Late initiation of antenatal care and its determinants: a hospital based cross-sectional study

Aung, Thin Z.; Oo, Win Myint; Khaing, Win; Lwin, Nay; Dar, Hlaing Thaw

doi:10.18203/2394-6040.ijcmph20160926

Cited by 46 publications

(75 citation statements)

References 13 publications

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“…This could be explained by the five-year time difference between the two studies and hence a possible amelioration. The results are similar to those obtained recently in 2016 and 2017 by authors elsewhere in sub-Sahara Africa where the prevalence of late first ANC ranges between 42 and 56% [ 6 , 15 , 16 ].…”

Section: Discussionsupporting

confidence: 92%

Why do pregnant women present late for their first antenatal care consultation in Cameroon?

Tolefac

Halle-Ekane

Agbor³

et al. 2017

matern health, neonatol and perinatol

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BackgroundEarly initiation of antenatal care visits is an essential component of services to improving maternal and new born health. The Cameroonian Demographic and Health Survey conducted in 2011 indicated that only 34% of pregnant women start antenatal care in the first trimester. However, detailed study to identify factors associated with late initiation of care has not been conducted in Cameroon. The aim of this study was to assess the prevalence of late booking first ANC visit amongst attendance of first ANC and the determinants of late first ANC in Douala general hospital.MethodsIt was a cross sectional analytic study over the period of 5 months in Douala general hospital. The study subjects were pregnant women visiting the facilities for the first time during the index pregnancy. Data were collected using pre-tested questionnaire. Logistic regression analysis was done to identify factors associated with late first ANC with the level of significance set at 0.05.ResultsA total of 293 women participated in the study; 129 (44.0%) of them came for their first ANC visit late, after 12 weeks of gestation. Most common reasons for coming late for first ANC were financial constraints (34.5%, 45) and long distance to the hospital (34.5%, 45). Factors associated with late start of first ANC after logistic regression were: family size greater than 4 (OR = 2, 95% CI = 1.25–3.19, p value = 0.004), long distance to the hospital (OR = 1.84, 95% CI = 1.1–3.07, p value = 0.02) and low monthly income level less than 200US dollars (OR = 3.2, 95% CI = 1.33–3.54, p value = 0.002).ConclusionAbout half of pregnant women do not start ANC early in the first trimester largely due to large family size, low monthly income and long distance to the hospital.

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Section: Discussionsupporting

confidence: 92%

Why do pregnant women present late for their first antenatal care consultation in Cameroon?

Tolefac

Halle-Ekane

Agbor³

et al. 2017

matern health, neonatol and perinatol

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“…Maternal knowledge on early ANC visit, planned pregnancy and parity were factors associated with early ANC visit, mothers of age, media access, advise to initiate ANC during the recommended time after amenorrhea, residence, husband's occupation, [11][12][13][14].…”

Section: Introductionmentioning

confidence: 99%

Magnitude of late initiation of antenatal care and its associated factors among pregnant women attending antenatal care in Woldia Public Health Institution, North Wollo, Ethiopia.

Adere¹,

Tilahun²

2020

Preprint

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Background: The World Health Organization states that every pregnant woman is at risk of complications. Antenatal care is vital to reduce complications and more likely to be effective if women begin receiving care in the first trimester of pregnancy and continue to receive care throughout pregnancy. The maternal mortality ratio in Ethiopia was estimated at 412 deaths per 100,000 live births in 2016.Methods: Institutional based cross-sectional study design was used. Data collection was collected using an interviewer-administered questionnaire. A systematic sampling technique with proportional allocation was used to get the final 390 study participants. Data was entered, cleared, and analyzed with Statistical Package for Social Sciences Version (SPSS) 20. Descriptive measures were presented with frequencies, tables, and diagrams. A binary logistic regression model was used to identify predictors of late antenatal care initiation.Results: The prevalence of late antenatal care initiation was 59.5% with 95% CI [54.6–64.1]. Residence of the mother [AOR = 5; 95% CI:(1.423, 17.86), Paying for health services [AOR = 13.9;95% CI 3.531, 54.86], Planed for pregnancy [AOR = 13.4; 95% CI:4.018, 44.487], Counseled for ANC [AOR = 13.6; 95% CI:6.090, 63.127] and number of lifetime pregnancies (gravidity) [AOR = 5.5; 95% CI:2.077, 14.36] were factors significantly associated with late initiation of ANC.Conclusion: More than 50% of women attended antenatal care follow-up late from the recommended time of initiation. Residence, payment for pregnancy-related health services, plan for pregnancy, counseling, and advice regarding antenatal care follow-up and gravidity were factors significantly associated with late antenatal care initiation.

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“…Nevertheless, this opportunity is frequently missed as in our indexed case. This is because more than 50% of pregnancies are unplanned and most women start antenatal care late (15,16) as in our case reported above that even though the pregnancy was unplanned she continues taking valproate for her epilepsy even after she knows she was pregnant thus increasing the risk of NTDs in her unborn child. Diagnosis of neural tube defects is usually done by a combination of maternal serum alpha foeto-protein (AFP) and 2nd trimester ultrasounds (17,18,19) .…”

Section: Discussionmentioning

confidence: 69%

Anencephaly and Sodium Valproate: Case Report and Lessons for the Future

Theohile

Tolefac

Tamambang

et al. 2017

IAM

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Background: Anencephaly is a common variant of neural tube defects that results from complex interaction between the gene and the environment. Case presentation: We report the case of a 25-year-old female Cameroonian gravida 1 para 0 epileptic and routine daily sodium valproate referred after a routine ultrasound at 20 weeks showed anencephaly. Medical termination of pregnancy was done after counselling and the recovery uneventful. Conclusion: This case highlights the importance of stopping drugs preconception and after the first missed period as well as the importance of preconceptional and periconceptional folic acid. Together with evidence from previous studies, the author recommends fortification of regular food products such as salts before selling.

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Late initiation of antenatal care and its determinants: a hospital based cross-sectional study

Cited by 46 publications

References 13 publications

Why do pregnant women present late for their first antenatal care consultation in Cameroon?

Why do pregnant women present late for their first antenatal care consultation in Cameroon?

Magnitude of late initiation of antenatal care and its associated factors among pregnant women attending antenatal care in Woldia Public Health Institution, North Wollo, Ethiopia.

Anencephaly and Sodium Valproate: Case Report and Lessons for the Future

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