Antenatal care use in urban areas in two European countries: Predisposing, enabling and pregnancy-related determinants in Belgium and the Netherlands

Broeck, Jana Vanden; Jong, Esther Feijen-de; Klomp, Trudy; Putman, Koen; Beeckman, Katrien

doi:10.1186/s12913-016-1478-3

Cited by 11 publications

(15 citation statements)

References 23 publications

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“…CoC indices in this study were also found to be different from those reported elsewhere. Low levels of CoC have been reported among antenatal women, with a lower proportion having a CoC score above 50%: 24% of antenatal women in Brussels 16 ; 26% in Brussels; and 30% in the Netherlands 17 . Meur et al 18 also reported a CoC score of 43% among pregnant women in France and CoC levels in the range of 28%–36% among health insurance beneficiaries in Taiwan 19 .…”

Section: Discussionmentioning

confidence: 99%

Longitudinal continuity of care during antenatal and delivery in the Volta Region of Ghana

Dery

Aikins

Maya

2020

Intl J Gynecology & Obste

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Objective: To determine the extent of longitudinal continuity of care (CoC) during pregnancy and delivery in the Volta Region of Ghana. Methods: Longitudinal data were used from the National Health Insurance Claims Dataset for the period January to December 2013 for pregnant women who sought antenatal and delivery care in the region. Pregnant women who delivered at a health facility with at least three visits were included in the study. Five CoC indices were calculated for each pregnant woman. Results: Of the 14 474 pregnant women included in the study, 58.4% had perfect CoC. Mean CoC indices were: most frequent provider continuity (MFPC) 0.82 ± 0.25; modified, modified continuity index (MMCI) 0.86 ± 0.20; continuity of care index (COCI) 0.76 ± 0.30; sequential continuity index (SECON) 0.80 ± 0.28; and place of delivery continuity (PDC) 0.68 ± 0.41. Conclusion: There are relatively medium to high levels of CoC indices during pregnancy and delivery, with place of delivery CoC having the lowest score, an indication that more pregnant women switched providers during delivery. There is a need for policy to ensure CoC during pregnancy.

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Section: Discussionmentioning

confidence: 99%

Longitudinal continuity of care during antenatal and delivery in the Volta Region of Ghana

Dery

Aikins

Maya

2020

Intl J Gynecology & Obste

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“…Previous research has shown that late onset initiation of ANC may be more important than the frequency of visits on influencing outcomes (3,6,9,10). Earlier work has reported that women with late ANC initiation are usually younger, higher parity or gravidity, without a partner, lower socioeconomic status, less educated, and have lower access to health services (5,11,12). Women who have unplanned pregnancies, recognize their pregnancy late, and had no complications in previous pregnancies will also tend to initiate ANC at later stages of their pregnancy (12).…”

Section: Introductionmentioning

confidence: 99%

“…Earlier work has reported that women with late ANC initiation are usually younger, higher parity or gravidity, without a partner, lower socioeconomic status, less educated, and have lower access to health services (5,11,12). Women who have unplanned pregnancies, recognize their pregnancy late, and had no complications in previous pregnancies will also tend to initiate ANC at later stages of their pregnancy (12). Moreover, women will not attend ANC if the quality of services is perceived as poor or their previous experiences were negative (13).…”

Section: Introductionmentioning

confidence: 99%

Antenatal Care Initiation Among Pregnant Women in the United Arab Emirates: The Mutaba'ah Study

Ali

Elbarazi

Alabboud

et al. 2020

Front. Public Health

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Introduction: Antenatal care (ANC) provides monitoring and regular follow-up of maternal and fetal health during pregnancy. Women with appropriate ANC tend to have better delivery and birth outcomes. This study describes the patterns of ANC utilization and factors associated with appropriate ANC initiation in the United Arab Emirates (UAE) for the first time. Methods: Baseline cross-sectional data from pregnant women who participated in the Mutaba'ah-Mother and Child Health Study between May 2017 and January 2019 was analyzed. Participants were recruited during ANC visits and completed a selfadministered questionnaire that collected socio-demographic and pregnancy-related information and assessed whether it was their first ANC appointment. Regression models assessed the relationship between socio-demographic and pregnancy-related variables and "appropriate" (≤ 4 months' gestation) vs. "late" ANC initiation (>4 months' gestation). Results: At recruitment, 841 participants reported that it was their first ANC visit and half (50.2%) of these women were late initiating their ANC. Mothers who were more educated, had previous infertility treatment or previous miscarriages were all more likely to achieve appropriate ANC initiation [adjusted odds ratio (aOR): 1.66, 95% confidence interval (CI): 1.05-2.62; aOR: 3.68, 95% CI: 1.50-9.04; aOR: 1.80, 95% CI: 1.16-2.79, respectively]. Women worrying about childbirth were less likely to achieve appropriate ANC initiation (aOR: 0.54, 95% CI: 0.34-0.85). Conclusion: Half of pregnant women in this study did not achieve the global consensus guidelines on appropriate ANC initiation. Interventions among less educated women and those with previous pregnancy complications and childbirth anxiety are recommended to ensure appropriate ANC initiation.

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“…A similar finding was seen in a study conducted in Belgium and the Netherlands (41%). [ 14 ] Women who are over 35 years and above are more likely to use the ANC services than other age groups; however, studies in Tanzania and Myanmar reported that women of younger age group 15–24 years used ANC services more than other age groups. [ 15 16 ] In this study, about 58% women ≥35 years of age have experienced IPV whereas the prevalence rate in Brazil was 45.2%, 54.5% in Iran, 49% in Sri Lanka and 43.4% in Portugal.…”

Section: Discussionmentioning

confidence: 99%

Intimate partner violence constrains timely utilisation of antenatal care services among Armenian women: Results from a nationally representative sample

Kabir

Chakraborty²,

Vinnakota

et al. 2021

Int J Crit Illn Inj Sci

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Background: Well-timed utilisation of antenatal care (ANC) services during pregnancy emphatically impact pregnancy outcomes. Intimate Partner Violence (IPV) predominance during pregnancy is exceptionally noticeable in Armenia, yet we have restricted information on the association between IPV and ANC attendance. The aim of this study was to determine the association between IPV and utilisation of adequate ANC services among Armenian women. Methods: A nationally representative sample survey from 2015 to 2016 Armenia Demographic and Health Survey was considered for this study. A total of 6116 women were interviewed. To estimate the association between outcome and explanatory variable, Pearson's Chi-square test followed by bivariate logistic regression analysis were performed. Results: About 58% of participants, more than 35 years old has encountered IPV. Women with advanced education (54.7%) attended ANC services between 0 and 3 months. It was found that only the richer women are two times more likely to visit ANC services above four times than other groups and its association with IPV claimed that richer women are more likely to face IPV. Moreover, women who are residing with alcoholic husbands/partners are two times more likely to suffer from partner abuse ( P < 0.001). Conclusion: The impact of IPV on accessibility and timely utilisation of ANC services in Armenia cannot be overlooked as IPV is causing risk in healthy delivery and the country's overall productivity in a broader perception.

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Antenatal care use in urban areas in two European countries: Predisposing, enabling and pregnancy-related determinants in Belgium and the Netherlands

Cited by 11 publications

References 23 publications

Longitudinal continuity of care during antenatal and delivery in the Volta Region of Ghana

Longitudinal continuity of care during antenatal and delivery in the Volta Region of Ghana

Antenatal Care Initiation Among Pregnant Women in the United Arab Emirates: The Mutaba'ah Study

Intimate partner violence constrains timely utilisation of antenatal care services among Armenian women: Results from a nationally representative sample

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