Early initiations of first antenatal care visit and associated factor among mothers who gave birth in the last six months preceding birth in Bahir Dar Zuria Woreda North West Ethiopia

Abstract

BackgroundTiming of Antenatal care booking is one of the basic components of antenatal care services; that helps to early detection, managing, and prevention of problems during the pregnancy and helps the mother to receive full packages of antenatal care services. However, in the world including Ethiopia, significant numbers of pregnant mothers were not booking the follow up on the recommended time. The main aim of this study was to assess the prevalence and factors that associated with the early timing of antenatal care visit in Bahir Dar Zuria District, North West Ethiopia.MethodsA community-based cross-sectional study was conducted. A total of 410 mothers have participated. Data were collected through the interview from March 1 to 30/2018 using a structured and pre-tested questionnaire. Data were clear, code, and enter into Epi-info version 7.1 and export to SPSS for farther analysis. Both bivariate and multivariate analyses were used. On bivariate analysis p-value, less than 0.2 were used to select the candidate variable for multivariate analysis. P-value and confidence interval were used to measure the level of significance on multivariate analysis and those variables whose P-value < 0.05 were considered as statically significant.ResultsThe prevalence of early timing of ANC in the study area was 46.8%; with [95% CI 40.5, 51.8]. Distances [AOR 2.47, 95% CI; 1.4, 4.2], Knowledge on the timing of ANC [AOR 2.1; 95% CI; 1.2, 3.7], No under-five children [AOR 2.7; 95% CI; 1.3, 5.8], having one under-five children [AOR 2.2; 95% CI; 1.1, 4.5], and wanted pregnancy [AOR 2.4, 95% CI, 1.3, 4.7] were affects the early timing of ANC.ConclusionsThe prevalence of early timing of ANC was high when compared to the national figure and the Sub-Saharan country. Accessibility of health services, knowledge on the timing of ANC, under-five children, and desire for pregnancy were factors that affect the early timing of ANC.

Socio-Demographics and Late Antenatal Care Seeking Behavior: A Cross Sectional Study among Pregnant Women at Kyenjojo General Hospital, Western Uganda

“…In Sub Saharan Africa, it was indicated that early antenatal care contacts' coverage was less than 50% in 2013 and has the highest maternal mortality ratio (MMR) of 546 per 100,000 live births in 2015) [4]. The same study found out that, less than half 46.8% of the pregnant women sought early antenatal care.…”

“…During antenatal care booking, assessments and tests are conducted on pregnant women, which include measuring of blood pressure to exclude pregnancy induced hypertension, urine testing to exclude proteinuria and weight monitoring to establish intrauterine growth restriction department of health [4]. Immunization against various infectious diseases such as tetanus, Human Immune virus (HIV) testing and counseling of pregnant women and if she tests positive, she will be initiated on antiretroviral therapy (ART) for elimination of mother-to-child transmission of HIV [5].…”

<p>Factors Associated with Timely Antenatal Care Booking Among Pregnant Women in Remote Area of Bule Hora District, Southern Ethiopia</p>

“…Majority of these deaths occur among pregnant women who did not receive ANC. [1][2][3][4][5] Despite good progress in access and utilization of ANC visits globally, studies have shown that only 17% of women ever received any ANC and the proportion of women who are receiving the recommended focused ANC minimum of four visits still low. [6][7][8] Timely antenatal care is the period in which pregnant women visited ANC at less than four months of pregnancy, while late antenatal care is the period in which women start attending ANC at greater than or equal to four months of pregnancy.…”

Institutional Delivery Service Utilization and Associated Factors in Rural Communities of Central Gondar zone, Northwest Ethiopia

“…ANC can provide an opportunity to promote the bene t of skilled attendance at birth and health facility based delivery. During ANC visits women are counseled about the bene t of institutional delivery, risk of home delivery, birth preparedness and complication readiness that can promote women to deliver at health facility with the help of skilled birth attendants [42][43][44]. This implies that ANC is an intervention that a pregnant woman receives from organized health care services.…”