Clinical, provider and sociodemographic predictors of late initiation of antenatal care in England and Wales

Kupek, Emil; Petrou, Stavros; Vause, Sarah; Maresh, Michael

doi:10.1111/j.1471-0528.2002.00524.x

Cited by 83 publications

(56 citation statements)

References 34 publications

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“…Our findings differ with the reports from studies in most developed countries where the odds for late initiation of antenatal care have been reported as higher in women with social and financial disadvantages like teenage pregnancy, unemployment, single women and black women. 12,13,17 Analysis of Socioeconomic class showed that a quarter of the women belonged to the upper social class. The social classification used in this study combined the woman's level of education and the husband's occupation.…”

Section: Discussionmentioning

confidence: 99%

“…10,11 While studies from most developed countries have established that socially disadvantaged women such as teenagers ,unmarried women and women with lower level of education and lower socioeconomic class are more likely to book late for antenatal care, studies from sub-Saharan Africa suggest that these may not be the major determinants in Afri-can women. 12,13 Previous studies from Nigeria are inconclusive. While some workers found no statistically significant effect of age, parity, level of education and socioeconomic class as well as incidence of previous obstetric complications between women who registered early and those who booked late, others have reported these as significant.…”

Section: Introductionmentioning

confidence: 99%

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Reasons given by pregnant women for late initiation of antenatal care in the Niger Delta, Nigeria

Ndidi¹,

Oseremen²

2011

Ghana Medical Journal

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SUMMARYBackground: Many studies show that the vast majority of Nigerian women register for antenatal care late and that the determinants may differ from those found in developed countries. Objective: To determine the reasons for late booking among women presenting at the antenatal clinic of a major tertiary hospital in the Niger Delta, Nigeria Design: A cross sectional questionnaire based survey. Setting: A large tertiary hospital in the Niger delta, Nigeria Participants: Pregnant women registering for antenatal care after 14 weeks gestation. Results: The majority of respondents were aged 20-39 years (97.1%), quarters were primigravidae and 25 % of the women belonged to the upper socioeconomic class. Seventy three point six percent booked in the second trimester and 26.4% in the third trimester. Of the women who had given birth before, 80% had booked late in at least one previous pregnancy. More than three-fifth of the women (65.6%) booked late due to ignorance or misconceptions of the purpose of, and right time to commence antenatal care. Conclusion: The findings of this study suggest that most women book late because of a belief that there are no advantages in booking for antenatal care in the first three months of pregnancy. This seems to be because antenatal care is viewed primarily as curative rather than preventive in the study population. Research is needed to determine the best approaches for health education programmes to correct the misconceptions about antenatal care.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Reasons given by pregnant women for late initiation of antenatal care in the Niger Delta, Nigeria

Ndidi¹,

Oseremen²

2011

Ghana Medical Journal

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“…1,2 The timing of prenatal care initiation can be influenced by numerous prepregnancy factors, including maternal educational attainment, [1][2][3][4][5][6] age, [1][2][3][4][5][6][7][8] parity, 2,6,7 ethnicity, 3 women's feeling about pregnancy and prenatal care, 6 and insurance. 2,[8][9][10][11] In the last two decades, some investigators have demonstrated the importance of preconceptional care to improve perinatal outcomes. For example, it has been demonstrated that addressing periconceptional folic acid use at a preconceptional consultation improves folate use among women planning to conceive.…”

Section: Introductionmentioning

confidence: 99%

Association of preconceptional health care utilization and early initiation of prenatal care

Liu

et al. 2006

J Perinatol

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Objective: To assess whether women having preconceptional health care utilization were more likely to have early initiation of prenatal care than were women not having preconceptional health care utilization.Study Design: In this cohort study, data were collected prospectively from a population-based Perinatal Health Care Surveillance System in China. The analysis included 195 796 women who delivered single live births in 13 cities/counties during 1997 to 2000. Mantel-Haenszel test was employed to calculate risk ratios and 95% confidence intervals (CI). Multivariate logistic regression was conducted to assess the association between preconceptional health care utilization and early initiation of prenatal care after controlling for maternal residence, age at delivery, educational attainment, occupation, parity, preconceptional medical disorders, and high-risk medical experiences during the first trimester. SPSS 11.5 (SPSS Inc.) was employed for data analysis.Results: Women having preconceptional health care utilization were 2.6 times (95%CI: 2.5 to 2.6) more likely to have early initiation of prenatal care compared with women not having preconceptional health care utilization. When stratified by maternal residence, age at delivery, educational attainment, occupation, parity, preconceptional medical disorder, high-risk medical experiences during the first trimester, and preconceptional medical disorders, this association still existed. After controlling for stratification factors mentioned above and the interaction of maternal age, educational attainment, and parity, women having preconceptional health care utilization were 2.7 times (95%CI: 2.6 to 2.8) more likely to have early initiation of prenatal care than were women not having preconceptional health care utilization. Conclusion:Women who had preconceptional health care utilization were more likely to have early prenatal care than were women not having preconceptional health care utilization.

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“…Notwithstanding this, most studies dealing with prenatal care or the lack there of have focused on the maternal aspect, investigating the determinants of late care, characteristics of women with late care, racial disparities and the utilization of available prenatal services [12][13][14][15]. Furthermore, studies investigating neonatal outcomes focus almost exclusively on prematurity, low birth weight, and neonatal mortality [16][17][18].…”

Section: Introductionmentioning

confidence: 99%

Are neonatal morbidities associated with no prenatal care different from those associated with inadequate prenatal care?

Okoroh¹,

Coonrod²,

Chapple³

et al. 2012

OJOG

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Objective: Compare neonatal morbidities in women with no prenatal care, and women with inadequate prenatal care, to those with adequate prenatal care. Methods: Retrospective cohort study of neonatal morbidities of 3 exposure groups. Group 1: No prenatal care; Group 2: Inadequate prenatal care; Group 3: Intermediate/adequate prenatal care. Results: 2.5%, 23.3% and 74.1% of subjects (N = 264,138) were in Groups 1, 2 and 3 respectively. Severe neonatal morbidity was more common in Group 1, followed by Group 2, and least common in Group 3. After controlling for gestational age and birth weight, most of these differences were attenuated and not significant except for the following Group 1 vs Group 3 comparisons: meconium aspiration, odds ratio (OR) 2.15 and 95% confidence interval (CI) 1.39 -3.33; suspected sepsis, OR 1.30 and CI 1.13 -1.49; proven viral sepsis, OR 2.23 and CI 1.24 -4.00. Conclusions: Severe neonatal morbidity was most common in those with no prenatal care followed by those with inadequate prenatal care. For most neonatal morbidities, this could largely be explained by gestational age and birth weight differences, but for some neonatal morbidities (meconium aspirations, viral sepsis and dysmorphic features) the impact of no prenatal care persisted after adjustment for these factors.

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Clinical, provider and sociodemographic predictors of late initiation of antenatal care in England and Wales

Cited by 83 publications

References 34 publications

Reasons given by pregnant women for late initiation of antenatal care in the Niger Delta, Nigeria

Reasons given by pregnant women for late initiation of antenatal care in the Niger Delta, Nigeria

Association of preconceptional health care utilization and early initiation of prenatal care

Are neonatal morbidities associated with no prenatal care different from those associated with inadequate prenatal care?

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