Timing of First Antenatal Care Visit and associated Factors among Pregnant Women Attending Anatal Clinics in Halaba Kulito Governmental Health Institutions, 2015

Kondale, Mekdes; Tumebo, Tarekegn; Gultie, Teklemariam; Megersa, Tariku; Yirga, Haregwein; Azimarew, Anteneh; Getahun, Beruk

doi:10.4172/2167-0420.1000308

Cited by 16 publications

(18 citation statements)

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“…This finding is higher than what was found in other studies in sub-Saharan Africa [27][28][29][30] but lower than what is recommended by WHO [3,31]. This divergence could be due to the economic, socio-cultural and timing differences between the studies and among the study population as suggested in other studies [32,33]. The late ANC attendance may prevent women from having the full Fig.…”

Section: Discussioncontrasting

confidence: 58%

Factors associated with the timing of antenatal clinic attendance among first-time mothers in rural southern Ghana

Manyeh

Amu

Williams

et al. 2020

BMC Pregnancy Childbirth

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Background: Pregnancy is an important period to promote healthy behaviors, prevent and identify diseases early and treat them to maximize the health and development of both the woman and her unborn child. A new World Health Organization antenatal care model recommends the initiation of antenatal care visit within the first trimester of gestation. This study sought to examine the timing of initiation of antenatal care among first-time mothers and associated factors in rural Southern Ghana. Methods: Information on gestational age, timing of antenatal care, demographic and socioeconomic status of 1076 first-time mothers who gave birth in 2011 to 2013 in the Dodowa Health and Demographic Surveillance System were included in the study. The time of initiation of antenatal clinic attendance was calculated. The associations between dependent and independent variables were explored using logistic regression at 95% confidence interval in STATA version 14.2. Results: The mean gestational age at which the first-time mothers initiated antenatal care attendance was 3 month. Maternal age, level of education and household socioeconomic status were statistically significantly associated with timing of initiation of antenatal care attendance. Conclusion: Although more than half of the study participants initiated ANC visit in the first trimester of pregnancy, a high proportion also started ANC attendance after the World Health Organization recommended period. Maternal age is significantly associated with timing of initiation of antenatal care visit among first-time mothers; older women were more likely to initiate antenatal care visit in the first trimester of gestation compared to the younger women.

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Section: Discussioncontrasting

confidence: 58%

Factors associated with the timing of antenatal clinic attendance among first-time mothers in rural southern Ghana

Manyeh

Amu

Williams

et al. 2020

BMC Pregnancy Childbirth

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“…This finding is consistent with studies conducted in Halaba Kulito which reported as pregnant mothers who recognize their pregnancy by urine test were more likely to book early ANC as compared to those mothers who approved their pregnancy by missed period. 26 This showed that pregnant women who know pregnancy urine test would also opt for early initiation of ANC at the same time.…”

Section: Discussionmentioning

confidence: 99%

<p>Factors Associated with Timely Antenatal Care Booking Among Pregnant Women in Remote Area of Bule Hora District, Southern Ethiopia</p>

Tufa¹,

Tsegaye²,

Seyoum³

2020

IJWH

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Background: Antenatal care (ANC) is one of the most cost-effective and crucial components of maternal health care services. In developing countries where access to care, empowerment, and decision making power of women is low, ANC service is vital. The time at which first ANC visit was done has the utmost importance to ensure optimal health effects for both women and children. This study aimed to assess the proportion and factors associated with early antenatal care booking among pregnant women who were attending public health institutions in a remote area of Bule Hora district, Southern Ethiopia, from May to July, 2019. Methods: Institutional-based cross-sectional study design was conducted at Bule Hora district public health facilities. Data were collected on systematically selected 377 pregnant women from 1st May to 30th July 2019. The sample size was determined by single population proportion formula and data were collected by using a standardized and pretested questionnaire and entered into Epidata 3.1 version, and then exported to Statistical Package for Social Science (SPSS) version 25 for analysis. The strength of association was measured by odds ratios with 95% confidence interval (CI) at a p-value of <0.05 and finally obtained results were presented by using simple frequency tables, bar graph, and texts. Results: The proportion of early antenatal care booking among pregnant women attending antenatal care in the study area was 57.8%. Factors contributing to early antenatal care booking were husband's education (Adjusted odds ratio (AOR), 2.5; 95% CI: 1.2, 4.9), knowledge on antenatal care service (AOR,1.99; 95% CI:1.2,3.3), means of approving current pregnancy (AOR,1.8; 95% CI:1.1,2.8), and being advised before starting antenatal care visit (AOR,2.1; 95% CI:1.2,3.6). Conclusion: Generally, the timely initiation of ANC among pregnant mothers is not ideal. Modifiable factors like husband's education, knowledge on antenatal care service, means of recognizing current pregnancy, and access to pre-ANC advice were found determinants for the timely initiation of ANC. Thus, it is advisable to provide proper information about antenatal care services by health care providers and enhancement of health extension program to increase community awareness before and during pregnancy at all levels of health care provision is very important.

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“…Of the total included studies, 13 studies were crosssectional [12,29,[34][35][36][37][38][39][40][41][42][43][44] and only one study was a casecontrol study design [45]. They had an overall of sample size 6390 pregnant women in Ethiopia, and the study sample sizes ranged from 256 to 997 participants.…”

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

Association between pregnancy intention and late initiation of antenatal care among pregnant women in Ethiopia: a systematic review and meta-analysis

et al. 2020

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Background: Antenatal care is one of the continua of reproductive health care, and inadequate antenatal care utilization results in an adverse feto-maternal outcome. Pregnancy intention is an essential factor that plays a paramount role on timing of antenatal care service. The finding of a few studies conducted on the association between pregnancy intention and late initiation of ANC among pregnant women in Ethiopia presented inconclusive. Therefore, the objective of this systematic review and meta-analysis was to determine the pooled estimate of the association between pregnancy intention and late initiation of ANC among pregnant women in Ethiopia. Methods: Both published and unpublished studies were accessed through electronic search from databases such as MEDLINE, Scopes, PubMed, CINAHL, PopLine, MedNar, Cochrane library, the JBI Library, the Web of Science, and Google Scholar. All observational studies that were conducted on the association between pregnancy intention and late initiation of ANC among pregnant women in Ethiopia were included. STATA 14.1 version was used for data analysis. A random effects model was used to estimate the pooled estimate with a 95% confidence interval (CI). The Cochrane Q test statistic and I 2 tests were used to assess heterogeneity. Presence of publication bias was checked by funnel plots and Egger's statistical tests. Results: A total of 670 published and unpublished studies were identified from several databases and fourteen studies fulfilled inclusion criteria and included in the meta-analysis. The overall pooled estimate indicates the odds of late initiation of antenatal care were 2.16 times higher among pregnant women who had unintended pregnancy as compared to pregnant women who had intended pregnancy (OR 2.16, 95% CI 1.62, 2.88). Conclusion: The systematic review and meta-analysis found a statistically significant effect of pregnancy intention on late initiation of antenatal care among pregnant women in Ethiopia. Increased effort should be made to improve women's behavior towards contraceptive use through health education and counseling, especially those with unintended pregnancies. Furthermore, health education, counseling, and communication campaigns related to the timing of ANC and frequency should be promoted nationally.

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Timing of First Antenatal Care Visit and associated Factors among Pregnant Women Attending Anatal Clinics in Halaba Kulito Governmental Health Institutions, 2015

Cited by 16 publications

References 1 publication

Factors associated with the timing of antenatal clinic attendance among first-time mothers in rural southern Ghana

Factors associated with the timing of antenatal clinic attendance among first-time mothers in rural southern Ghana

<p>Factors Associated with Timely Antenatal Care Booking Among Pregnant Women in Remote Area of Bule Hora District, Southern Ethiopia</p>

Association between pregnancy intention and late initiation of antenatal care among pregnant women in Ethiopia: a systematic review and meta-analysis

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