine the prevalence of PD and multivariable logistic regression analysis was used to assess for factors associated with PD among pregnant women.Results: The prevalence of PD was 19.1% , while having a fair/bad relationship with the spouse (P-value =0.007), a low monthly income (p-value = 0.013), and having less than two meals a day (P-value =0.022). were independently associated with PDConclusion: Approximately one in five pregnant women receiving ANC at Kawempe hospital has PD. This study therefore supports the need for integration of mental health assessment into the antenatal care package of women at Kawempe hospital and Uganda at large

Download Full-text

Self-Reported Diabetes Or Hypertension Diagnoses And Antenatal Care Among Child-Bearing Women In Rural Bangladesh: A Cross-Sectional Study

10.21203/rs.3.rs-964052/v1 ◽

2021 ◽

Author(s):

Allyson P. Bear ◽

Wendy L. Bennett ◽

Joanne Katz ◽

Kyu Han Lee ◽

Atique Iqbal Chowdhury ◽

...

Keyword(s):

Antenatal Care ◽

Pregnant Women ◽

Reference Group ◽

Wealth Quintile ◽

Diabetes Diagnosis ◽

Care Seeking ◽

National Guidelines ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Rural Bangladesh

Abstract Background: Health care systems in limited resource settings may not meet the needs of pregnant women where the burden of diabetes and hypertension is rapidly increasing. We described screening and diagnosis of diabetes or hypertension among recently pregnant women in rural Bangladesh and the antenatal care received.Methods: We asked recently pregnant women about ever having been screened for or diagnosed with hypertension or diabetes and their antenatal care-seeking experiences in a cross-sectional survey in the Baliakandi, Bangladesh. We used chi-squared tests and logistic regression to test the associations between self-reported coverage of hypertension and diabetes screening, diagnoses, and elements of antenatal care by age, wealth, educational attainment, and gravidity. Results: Among 4,692 respondents, 97% reported having been screened and 10% of screened women reported a diagnosis of hypertension. Women 30–39 years of age (aOR 3.02, 95% CI 2.00, 4.56) or in the top wealth quintile (aOR 1.70, 95% CI 1.18, 2.44) were more likely to be diagnosed with hypertension compared to reference groups. Any hypertension diagnosis was associated with reporting four or more antenatal care contacts (44% vs. 35%, p < 0.01), blood pressure measurements (85% vs. 79%, p < 0.01), and urine (71% vs. 61%, p < 0.01) tests conducted during antenatal care visits.For diabetes, 46% of respondents reported having been screened and 3% of screened women reported a diagnosis. Women 30–39 years of age were more likely to be diagnosed with diabetes (aOR 8.19, 95% CI 1.74, 38.48) compared to the reference group. Any diabetes diagnosis was associate with reporting four or more antenatal care contacts (48% vs. 36%, p = 0.04) and having blood testing during pregnancy (83% vs. 66%, p < 0.01). However, the frequency and quality of antenatal care was below the national guidelines among all groups.Conclusion: Focused efforts to ensure that women receive the recommended number of antenatal care contacts, coupled with improved compliance with antenatal care guidelines (including universal screening for diabetes at 24–28 weeks of pregnancy), would improve awareness of hypertension and diabetes among women in Bangladesh.

Download Full-text

Anaemia and iron deficiency during pregnancy in rural Bangladesh

Public Health Nutrition ◽

10.1079/phn2004645 ◽

2004 ◽

Vol 7 (8) ◽

pp. 1065-1070 ◽

Cited By ~ 24

Author(s):

SM Ziauddin Hyder ◽

Lars-Åke Persson ◽

Mushtaque Chowdhury ◽

Bo Lönnerdal ◽

Eva-Charlotte Ekström

Keyword(s):

Iron Deficiency ◽

Antenatal Care ◽

Pregnant Women ◽

Economic Status ◽

Venous Blood ◽

Haemoglobin Concentration ◽

Severe Anaemia ◽

Enzyme Linked Immunosorbent Assay ◽

Cross Sectional Survey ◽

Cross Sectional

AbstractObjective:To study the prevalence of anaemia and its association with measures of iron deficiency (ID) among a group of pregnant women.Design:Cross-sectional survey.Setting:Pregnant women identified through house-to-house visits and participating in community-based antenatal care activities in a rural location of Mymensingh, Bangladesh.Subjects:The estimates are based on 214 reportedly healthy pregnant women in their second trimester. Information on socio-economic status and reproductive history were obtained through home visits and venous blood samples were collected at antenatal care centres. Haemoglobin concentration (Hb) was measured by HemoCue, serum ferritin (sFt) by radioimmunoassay and serum transferrin receptor (sTfR) by enzyme-linked immunosorbent assay methods. ID was defined as presence of either low sFt (<12 μg l−1) or high sTfR (>8.5 mg l−1).Results:The prevalence of anaemia (Hb <110 g l−1) was 50%, but severe anaemia (Hb >70 g l−1) was absent. Low sFt was observed in 42%, high sTfR in 25%, either low sFt or high TfR in 54% and both low sFt and high TfR in 13% of the pregnant women. Two out of three anaemic women had an indication of ID, which was present in 80% of women with moderate (Hb 70–99 g l−1) and 50% with mild (Hb 100–109 g l−1) anaemia. Four out of 10 non-anaemic women (Hb >110 g l−1) also had ID, but the prevalence was significantly lower than that observed in anaemic women (P=0.001).Conclusions:Despite the high prevalence of anaemia, severe cases were absent. The prevalence of ID increased at lower Hb. However, an increased prevalence was also found among women in the highest category of Hb.

Download Full-text