Prenatal care and pregnancy outcomes: A cross‐sectional study in Luanda, Angola

Nimi, Tazi; Fraga, Sílvia; Costa, Diogo; Campos, Pablo; Barros, Henrique

doi:10.1016/j.ijgo.2016.08.013

Cited by 31 publications

(32 citation statements)

References 19 publications

(23 reference statements)

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“…Though LBW contributes to 60%to 80% of all neonatal deaths [ 3 , 12 ]; In this study about 7.8% (95%CI = 6.0–9.7% pregnant women gave low birth weight baby. This finding is consistent with other study findings in Ethiopia, 9%in urban population and 11% in the general population [ 2 ], in Ghana (6.1%) [ 13 ], in Colombia (8.7%) [ 14 ], in Mexico (8%) [ 15 ] but is lower than study findings in Angola and (25.9%) [ 16 ], in India (26.8%) [ 17 ].…”

Section: Discussionsupporting

confidence: 92%

Providers adherence to essential contents of antenatal care services increases birth weight in Bahir Dar City Administration, north West Ethiopia: a prospective follow up study

2018

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BackgroundLow birth weight (LBW) is one of the most important factors affecting child morbidity and mortality worldwide. Antenatal care (ANC) is an opportunity for reaching pregnant women with a number of interventions that may be vital to their health and well-being of their infants. However, data on the link between ANC quality and LBW remain limited especially in developing countries. Therefore, this study was aimed at investigating the effect of ANC service quality on birth weight among pregnant women attending ANC at public health facilities of Bahir Dar City Administration, Bahir Dar, Ethiopia using provision of essential services by providers as proxy for quality of care.MethodsNine hundred seventy pregnant women with gestational age ≤ 16 weeks who came for their first ANC visit and selected by systematic sampling were enrolled and followed until delivery. Longitudinal data was collected during consultation with ANC providers using structured observation checklist. Women who gave birth at home and those who deliver a premature or still birth baby were excluded as data on birth weight could not be obtained for home deliveries and as the birth weight of the baby might be affected due to prematurity and still birth. Completed data were obtained from 718 women (since the rest women gave birth at home, we could not obtain birth weight data and we exclude them from analysis). The overall ANC service was considered as acceptable quality if women received ≥75th percentile of the essential ANC services. Generalized Estimating Equation was carried out to identify predictors of birth weight by controlling the cluster effect among women who received ANC services in the same facility.ResultsThe prevalence of low birth weight (< 2500 g) was 7.8% (95%CI = 6.0%, 9.7%) with 1.4% versus 10.5% among those who received acceptable and not acceptable quality ANC services respectively, P-value< 0.001. Maternal nutritional advice, iron-folic acid supplementation, tetanus toxoid vaccination, maternal educational status, parity and age were determinants for birth weight.Conclusion and recommendationThe study showed that access to quality ANC services led to good birth weight outcome. Strengthening adherence of providers to essential components of antenatal care through regular monitoring and need based capacity building is very important for reducing the risk of low birth weight.

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Section: Discussionsupporting

confidence: 92%

Providers adherence to essential contents of antenatal care services increases birth weight in Bahir Dar City Administration, north West Ethiopia: a prospective follow up study

2018

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“…One way of assessing the quality of ANC is to estimate the proportion of pregnant women initiating ANC during the first trimester of pregnancy. 3 Overall, 9.1% (42/462) of the women had initiated ANC in the first trimester of pregnancy (table 1), without difference based on rural or urban residence. In 2009, WHO recommended a minimum of four ANC visits and, in 2017, updated to a minimum of eight contacts to reduce perinatal mortality and improve women's experience of care.…”

Section: Hiv Hbv and Syphilis Screening In Antenatal Care In Lubangomentioning

confidence: 95%

“…There are only a few reports about ANC in Angola. [3][4][5] To our knowledge, this is the first one about ANC infection screening. We characterised ANC screening rates for HIV, HBV and syphilis among 500 parturient women admitted between October 2016 to September 2017 to the Irene Neto Maternity service in Lubango, Huíla, the second most populous province of Angola (Oliveira et al, 2020, accepted to Sex Transm Infect).…”

Section: Hiv Hbv and Syphilis Screening In Antenatal Care In Lubangomentioning

confidence: 99%

HIV, HBV and syphilis screening in antenatal care in Lubango, Angola

et al. 2020

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“…ANC promotes the health of pregnant women and has been found to reduce the risk of adverse pregnancy outcomes, perinatal and infant mortality and morbidity 9–12. It also encourages skilled birth attendance for delivery and postnatal care as women who attend ANC are more likely to use these services than the non-attenders 13–18.…”

Section: Introductionmentioning

confidence: 99%

Determinants of antenatal care utilisation in sub-Saharan Africa: a systematic review

et al. 2019

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ObjectivesTo identify the determinants of antenatal care (ANC) utilisation in sub-Saharan Africa.DesignSystematic review.Data sourcesDatabases searched were PubMed, OVID, EMBASE, CINAHL and Web of Science.Eligibility criteriaPrimary studies reporting on determinants of ANC utilisation following multivariate analysis, conducted in sub-Saharan Africa and published in English language between 2008 and 2018.Data extraction and synthesisA data extraction form was used to extract the following information: name of first author, year of publication, study location, study design, study subjects, sample size and determinants. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses checklist for reporting a systematic review or meta-analysis protocol was used to guide the screening and eligibility of the studies. The Quality Assessment Tool for Observational Cohort and Cross-Sectional Studies was used to assess the quality of the studies while the Andersen framework was used to report findings.Results74 studies that met the inclusion criteria were fully assessed. Most studies identified socioeconomic status, urban residence, older/increasing age, low parity, being educated and having an educated partner, being employed, being married and Christian religion as predictors of ANC attendance and timeliness. Awareness of danger signs, timing and adequate number of antenatal visits, exposure to mass media and good attitude towards ANC utilisation made attendance and initiation of ANC in first trimester more likely. Having an unplanned pregnancy, previous pregnancy complications, poor autonomy, lack of husband’s support, increased distance to health facility, not having health insurance and high cost of services negatively impacted the overall uptake, timing and frequency of antenatal visits.ConclusionA variety of predisposing, enabling and need factors affect ANC utilisation in sub-Saharan Africa. Intersectoral collaboration to promote female education and empowerment, improve geographical access and strengthened implementation of ANC policies with active community participation are recommended.

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Prenatal care and pregnancy outcomes: A cross‐sectional study in Luanda, Angola

Abstract: Early entrance into prenatal care and the recommended number of visits are major determinants of mode of delivery and pregnancy outcomes, constituting targets to improve perinatal health.

Cited by 31 publications

References 19 publications

Providers adherence to essential contents of antenatal care services increases birth weight in Bahir Dar City Administration, north West Ethiopia: a prospective follow up study

Providers adherence to essential contents of antenatal care services increases birth weight in Bahir Dar City Administration, north West Ethiopia: a prospective follow up study

HIV, HBV and syphilis screening in antenatal care in Lubango, Angola

Determinants of antenatal care utilisation in sub-Saharan Africa: a systematic review

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