PENGARUH KARAKTERISTIK IBU DAN PELAYANAN ANTENATAL CARE TERHADAP KEJADIAN BAYI BERAT LAHIR RENDAH DI KLINIK PRATAMA BERTA TAHUN 2015

2016 ◽  
Vol 1 (2) ◽  
pp. 37-47
Author(s):  
Juliana Ambarita ◽  
Merlina Sinabariba
Keyword(s):  
Logistic Regression ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Birth Spacing ◽  
Observational Research ◽  
Easy Access ◽  
Regression Result ◽  
Multiple Logistic Regression ◽  
Number Of Visits ◽  
Maternity Clinic

Babies born with low birth weight (LBW) are babies born with weight ≤ 2500 grams. The causes of LBW are age, birth spacing, education, antenatal care. Goals : This study aims to analyze the influence of mother characteristics (education, maternal age, age of pregnancy, parity and distance between births) and antenatal care service (ANC) (number of visits and 7T examination components) to events at Primary Maternity Clinic Berta. Methods : This type of research is an observational research using cross sectional design approach. The population is all mothers giving birth at Maternity Clinic Pratama Berta 172 people. The sample amounted to 153 people with simple random sampling technique. Analysis of data with Chi Square and Multiple Logistic Regression (multiple logistic regression). Result : The results showed that the incidence of BBLR of 11.1%. Multiple logistic regression results stated the distance between births (p = 0.027) and the number of visits (p = 0.042) had an effect on the occurrence of LBW. The Exp value (B) of the birth distance is 3.386, so it can be concluded that pregnant women whose birth distance <24 months have 3 times greater probability of baby experiencing LBW and Exp (B) ANC service amounted to 8,496, so it can be concluded that pregnant women His ANC service is not good has a probability 8,496 times larger the baby has LBW. Conclution : For Employees at the Maternity Clinic, Berta provides easy access to ANC services and conducts reproductive health education for pregnant women about the health of pregnant women, the importance of ANC testing during pregnancy and the importance of using long-term contraceptives to regulate birth spacing.

scholarly journals Analisis Faktor-Faktor yang Berpengaruh terhadap Ibu Hamil Trimester III Melakukan Antenatal Care K4

2019 ◽  
Vol 6 (2) ◽  
pp. 42-45
Author(s):  
Lia Fitria
Keyword(s):  
Logistic Regression ◽  
Antenatal Care ◽  
Maternal Mortality ◽  
Pregnant Women ◽  
Health Workers ◽  
Statistical Tests ◽  
Multiple Logistic Regression ◽  
Development Goals ◽  
Low Coverage ◽  
Regression Tests

Antenatal Care (ANC) is one of the supporting factors to reduce maternal mortality. The maternal mortality rate in Indonesia reaches 228 / 100,000 and the target to be achieved in the Millennium Development Goals (MDGs), which is equal to 110 per 100,000 live births. This study aims to analyze the factors associated with the low coverage of Antenatal Care K4. The research design in this study is a survey. The population in this study were all Trimester III pregnant women in Sumberejo Village by using purposive sampling. The data that has been obtained is analyzed using multiple logistic regression tests. Data that has been obtained from the assessment was analyzed using multiple logistic regression statistical tests. In the knowledge factor, the value of p = 0.541, while the distance factor for pregnant women to health workers is p = 0.019. Based on the results of the above analysis, it can be concluded that the knowledge factor Ho is accepted, meaning that there is no influence of knowledge factors on third trimester pregnant women doing Antenatal Care K4, while the distance factor for pregnant women Ho is rejected, meaning that there are influences of perception factors and distance of pregnant women to health workers against Antenatal Care K4. It is hoped that the results of this study can be useful especially for health workers to improve Antenatal Care K4 as a means of early detection of a complication of pregnancy or childbirth.

ANALISIS HUBUNGAN SARANA, PENGETAHUAN, DAN SIKAP BIDAN PRAKTIK MANDIRI DENGAN KEPATUHAN MENJALANKAN STANDAR PELAYANAN ANTENATAL CARE DI KOTA PADANGSIDIMPUAN

2019 ◽  
Vol 2 (1) ◽  
pp. 27-33
Author(s):  
Megawati Sinambela ◽  
Evi Erianty Hasibuan
Keyword(s):  
Logistic Regression ◽  
Regression Analysis ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Logistic Regression Analysis ◽  
Care Service ◽  
Multivariate Logistic Regression Analysis ◽  
Bivariate Analysis ◽  
Cross Sectional ◽  
The North

Antenatal care is a service provided to pregnant women to monitor, support maternal health and detect mothers whether normal or problematic pregnant women. According to the WHO, globally more than 70% of maternal deaths are caused by complications of pregnancy and childbirth such as hemorrhage, hypertension, sepsis, and abortion. Based on data obtained from the profile of the North Sumatra provincial health office in 2017, in the city of Padangsidimpuan in 2017 the coverage of ANC visits reached (76.58%) and had not reached the target in accordance with the 2017 Provincial Health Office strategy plan (95%). This type of research was an observational analytic study with a cross sectional design. The population in this study were independent practice midwives who were in the Padangsidimpuan, the sample in this study amounted to 102 respondents. The technique of collecting data used questionnaires and data analysis used univariate, bivariate and multivariate analysis with logistic regression analysis. Based on bivariate analysis showed that there was a relationship between facilities, knowledge and attitudes of independent midwives with compliance with the standards of antenatal care services with a value of p <0.05. The results of the study with multivariate logistic regression analysis showed that the factors associated with the compliance of independent midwives in carrying out antenatal care service standards were attitudes with values (p = 0.026).

scholarly journals Determinants of utilization of antenatal and delivery care at the community level in rural Bangladesh

PLoS ONE ◽  
2021 ◽  
Vol 16 (9) ◽  
pp. e0257782
Author(s):  
Jesmin Pervin ◽  
Mahima Venkateswaran ◽  
U. Tin Nu ◽  
Monjur Rahman ◽  
Brian F. O’Donnell ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Facility Delivery ◽  
Health Facilities ◽  
Community Level ◽  
Delivery Care ◽  
Multivariate Logistic Regression ◽  
Antenatal Care Visit ◽  
Care Visit

Background Timely utilization of antenatal care and delivery services supports the health of mothers and babies. Few studies exist on the utilization and determinants of timely ANC and use of different types of health facilities at the community level in Bangladesh. This study aims to assess the utilization, timeliness of, and socio-demographic determinants of antenatal and delivery care services in two sub-districts in Bangladesh. Methods This cross-sectional study used data collected through a structured questionnaire in the eRegMat cluster-randomized controlled trial, which enrolled pregnant women between October 2018-June 2020. We undertook univariate and multivariate logistic regression analysis to determine the associations of socio-demographic variables with timely first ANC, four timely ANC visits, and facility delivery. We considered the associations in the multivariate logistic regression as statistically significant if the p-value was found to be <0.05. Results are presented as adjusted odds ratios (AOR) with 95% confidence intervals (CI). Results Data were available on 3293 pregnant women. Attendance at a timely first antenatal care visit was 59%. Uptake of four timely antenatal care visits was 4.2%. About three-fourths of the women delivered in a health facility. Women from all socio-economic groups gradually shifted from using public health facilities to private hospitals as the pregnancy advanced. Timely first antenatal care visit was associated with: women over 30 years of age (AOR: 1.52, 95% CI: 1.05–2.19); nulliparity (AOR: 1.30, 95% CI: 1.04–1.62); husbands with >10 years of education (AOR: 1.40, 95% CI: 1.09–1.81) and being in the highest wealth quintile (AOR: 1.49, 95% CI: 1.18–1.89). Facility deliveries were associated with woman’s age; parity; education; the husband’s education, and wealth index. None of the available socio-demographic factors were associated with four timely antenatal care visits. Conclusions The study observed socio-demographic inequalities associated with increased utilization of timely first antenatal care visit and facility delivery. The pregnant women, irrespective of wealth shifted from public to private facilities for their antenatal care visits and delivery. To increase the health service utilization and promote good health, maternal health care programs should pay particular attention to young, multiparous women, of low socio-economic status, or with poorly educated husbands. Clinical trial registration ISRCTN69491836; https://www.isrctn.com/. Registered on December 06, 2018. Retrospectively registered.

scholarly journals Maternal minimum dietary diversity and associated factors among pregnant women, Southwest Ethiopia, 2021

BMC Nutrition ◽  
2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Abel Girma Tilahun ◽  
Abebaw Molla Kebede
Keyword(s):  
Logistic Regression ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Nutrition Education ◽  
Associated Factors ◽  
Dietary Diversity ◽  
Systematic Sampling ◽  
Age Group ◽  
Food Groups ◽  
Minimum Dietary Diversity

Abstract Background Inadequate dietary diversity intake during pregnancy increases risks of intrauterine growth restriction, abortion, low birth weight, preterm birth, prenatal and infant mortality,and morbidity and has long-lasting health impacts. Dietary diversity during pregnancy promotes the health status of the mother and her fetus. This study aimed to assess the magnitude of minimum dietary diversity and associated factors among pregnant women attending antenatal care. Methods A facility-based cross-sectional study was conducted among 274 pregnant women who attended antenatal care at Wacha primary hospital from January to February 2021. A systematic sampling method was used to select the study participants. The data were collected through face-to-face interviews using a structured and semi-structured questionnaire. Bivariate logistic regression was done to identify factors associated with maternal dietary diversity. Finally, multivariate logistic regression was done, and variables that showed P values of < 0.05 were considered statistically significant. Result The magnitude of minimum dietary diversity was 51% (95% CI: 44.5, 56.7). The mean (±SD) minimum dietary diversity score was 4.5 (± 1.268) with a minimum of 1 anda maximum of 8 food groups consumed out of ten food groups. Age fewer than 25 years (AOR 4.649; 95% CI; 1.404, 15.396), and the age group between 25 to 34 years (AOR 3.624; 95% CI: 1.315, 10.269), husband age group of 26 to 34 years (AOR 2.238; 95% CI; 1.028,4.873), and 35 to 44 years (AOR 3.555; 95% CI; 1.228,10.292) and nutrition awareness of women (AOR 2.182; 95% CI; 1.243, 3.829) were significantly associated with minimum dietary diversity. Conclusion The consumption of minimum dietary diversity of the pregnant mothers was found to be low. Women aged less than 25 and age between 25 to 34 years, husband’s age between 26 to 34 and 35 to 44 years, and nutrition awareness were the factors significantly associated with minimum dietary diversity. Therefore, providing nutrition education and counseling service warranted to promote maternal dietary diversity.

scholarly journals Magnitude and Associated Factors of Antenatal Care Utilization in Western Regions of Ethiopia: A study Based on Demographic and Health Survey Data

2021 ◽  
pp. 23-29
Author(s):  
Mekonin Abera Negeri
Keyword(s):  
Logistic Regression ◽  
Antenatal Care ◽  
Survey Data ◽  
Health Survey ◽  
Associated Factors ◽  
Maternal Education ◽  
Demographic And Health Survey ◽  
Multiple Logistic Regression ◽  
Health Survey Data ◽  
To Receive

Antenatal care (ANC) service is used to ensure the best health conditions for both mother and baby during pregnancy. There are marked disparities in the utilization of ANC utilization among regions of Ethiopia. Hence, this study was intended to analyze the magnitude and associated factors of ANC utilization in Western Regions of Ethiopia. The study was conducted based on 2019 Ethiopian Mini Demographic and Health Survey data. A total of 1200 women representing the three regions (Oromiya, Benishangul Gumuz and Gambela), who gave birth two years preceding the survey were included and the analysis was done by SPSS version 20. Multiple logistic regression was used to assess the net effect of associated factors of ANC utilization. Among the studied participants, 39.9%, 51.0% and 27.8%of women in Oromiya, Benishangul Gumuz and Gambela regions, respectively, received a minimum of four ANC visits from the skilled health personnel. The result from multiple logistic regression depicted that age in 5- year group, region, place of residence, maternal education and wealth index were significantly associated with the utilization of ANC service. The utilization of ANC service was higher among young women than old women while women in Benishangul Gumuz were more likely to receive ANC service than women in Gambela region. Better education attainment increases the likelihood of receiving ANC service from the skilled personnel. Urban women as well as rich women were more likely to receive ANC service than their respective rural and poor counterparts in the studied regions. Providing awareness creation on ANC utilization for women of fertile age is a best instrument to minimize maternal and child mortality.

scholarly journals Intention to use institutional delivery service and its predictors among pregnant women, North West Ethiopia: Using theory of planned behavior

PLoS ONE ◽  
2021 ◽  
Vol 16 (5) ◽  
pp. e0248697
Author(s):  
Abirham Ayana ◽  
Ayenew Kassie ◽  
Telake Azale
Keyword(s):  
Logistic Regression ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Institutional Delivery ◽  
Behavioral Control ◽  
Perceived Behavioral Control ◽  
Intention To Use ◽  
Rural Residence ◽  
Delivery Service ◽  
Institutional Delivery Service

Background Improving institutional delivery service is the most crucial strategies to reduce maternal and neonatal mortalities. In developing countries, only 50% of pregnant women deliver in health facilities and in Ethiopia only 48% of pregnant women deliver in health facilities. Maternal mortality remains the highest in Ethiopia. This study assessed intention to use institutional delivery service and its predictors among pregnant women using theory of planned behavior. Methods Community-based cross-sectional study was conducted among 645 Yilmana Densa District Pregnant women using multi-stage followed by cluster sampling technique. Data were entered into Epi Data version 4.6.0.2 and analyzed with STATA version 14. Binary logistic regression analysis was done to identify independent predictors of intention at 95% confidence level and P < 0.05 was used to determine statistically significant predictors. Results Intention of pregnant women to use institutional delivery service was 74.3% (CI; 70.71%, 77.6%). In the multivariable logistic regression; those who had 1–3 and 4 &above antenatal care 2.85(1.41, 5.75) and 3.14(1.16, 8.45) respectively, those who had past experience of institutional delivery (AOR = 3.39, 95%CI: 1.72, 6.71), parity of 1–3 and 4 & above % (AOR = 0.37, 0.19, 0.71) and (AOR = 0.25, 95%CI: 0.12, 0.55) respectively, rural residence (AOR = 0.51, 95%CI: 0.27, 0.96), favorable attitude (AOR = 2.93, 95%CI: 1.56, 5.50), favorable perceived behavioral control (AOR = 2.60, 95%CI: 1.44, 4.69) were factors significantly associated with intention to use institutional delivery service. Conclusion and recommendation Majority of the pregnant women were intended to deliver in the institution. Good Knowledge on institutional delivery, antenatal care visit, past experience of institutional delivery, rural residence, parity, attitude and perceived behavioral control were identified factors significantly associated with intention to use institutional delivery service. So, strengthening awareness creation and behavioral change communication programs are required at all levels of health system to raise intention of residents towards institutional delivery.

scholarly journals Antenatal care use and its determinants among migrant women during the first delivery: a nation-wide cross-sectional study in China

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Xue Tang ◽  
Lulu Ding ◽  
Yuejing Feng ◽  
Yi Wang ◽  
Chengchao Zhou
Keyword(s):  
Logistic Regression ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Binary Logistic Regression ◽  
Cross Sectional Study ◽  
Multivariate Logistic Regression Model ◽  
Migrant Women ◽  
Cross Sectional ◽  
Logistic Regression Models ◽  
Primiparous Women

Abstract Background Reasonable use of antenatal care (ANC) services by pregnant women played a crucial role in ensuring maternal and child safety and reducing the risk of complications, disability, and death in mothers and their infants. This study aimed to investigate the ANC use, and to explore the factors associated with ANC use among migrant women during the first delivery in China. Methods This study used the data of National Health and Family Planning Commission of People Republic of China in 2014. A total of 1505 migrant primiparous women were included in our current analysis. Frequencies and proportions were used to describe the data. Chi-square tests and multivariate binary logistic regression models were performed to explore the determinants that affect the number of times migrant women used ANC during their first delivery. Results Of the 1505 participants, 279 (18.54%) women received the ANC less than 5 times, and 1226 (81.46%) women used the ANC at least 5 times during the first delivery. The multivariate logistic regression model showed that migrant primiparous women with college and above education(P < 0.05;OR = 2.57;95%CI = 1.19–5.55), from the households with higher monthly income (P < 0.01;OR = 2.01;95%CI = 1.30–3.13), covered by maternity insurance(P < 0.01;OR = 2.01;95%CI = 1.28–3.18), with maternal health records (P < 0.001;OR = 2.44;95%CI = 1.61–3.69), migrating across county (P < 0.05;OR = 2.57;95%CI = 1.14–5.81), having migration experience before pregnancy(P < 0.05;OR = 1.37;95%CI = 1.03–1.81) were more likely to use ANC for at least five times. Conclusions This study demonstrated that there were still some migrant maternal women (18.54%) who attended the ANC less than 5 times. Targeted policies should be developed to improve the utilization of ANC among migrant pregnant women.

Faktor yang Berhubungan dengan Kejadian Anemia pada Ibu Hamil di Wilayah Kerja Puskesmas Mpunda Kota Bima

2021 ◽  
Vol 9 (2) ◽  
pp. 121-129
Author(s):  
Nurhaidah Nurhaidah ◽  
Rostinah Rostinah
Keyword(s):  
Logistic Regression ◽  
Antenatal Care ◽  
Maternal Mortality ◽  
Pregnant Women ◽  
Health Workers ◽  
Consumption Pattern ◽  
P Value ◽  
Chi Square ◽  
The Sustainable Development ◽  
Knowledge Variable

The results of the Indonesian Health Demographic Survey in 2017 show that the maternal mortality rate that occurs in Indonesia is 305 / 100.000 live births. This figure is still high and quite far from the target of the Sustainable Development Goals program. One of the factors contributing to the high maternal mortality in Indonesia is due to bleeding caused by anemia during pregnancy. The purpose of this study was to determine the factors associated with anemia in pregnant women. The population in this study were all pregnant women who performed pregnancy examinations at the Mpunda Public Health Center in Bima City for the period of April-May 2020. The number of sample data was 121 using purposive collection techniques. Data analysis was performed using the chi-square test and logistic regression. The results showed that there was a relationship between knowledge and Antenatal Care (ANC) visits with a p value of 0.028 and 0.022. Meanwhile, age, parity and consumption pattern of Fe tablets did not correlate with the incidence of anemia in pregnant women with p value > 0.05. The logistic regression test results show that the knowledge variable has the greatest influence on the incidence of anemia in pregnant women with an OR value of 2.385. It is hoped that health workers will provide information about the importance of conducting regular antenatal care and intensify the provision of information counseling and education about anemia, so that pregnant women are expected to be able to prevent, detect and manage anemia independently.

scholarly journals Awareness and Its Associated Factors of Obstetrics Fistula among Antenatal Care Attendees in Injibara Town Health Institutions, Awi Zone, North West, Ethiopia, 2019

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Wondu Feyisa Balcha ◽  
Azezu Asres Nigussie ◽  
Fentahun Yenealem Beyene ◽  
Azimeraw Arega Tesfu
Keyword(s):  
Logistic Regression ◽  
Confidence Interval ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Associated Factors ◽  
Obstetric Fistula ◽  
Multivariate Logistic Regression Analysis ◽  
Public Health Issue ◽  
Multivariate Logistic Regression ◽  
Health Institution

Background. Obstetric fistula is abnormal passageway between the vagina and bladder or rectum, and it has the most devastating effects on physical, social, and economic levels and represents a major public health issue of thousands of women, which failed to provide accessible and appropriate intrapartum care for women within a developing country, particularly in Ethiopia. Therefore, we tried to assess the awareness and its associated factors of obstetrics fistula among pregnant mothers attending antenatal care clinics. Methods. A health institutional-based cross-sectional study was employed from March 4 to 29/2019 among 413 pregnant women. Data was collected by a systematic random sampling technique and entered into a computer using Epi data 3.5, edited and analyzed using Statistical Package of Social Sciences 23.0 version. Bivariate and multivariate logistic regression analyses were employed to estimate the crude and adjusted odds ratio with a confidence interval of 95% and p value of less than 0.05 considered statically significant. Result. This study identified that 39.5% with 95% confidence interval (34.6-44.6%) of pregnant women had good awareness about obstetrics fistula. Multivariate logistic regression analysis showed that living in urban [AOR=1.98, 95% CI=1.07−3.69], attending formal education [AOR=2.11, 95% CI=1.06−4.12], having history antenatal care [AOR=3.87, 95% CI=1.60−9.68], and childbirth at health institution [AOR=7.10, 95% CI=2.52−2.02] were significantly associated with awareness of obstetrics fistula. Conclusion and recommendation. This study showed that awareness of obstetrics fistula was low. Residency, education, and occupation of the women, having history of antenatal care and childbirth at health institution was significantly associated with awareness of obstetrics fistula. Still, there is a gap on awareness of obstetrics fistula; therefore, it is good to emphasize on providing information on maternal health care issues, particularly about obstetrics fistula.

scholarly journals Early detection of postpartum depression (PPD) for women suffering high-risk pregnancy: An explorative study on self-perceived burden and other prenatal risk factors of immediate PPD among women hospitalized with threatened preterm labour1

2020 ◽  
Author(s):  
Qianqian Ni ◽  
GuiZhi Cheng ◽  
An Chen ◽  
Seppo Heinonen
Keyword(s):  
Mental Health ◽  
Risk Factors ◽  
Logistic Regression ◽  
High Risk ◽  
Postpartum Depression ◽  
Pregnant Women ◽  
Multiple Logistic Regression Analysis ◽  
Delivery Mode ◽  
Multiple Logistic Regression ◽  
Perceived Burden

Abstract Background: The mental health of pregnant women, particularly those with elevated risks, has been an issue of global concern. Thus far, few studies have addressed mental health of pregnant women with threatened preterm labour (TPL). In the present study, we investigated self-perceived burden (SPB) and postpartum depression (PPD) among hospitalized pregnant women with TPL, exploring the association of SPB with PPD, and identifying other potential risk factors of early PPD. Methods: A self- reported survey conducted in the Obstetrics Department of Anhui Provincial Hospital, People’s Republic of China. Women hospitalized with TPL were approached one week after delivery. One hundred fifty women were recruited from January 2017 to December 2017. Self-Perceived Burden Scale (SPBS), Edinburgh Postnatal Depression Scale (EPDS), and Multidimensional Scale of Perceived Social Support (MSPSS) were the main measures. Descriptive statistics, Spearman's correlation, and multiple logistic regression were employed for data analysis.Results: SPB and PPD were commonly experienced by women hospitalized with TPL, and SPB was positively and significantly correlated with PPD. A multiple logistic regression analysis revealed that, for the women hospitalized with TPL during pregnancy, the emotional aspect of SPB (OR = 1.473, 95% CI = 1.141–1.903, p = 0.003), age (OR = 1.178, 95%CI = 1.056–1.314, p = 0.003), occupation (OR = 0.282, 95%CI = 0.095–0.023, p = 0.023), history of scarred uterus (OR = 0.163, 95%CI = 0.034–0.769, p = 0.022), delivery mode (OR = 5.974, 95%CI = 1.750–20.396, p = 0.004), and family support to women hospitalized with TPL during pregnancy (OR = 0.665, 95% CI = 0.498–0.887, p = 0.006) were the significant factors predicting early signs of PPD. Conclusion: This study indicated that SPB and PPD were prevalent mental issues among hospitalized women with TPL, and SPB, especially perceived emotional burden, is a strong predictor of PPD. Our study suggests the necessity of paying attention to mental health issues—especially SPB and PPD—among hospitalized women with TPL, as well as providing appropriate interventions at the prenatal stage to prevent adverse consequences. Perceiving support from family during pregnancy with high risk can help women in reducing the risk of PPD.

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