Determinants of antenatal booking time win a South-western Nigeria setting

Adeyemi, Adebanjo Babalola; Makinde, O.O.; Ajenifuja, KO; Soyinka, AS; Ayinde, A K; Ola, B.; Ofili, MI

doi:10.4314/wajm.v26i4.28337

Cited by 10 publications

(18 citation statements)

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“…This clearly suggests that the antenatal health education programmes the women had been exposed to in previous pregnancies had been ineffective in modifying their behaviour. Adeyemi et al 14 found similarly that though most of the women in their study in South western Nigeria booked late, 57.3% felt women should book in the first trimester. They concluded that unless the socio-cultural and religious determinants of health seeking behaviour were modified, good health education may not easily translate to optimum utilisation of antenatal care.…”

Section: Discussionmentioning

confidence: 65%

“…This is in keeping with most previous studies in African women which show that the average timing was usually in the second trimester. 8,9,10,14 It was interesting to note that as much as about three quarter of the women felt that the first three months of pregnancy was the best time to register for antenatal care. This knowledge most likely came from health education programs during previous pregnancies, hospitals or the news media but the booking pattern suggests that most of the women were not convinced that there was any gain in registering for antenatal care early or had constraints hence the discordance between knowledge and practice in most of them.…”

Section: Discussionmentioning

confidence: 99%

“…While some workers found no statistically significant effect of age, parity, level of education and socioeconomic class as well as incidence of previous obstetric complications between women who registered early and those who booked late, others have reported these as significant. 8,9,14 The aim of this study was to determine why women presenting at the booking clinic of a tertiary hospital in the Niger Delta, Nigeria register late.…”

Section: Introductionmentioning

confidence: 99%

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Reasons given by pregnant women for late initiation of antenatal care in the Niger Delta, Nigeria

Ndidi¹,

Oseremen²

2011

Ghana Medical Journal

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SUMMARYBackground: Many studies show that the vast majority of Nigerian women register for antenatal care late and that the determinants may differ from those found in developed countries. Objective: To determine the reasons for late booking among women presenting at the antenatal clinic of a major tertiary hospital in the Niger Delta, Nigeria Design: A cross sectional questionnaire based survey. Setting: A large tertiary hospital in the Niger delta, Nigeria Participants: Pregnant women registering for antenatal care after 14 weeks gestation. Results: The majority of respondents were aged 20-39 years (97.1%), quarters were primigravidae and 25 % of the women belonged to the upper socioeconomic class. Seventy three point six percent booked in the second trimester and 26.4% in the third trimester. Of the women who had given birth before, 80% had booked late in at least one previous pregnancy. More than three-fifth of the women (65.6%) booked late due to ignorance or misconceptions of the purpose of, and right time to commence antenatal care. Conclusion: The findings of this study suggest that most women book late because of a belief that there are no advantages in booking for antenatal care in the first three months of pregnancy. This seems to be because antenatal care is viewed primarily as curative rather than preventive in the study population. Research is needed to determine the best approaches for health education programmes to correct the misconceptions about antenatal care.

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Section: Discussionmentioning

confidence: 65%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Reasons given by pregnant women for late initiation of antenatal care in the Niger Delta, Nigeria

Ndidi¹,

Oseremen²

2011

Ghana Medical Journal

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“…This suggestion is in keeping with other finding in Africa and most developing countries were the second trimester was the average timing of antenatal booking. [7–1215161921] Also a significant percentage of the respondents (18.3%) did not know the ideal gestational age for booking. Early antenatal booking should be emphatically and categorically stated as booking within the first trimester.…”

Section: Discussionmentioning

confidence: 99%

Pattern and determinants of antenatal booking at Abakaliki Southeast Nigeria

Onoh¹,

Umeora²,

Agwu³

et al. 2012

Ann Med Health Sci Res

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Background:Antenatal care is one of the pillars of SAFE Motherhood Initiative aimed at preventing adverse pregnancy outcome. Early antenatal booking is recommended for this benefit.Aim:The objective of this study was to determine the antenatal booking pattern of pregnant women and its determinants.Subjects and Methods:A cross-sectional survey of pregnant women attending the antenatal booking clinic at Federal Medical Centre Abakaliki Ebonyi State between April 6, 2011 to August 5, 2011 was undertaken. Epi info 2008 version was used for analysis.Results:The mean age of the respondents was 27.46 (5.81) years and the mean gestational age at booking was 24.33 (5.52) weeks. A total of 83.1% (286/344) of the pregnant women booked after the first trimester while the remaining 16.9% (56/344) booked early. Socio-biological variables and past obstetrics history did not contribute significantly to the gestational age at booking while sickness in index pregnancy, personal wishes, and financial constraint were statistically significant reasons given for seeking antenatal care. Majority of the pregnant women 37.2% (128/344) suggested that the second trimester was the ideal gestational age for booking while 18.3% (63/344) did not know the ideal gestational age for booking. Most pregnant women 81.1% (279/344) knew the benefits of early antenatal care even though they booked late 83.1% (286/344).Conclusion:Most pregnant women access antenatal care late at Abakaliki because of misconception and poverty. Health education and subsidization of cost of medical services will help in reversing the trend of late antenatal booking.

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“…Late booking is particularly common in Nigeria, particularly in multiparous women, and has been found to be associated with educational level of partners, previous miscarriage and medical problems in the index pregnancy [31]. It has been suggested that most Nigerian woman wish to give birth on their own because of the pride associated with unassisted delivery and the loss of esteem associated with operative interventions [32].…”

Section: Discussionmentioning

confidence: 99%

Factors associated with antenatal mental disorder in West Africa: A cross-sectional survey

Ola

Crabb

Tayo

et al. 2011

BMC Pregnancy Childbirth

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BackgroundMaternal mental illness is likely to have a profound impact in less developed parts of the world. A mother experiencing mental illness in a low income setting is at risk of providing sub-optimal care for her offspring which can have grave consequences in an environment where poverty, overcrowding, poor sanitation, malnutrition, tropical diseases and a lack of appropriate medical services may be pronounced. Given the profound consequences of antenatal and postnatal mental illness on maternal mental health, foetal wellbeing and childhood growth and development the factors associated with mental illness in a Sub-Saharan setting merit clarification and investigation.MethodsA prospective survey design was conducted in Lagos. Self reporting questionnaire 20 items - SRQ20 - assessed the presence of mental illness. The WHO Multi-country Study on Women's Health and Domestic Violence Questions assessed women's exposure to violence. Numerous variables potentially associated with mental illness including maternal socio-economic factors, maternal characteristics, obstetric variables and the characteristics of previous children were recorded. Direct logistic regression was performed to assess the impact of a number of variables on the likelihood of presence of mental disorder in the population.Results189 women were surveyed. 7% met the criteria for experiencing a common mental disorder according to their score on the SRQ-20. Of variables examined only the number of female children and the presence of inter personal violence predicted being a case of mental illness (OR = 3.400; 95%CI = 1.374 - 8.414 and OR = 5.676; 95%CI = 1.251 - 25.757 respectively).ConclusionsRates of mental disorder found in our study were lower than those previously observed internationally and in Africa, perhaps reflecting stigma about disclosing symptoms. The predictive nature of violence on mental disorder is in keeping with international evidence. Our study demonstrated that exposure to inter personal violence within the last 12 months and increasing numbers of female children predict the presence of mental illness in a sample of pregnant Nigerian women. Training and education for primary health care and obstetric health workers should highlight these areas.

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Determinants of antenatal booking time win a South-western Nigeria setting

Cited by 10 publications

References 0 publications

Reasons given by pregnant women for late initiation of antenatal care in the Niger Delta, Nigeria

Reasons given by pregnant women for late initiation of antenatal care in the Niger Delta, Nigeria

Pattern and determinants of antenatal booking at Abakaliki Southeast Nigeria

Factors associated with antenatal mental disorder in West Africa: A cross-sectional survey

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