Late initiation of antenatal care among pregnant women in Addis Ababa city, Ethiopia: a facility based cross-sectional study.
Antenatal care
Ethiopia
Pregnancy
Pregnant women
Prenatal care
Timing
Journal
BMC women's health
ISSN: 1472-6874
Titre abrégé: BMC Womens Health
Pays: England
ID NLM: 101088690
Informations de publication
Date de publication:
10 01 2023
10 01 2023
Historique:
received:
21
07
2022
accepted:
26
12
2022
entrez:
10
1
2023
pubmed:
11
1
2023
medline:
13
1
2023
Statut:
epublish
Résumé
Antenatal care (ANC) is the care given to pregnant women to prevent poor feto-maternal outcomes during pregnancy. The World Health Organization recommends first ANC visit be started as early as possible within in 12 weeks of gestation. Although there is improvement in overall ANC coverage, a sizable proportion of pregnant women in Ethiopia delay the time to initiate their first ANC visit. Therefore, this study aimed to investigate factors associated with late ANC initiation among pregnant women attending public health centers in Addis Ababa, Ethiopia. A facility-based cross-sectional study was conducted among 407 randomly selected pregnant women who attended ANC at selected public health centers in Addis Ababa from December 2020 to January 2021. Data were collected using pretested and structured questionnaires through a face-to-face interview and reviewing medical records. Binary and multivariable logistic regressions were fitted sequentially to identify predictors for late ANC initiation. Adjusted odds ratios with 95% CI were computed to measure the strength of associations and statistical significance was declared at a p-value < 0.05. This study showed that 47% of pregnant women started their first ANC visit late.The age of 30 years and above, being married, unplanned pregnancy, having a wrong perception about the timing of the first ANC visit, and not having ANC for previous pregnancy was significantly associated with late ANC initiation. Nearly half of the women initiated their first ANC visit late. Tailored interventions aimed at promoting early ANC initiation should target married women, women with an unplanned pregnancy, women who perceived the wrong timing of their first ANC, and those who have no ANC for their previous pregnancy.
Sections du résumé
BACKGROUND
Antenatal care (ANC) is the care given to pregnant women to prevent poor feto-maternal outcomes during pregnancy. The World Health Organization recommends first ANC visit be started as early as possible within in 12 weeks of gestation. Although there is improvement in overall ANC coverage, a sizable proportion of pregnant women in Ethiopia delay the time to initiate their first ANC visit. Therefore, this study aimed to investigate factors associated with late ANC initiation among pregnant women attending public health centers in Addis Ababa, Ethiopia.
METHODS
A facility-based cross-sectional study was conducted among 407 randomly selected pregnant women who attended ANC at selected public health centers in Addis Ababa from December 2020 to January 2021. Data were collected using pretested and structured questionnaires through a face-to-face interview and reviewing medical records. Binary and multivariable logistic regressions were fitted sequentially to identify predictors for late ANC initiation. Adjusted odds ratios with 95% CI were computed to measure the strength of associations and statistical significance was declared at a p-value < 0.05.
RESULT
This study showed that 47% of pregnant women started their first ANC visit late.The age of 30 years and above, being married, unplanned pregnancy, having a wrong perception about the timing of the first ANC visit, and not having ANC for previous pregnancy was significantly associated with late ANC initiation.
CONCLUSION
Nearly half of the women initiated their first ANC visit late. Tailored interventions aimed at promoting early ANC initiation should target married women, women with an unplanned pregnancy, women who perceived the wrong timing of their first ANC, and those who have no ANC for their previous pregnancy.
Identifiants
pubmed: 36627620
doi: 10.1186/s12905-022-02148-4
pii: 10.1186/s12905-022-02148-4
pmc: PMC9832813
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
13Informations de copyright
© 2023. The Author(s).
Références
BMC Pregnancy Childbirth. 2014 Jun 13;14:204
pubmed: 24923284
Reprod Health. 2019 May 31;16(1):73
pubmed: 31151402
PLoS One. 2022 Jan 10;17(1):e0262411
pubmed: 35007296
BMC Pregnancy Childbirth. 2020 Jan 20;20(1):47
pubmed: 31959137
Front Public Health. 2017 Sep 11;5:242
pubmed: 28955707
BMC Pregnancy Childbirth. 2022 Jan 14;22(1):30
pubmed: 35031008
Ethiop J Health Sci. 2017 Mar;27(2):139-146
pubmed: 28579709
Glob Health Action. 2020 Dec 31;13(1):1830463
pubmed: 33124520
PLoS One. 2020 Dec 2;15(12):e0242991
pubmed: 33264324
Lancet Glob Health. 2017 Oct;5(10):e977-e983
pubmed: 28911763
PLoS One. 2018 Dec 5;13(12):e0207922
pubmed: 30517182
Lancet Glob Health. 2018 Nov;6(11):e1186-e1195
pubmed: 30322649
Reprod Health. 2021 Nov 17;18(1):233
pubmed: 34789283
PLoS One. 2021 Jan 29;16(1):e0246230
pubmed: 33513182
J Environ Public Health. 2015;2015:971506
pubmed: 26543485
BMC Pregnancy Childbirth. 2018 May 16;18(1):173
pubmed: 29769122
BMJ Open. 2020 Jul 23;10(7):e036699
pubmed: 32709651
Reprod Health. 2018 Dec 12;15(1):203
pubmed: 30541562
Lancet. 2016 Jan 30;387(10017):462-74
pubmed: 26584737
Matern Health Neonatol Perinatol. 2017 Dec 13;3:29
pubmed: 29255616
Pan Afr Med J. 2016 Oct 24;25:109
pubmed: 28292072
PLoS One. 2018 Mar 8;13(3):e0191903
pubmed: 29518082
BMJ Open. 2020 Jun 22;10(6):e032960
pubmed: 32571853
BMC Health Serv Res. 2022 May 12;22(1):632
pubmed: 35549700