Article

Proximate predictors of early antenatal registration among Nigerian pregnant women

Department of Obstetrics and Gynaecology, Medical Statistics and Environmental Health, University College Hospital, PMB 5116, Ibadan, Nigeria.
Annals of African medicine 01/2010; 9(4):222-5. DOI: 10.4103/1596-3519.70959
Source: PubMed

ABSTRACT Provision of antenatal care (ANC) is included in the pillars of maternal health care promoted as effective answers to maternal mortality. Early antenatal registration has been linked with optimal utilization and appreciable reduction of perinatal morbidity and mortality. This study aimed to determine the profile and possible predictors of pregnant women who presented early for antenatal registration.
A cross-sectional study was conducted among 796 women presented for antenatal registration at a tertiary hospital. Information was obtained by a self-administered open- and closed-ended questionnaire and analyzed with Statistical Package of Social Science (SPSS) 12.0 software.
The mean gestational age at booking was 20 weeks. Univariate analysis showed that first trimester booking was significantly with more educated women, professionals, women of lower parity and those who have had previous stillbirths (P < 0.05). Low parity (OR 1.76, 95% CI 2.79-1.11) and previous stillbirth (OR 2.97, 95% CI 1.61-5.51) were significant predictors of early booking on multivariate analysis.
Long-term advocacy and investment in female education will contribute significantly to primary prevention of late or non-attendance of ANC. Pre-conception clinics and community awareness campaigns would be necessary tools to reach these women and encourage them to register early when pregnant.

Download full-text

Full-text

Available from: Imran O Morhason-Bello, Jul 25, 2015
1 Follower
 · 
558 Views
  • Source
    • "Women less than 30 years old were more likely to book for ANC earlier than older women. This finding was similar to those of studies done in Addis Ababa (Ethiopia), Nigeria, Kenya, and India [6] [16] [23] [24]. This might be because young women at their first pregnancy are more careful about their pregnancy and therefore require institutional care more than older women. "
    [Show abstract] [Hide abstract]
    ABSTRACT: Background. Early booking of antenatal care (ANC) is regarded as a cornerstone of maternal and neonatal health care. However, existing evidence from developing countries indicate that lots of pregnant woman begin ANC booking lately. Objective. It was aimed to assess timing of ANC booking and associated factors among pregnant women attending ANC clinic at University of Gondar Hospital, 2013. Methods. An institution based cross-sectional study design was used to collect data with a face-to-face interview technique. Bivariate and multivariate analysis was used to identify associated factors for early ANC visit using SPSS version 20. Results. From total women (N = 369) interviewed, 47.4% were timely booked. Mothers with younger age (AOR = 3.83, 95% CI: 1.89, 10.53), formal education (AOR = 1.06, 95% CI: 1.03, -7.61), previous early ANC visit (AOR = 2.39, 95% CI: 2.23, 9.86), and perceived ANC visit per pregnancy of four and greater were significantly associated with early ANC visit. Conclusions. Although late booking is a problem in this study, previous early utilization of ANC visit favors current timely booking. This indicates that the importance of early booking was appropriately addressed from previous visits. Counseling of timely booking during ANC visit should be strengthened. Moreover, empowering through education is also recommended.
    Journal of pregnancy 07/2014; 2014:132494. DOI:10.1155/2014/132494
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Objective: To determine the knowledge and utilization of malaria preventive measures as well as barriers to the utilization of these measures by pregnant women. Materials and Methods: The study was a prospective cross-sectional survey involving pregnant women at the booking clinic of the University of Abuja Teaching Hospital between May and August 2010. Close-ended pre-tested structured questionnaires were administered by interviewer method to 403 consecutive consenting women. Results: The knowledge of malaria and its preventive measures in pregnancy was 71.5%. There was a statistically significant association between knowledge of malaria and educational status (X2 = 16.053, P = 0.035). Intermittent preventive treatment was used by 15.9% of the respondents. Insecticide-treated net ownership was 42.6%; however, its use declined from 28.5% before pregnancy to 24.6% during pregnancy. Conclusion: There is adequate knowledge about malaria and its preventive measures in pregnancy, but the utilization of these measures is poor. There is need for concerted efforts at addressing the barriers to utilization of these effective interventions.
    Nigerian journal of clinical practice 04/2013; 16(2):201-6. DOI:10.4103/1119-3077.110162
  • [Show abstract] [Hide abstract]
    ABSTRACT: Optimal maternal and neonatal health requires the expertise of maternity-care providers who base their decisions on solid research. Optimal care, however, also requires active patient participation, which is best accomplished through advocacy organisations that represent the perspective of diverse patient populations. Patients who come together under the auspices of a patient advocacy organisation, sometimes called consumer groups, can have a unique and powerful voice to advance the goals (or overcome the inertia) of the healthcare system. For pre-eclampsia, a condition that still carries the burden of no cure and seriously adverse or deadly outcomes, all three components - care providers, researchers and patients - are required to realise progress. In this chapter, we briefly describe the effect of pre-eclampsia on women, discuss the role of patient advocacy organisations, and propose a six-point call to action that can serve as a compass for patients to collaborate with practitioners, investigators, funders, non-governmental organisations, and policy makers on a set of articulated and comprehensive goals.
    Best practice & research. Clinical obstetrics & gynaecology 05/2011; 25(4):523-36. DOI:10.1016/j.bpobgyn.2011.03.001
Show more