Some factors affecting attendance at ante-natal clinics

Kaliszer, M.; Kidd, Mervyn

doi:10.1016/0160-8002(81)90061-7

Cited by 8 publications

(4 citation statements)

References 5 publications

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“…This finding was reported in other studies (Ellencweig et al . 1993, Kaliszer & Kidd 1981) and it may have several explanations: In the study area it is the responsibility of the pregnant woman’s parents to pay for antenatal and delivery care for the first pregnancy. To take care of their daughter her parents make sure she receives what they consider sufficient antenatal care with regard to number of visits and choice of provider of care.…”

Section: Discussionmentioning

confidence: 99%

“…Distance to healthcare facilities has often been stressed as an important predictor for their degree of utilisation (Roghmann & Zastowny 1979, Kaliszer & Kidd 1981, Egunjobi 1983, Stock 1983, Abbas & Walker 1986, Fantahun & Olwit 1995). This study supports those earlier findings, because the location of a Health Sub‐Centre in the village did influence the number of antenatal visits.…”

Section: Discussionmentioning

confidence: 99%

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Characteristics of antenatal care attenders in a rural population in Tamil Nadu, South India: a community-based cross-sectional study

Nielsen

Liljestrand

Thilsted³

et al. 2001

Health &Amp; Social Care in the Community

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The objectives of the study were to identify factors associated with utilisation of antenatal care facilities in a rural population in South India. A community-based, cross-sectional questionnaire study of 30 randomly selected areas was used. A total of 1254 women (95%) had at least one antenatal care visit. The median number of visits was four. High utilisation of antenatal care facilities was associated with low parity and adverse obstetrical history, short distance to healthcare facilities and literacy. It was concluded that antenatal care coverage was high. Information about the above few aspects can be used to target women who are at risk of getting inadequate antenatal care.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Characteristics of antenatal care attenders in a rural population in Tamil Nadu, South India: a community-based cross-sectional study

Nielsen

Liljestrand

Thilsted³

et al. 2001

Health &Amp; Social Care in the Community

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show abstract

“…It is associated with fetal hypoxia and morphological changes of the placenta, which increase the risks of intrauterine growth retardation (IUGR) and placental abruption, causing fetal and neonatal death (13). Several studies (14–17) have reported on the role of ANC to decrease smoking during pregnancy. Nevertheless, it is not possible in our material to estimate to what extent smoking as related to the lifestyle of pregnant women is influenced by advice in ANC.…”

Section: Discussionmentioning

confidence: 99%

Perinatal deaths and insufficient antenatal care in Latvia

Jansone¹,

Lindmark

Langhoff‐Roos

2001

Acta Obstet Gynecol Scand

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“…12 14 In studies of antenatal service the findings are less clear. For example, whereas one Irish study noted that distance from the antenatal clinic resulted in delayed first appointment by 3 weeks, 15 other reports have shown a higher rate of transfer to hospital antenatal care for women in rural New Zealand 16 and increasing remoteness was associated with increased rates of antenatal transfer. 17 One explanation suggested by Carr-Hill and colleagues is that doctors and their rural patients make similar and more cautious risk assessments about the need for specialist maternity care and are more likely to refer to pre-empt any potential crisis.…”

mentioning

confidence: 99%

Guidelines and management of mild hypertensive conditions in pregnancy in rural general practices in Scotland: issues of appropriateness and access

Tucker

Farmer²,

Stimpson³

2003

Quality and Safety in Health Care

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Objectives: To assess the diagnosis and management of mild non-proteinuric hypertension in pregnancy in rural general practices against guideline recommendations. Design: Postal survey and telephone interview. Setting: All 174 designated rural general practices in Scotland. Sample: 171 GPs and 158 midwives responsible for antenatal care stratified by distance from a specialist maternity hospital. Main outcome measures: Accuracy of diagnosis and appropriateness of management compared with guideline. Results: At least one respondent replied for 91% (158/174) of rural practices. Response rates were 68% (117/170) for GPs and 77% (121/158) for midwives. Both GP and midwife replied for 46% (80/174) of practices. Most GPs (80%, 87/109) and midwives (63%, 71/113) overdiagnosed the scenario. Intended management was therefore most often referral or admission to specialist hospital (59%, 132/224), both courses of action beyond guideline recommendations. There was an association between distance of practice from specialist maternity hospital and professionals' report of intended referral or admission. Explanatory factors from telephone interviews included a poor knowledge base, cautious risk assessment, and perceived inflexibility of guidelines for remote situations. Conclusions: There is a lack of accuracy in the diagnosis of a common antenatal problem and intended management is consistent with overdiagnosis. The results suggest that women in rural settings may experience more antenatal referrals and admissions than are clinically appropriate according to the guidelines. At a time of increasing centralisation of maternity services, this could increase inappropriate referrals and increase costs to service and patients. Quality of care may be improved by developing consensual local guidelines with rural maternity care professionals and support maintained skills and confidence in decision making.

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Some factors affecting attendance at ante-natal clinics

Cited by 8 publications

References 5 publications

Characteristics of antenatal care attenders in a rural population in Tamil Nadu, South India: a community-based cross-sectional study

Characteristics of antenatal care attenders in a rural population in Tamil Nadu, South India: a community-based cross-sectional study

Perinatal deaths and insufficient antenatal care in Latvia

Guidelines and management of mild hypertensive conditions in pregnancy in rural general practices in Scotland: issues of appropriateness and access

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