Pregnancy-related complications and associated factors among women attending antenatal care at a specialised maternal and child health national referral hospital, in Uganda

Tamale, Bridget Nagawa; Bulafu, Douglas; Isunju, John Bosco; Atuko, Vicky Jamu; Baguma, James Natweta; Tigaiza, Arnold; Nalugya, Aisha; Musiitwa, Rogers; Mugambe, Richard K.; Ssekamatte, Tonny; Lubogo, David

doi:10.1101/2022.07.29.22278187

Cited by 6 publications

(3 citation statements)

References 45 publications

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“…However, this self-reported pregnancy related complications magnitude is lower than 27.4% (78/285) the study result from Uganda (20). The discrepancy could be due to differences in a study setting, data collection time, and method.…”

Section: Discussioncontrasting

confidence: 59%

Complication Experience during Pregnancy and Place of Delivery among Pregnant Women: A Cross-sectional Study

Teka

Abdulahi

Tsega

et al. 2022

Preprint

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Background Unlike other causes such as abortion, obstetric complications like hemorrhage, and hypertensive disorders of pregnancy, which are difficult to resolve for women who give birth out of health facilities are persisted or increased to be the cause of maternal mortality in Ethiopia. Direct obstetric complications resulted in the crude direct obstetric case fatality rate in Ethiopia. This study aimed to assess the relationship between Complication Experience during Pregnancy and Place of Delivery among Pregnant Women. Method A community-based cross-sectional study was conducted to assess the baseline information as a part of a randomized control trial study. The sample size that was calculated for the cohort study with the assumptions to detect an increase in a minimum acceptable diet from 11 to 31%, with 95% CIs and 80% power, an intra-cluster correlation coefficient of 0·2 for a cluster size of 10 was used for this study. Statistical analysis was done using SPSS version 22. Result The prevalence of self-reported pregnancy-related complications and home delivery were 79(15.9%, CI; 12.7–19.1) and 46.90%( 95%CI; 42.5–51.1) respectively. Women who did not face vaginal bleeding were five times AOR 5.28 (95% CI: 1.79–15.56) more like to give birth at home than those who faced this problem. Women who did not face severe headache were nearly three AOR 2.45(95%CI:1.01–5.97) times more like to give birth at home. Conclusion This study concluded that home delivery was high among the study participants whereas pregnancy-related complications such as vaginal bleeding and severe headache were identified as protective factors for facility delivery. Hence, the researchers recommended the incorporation of “storytelling” into the existing health extension program packages to improve facility delivery which shall be applied after the approval of its effectiveness by research.

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Section: Discussioncontrasting

confidence: 59%

Complication Experience during Pregnancy and Place of Delivery among Pregnant Women: A Cross-sectional Study

Teka

Abdulahi

Tsega

et al. 2022

Preprint

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show abstract

“…Some of the pregnancy-related complications (e.g. postpartum haemorrhage, preeclampsia) [ 57 , 58 ] and obstetric conditions (e.g. intrauterine growth restriction, recurrent miscarriage, multiple pregnancy or incompetent cervix) may be contraindications to physical therapy (i.e.…”

Section: Discussionmentioning

confidence: 99%

Factors associated with utilization of physical therapy services during pregnancy and after childbirth

Lin¹,

Tsai²,

Yang³

et al. 2023

Heliyon

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“…Are defined as health problems that occur during Pregnancy and affect the mother's health, baby's health or both [19].…”

Section: Pregnancy-related Complicationsmentioning

confidence: 99%

Time to initiation of antenatal care and its predictors among pregnant women who delivered in Arba Minch town public health facilities, Gamo Zone, southern Ethiopia, 2023: a retrospective follow-up study

Belete,

Debere,

Gurara

et al. 2024

Reprod Health

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Background Early antenatal care visit is important for optimal care and health outcomes for women and children. In the study area, there is a lack of information about the time to initiation of antenatal care. So, this study aimed to determine the time to initiation of antenatal care visits and its predictors among pregnant women who delivered in Arba Minch town public health facilities. Methods An institution-based retrospective follow-up study was performed among 432 women. A systematic random sampling technique was employed to select the study participants. The Kaplan-Meier survival curve was used to estimate the survival time. A Multivariable Cox proportional hazard regression model was fitted to identify predictors of the time to initiation of antenatal care. An adjusted hazard ratio with a 95% confidence interval was used to assess statistical significance. Results The median survival time to antenatal care initiation was 18 weeks (95% CI = (17, 19)). Urban residence (AHR = 2.67; 95% CI = 1.52, 4.71), Tertiary and above level of education of the women (AHR = 1.90; 95% CI = 1.28, 2.81), having pregnancy-related complications in a previous pregnancy (AHR = 1.53; 95% CI = 1.08, 2.16), not having antenatal care for previous pregnancy (AHR = 0.39; 95% CI = 0.21, 0.71) and unplanned pregnancy (AHR = 0.66; 95% CI = 0.48, 0.91) were statistically significant predictors. Conclusion Half of the women initiate their antenatal care visit after 18 weeks of their pregnancy which is not in line with the recommendation of the World Health Organization. Urban residence, tertiary and above level of education of the women, having pregnancy-related complications in a previous pregnancy, not having previous antenatal care visits and unplanned pregnancy were predictors of the time to initiation of antenatal care. Therefore, targeted community outreach programs including educational campaigns regarding antenatal care for women who live in rural areas, who are less educated, and who have no previous antenatal care experience should be provided, and comprehensive family planning services to prevent unplanned pregnancy are needed.

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Pregnancy-related complications and associated factors among women attending antenatal care at a specialised maternal and child health national referral hospital, in Uganda

Cited by 6 publications

References 45 publications

Complication Experience during Pregnancy and Place of Delivery among Pregnant Women: A Cross-sectional Study

Complication Experience during Pregnancy and Place of Delivery among Pregnant Women: A Cross-sectional Study

Factors associated with utilization of physical therapy services during pregnancy and after childbirth

Time to initiation of antenatal care and its predictors among pregnant women who delivered in Arba Minch town public health facilities, Gamo Zone, southern Ethiopia, 2023: a retrospective follow-up study

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