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 12/2010; 9(4):222-5. DOI: 10.4103/1596-3519.70959
Source: PubMed


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.

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    • "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. "
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    • "Finally, of note, in line with previous studies on early versus late enrollment into antenatal care, we found that a preponderance of the participants in this study registered for antenatal care in their second trimester, while only 12.4% of participants had registered early for antenatal care. This finding is in keeping with various studies from different regions in Nigeria that have reported that most pregnant women registered when their pregnancy was beyond 20 weeks.35–38 "
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