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      Timing and factors associated with first antenatal care booking among pregnant mothers in Gondar Town; North West Ethiopia

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          Abstract

          Background

          Antenatal care service which is among strategies to maintain maternal and fetal wellbeing is strongly recommended to be initiated early during pregnancy. To developing world where there is uncommon practice of pre-pregnancy care and support, timely commencement is crucial in getting potential benefits from some of the elements of the care. Therefore, we sought to assess timing and factors associated with the first antenatal care booking among pregnant mothers attending antenatal care clinics in Gondar town health facilities; North West Ethiopia.

          Methods

          Health institution based cross-sectional study was conducted among pregnant mothers from April to June 2012 in Gondar town. A total of 407 pregnant mothers were interviewed at exit from antenatal clinic by using structured and pre-tested questionnaire. Bivariate and multivariate data analysis was performed using SPSS for Windows version 16.0.

          Result

          The study indicated that 35.4% of mothers started antenatal care timely (in the first trimester of pregnancy). The mean time was 4.5 months (17.7 weeks) of pregnancy. Multivariate logistic regression analysis showed that: [(AOR (95% CI)) maternal age ≤ 25 (1.85 (1.10, 3.09)), age at marriage ≥20 years (2.21 (1.33, 3.68)), pregnancy recognition by urine test (2.29 (1.42, 3.71)), mothers who perceived the right time to start antenatal care within first trimester (3.93 (2.29, 6.75)) and having decision power to use antenatal care (2.43 (1.18, 4.99))] were significantly associated with timely commencement to antenatal care.

          Conclusion

          Timely entry to antenatal care was low in the study area. In order to improve the situation, it is important to provide community based information, education and communication on antenatal care and its right time of commencement. In addition, empowering women and implementing the proclamation designed for the age at marriage is mandatory up to the local level.

          Electronic supplementary material

          The online version of this article (doi:10.1186/1471-2393-14-287) contains supplementary material, which is available to authorized users.

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          Most cited references21

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          Folic acid supplements in pregnancy and severe language delay in children.

          Christine Garcia Roth, Per Magnus, Synnve Schjølberg … (2011)
          Prenatal folic acid supplements reduce the risk of neural tube defects and may have beneficial effects on other aspects of neurodevelopment. To examine associations between mothers' use of prenatal folic acid supplements and risk of severe language delay in their children at age 3 years. The prospective observational Norwegian Mother and Child Cohort Study recruited pregnant women between 1999 and December 2008. Data on children born before 2008 whose mothers returned the 3-year follow-up questionnaire by June 16, 2010, were used. Maternal use of folic acid supplements within the interval from 4 weeks before to 8 weeks after conception was the exposure. Relative risks were approximated by estimating odds ratios (ORs) with 95% CIs in a logistic regression analysis. Children's language competency at age 3 years measured by maternal report on a 6-point ordinal language grammar scale. Children with minimal expressive language (only 1-word or unintelligible utterances) were rated as having severe language delay. Among 38,954 children, 204 (0.5%) had severe language delay. Children whose mothers took no dietary supplements in the specified exposure interval were the reference group (n = 9052 [24.0%], with severe language delay in 81 children [0.9%]). Adjusted ORs for 3 patterns of exposure to maternal dietary supplements were (1) other supplements, but no folic acid (n = 2480 [6.6%], with severe language delay in 22 children [0.9%]; OR, 1.04; 95% CI, 0.62-1.74); (2) folic acid only (n = 7127 [18.9%], with severe language delay in 28 children [0.4%]; OR, 0.55; 95% CI, 0.35-0.86); and (3) folic acid in combination with other supplements (n = 19,005 [50.5%], with severe language delay in 73 children [0.4%]; OR, 0.55; 95% CI, 0.39-0.78). Among this Norwegian cohort of mothers and children, maternal use of folic acid supplements in early pregnancy was associated with a reduced risk of severe language delay in children at age 3 years.
          Article 0 comments Cited 78 times – based on 0 reviews     Review now
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            Reasons given by pregnant women for late initiation of antenatal care in the niger delta, Nigeria.

            E P Ndidi, Gabriel O Igberase, P Ebeigbe … (2010)
            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. To determine the reasons for late booking among women presenting at the antenatal clinic of a major tertiary hospital in the Niger Delta, Nigeria A cross sectional questionnaire based survey. A large tertiary hospital in the Niger delta, Nigeria Pregnant women registering for antenatal care after 14 weeks gestation. 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. 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.
            Article 0 comments Cited 44 times – based on 0 reviews     Review now
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              Trends in maternal mortality 1990 to 2010

              TW Bank, W Bank (2012)
              Article 0 comments Cited 28 times – based on 0 reviews     Review now
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                Author and article information

                Contributors
                Temesgen Worku Gudayu: teme.worku@gmail.com
                Solomon Meseret Woldeyohannes: messisol@yahoo.com
                Abdella Amano Abdo: a2ay.oro@gmail.com
                Journal
                Journal ID (nlm-ta): BMC Pregnancy Childbirth
                Journal ID (iso-abbrev): BMC Pregnancy Childbirth
                Title: BMC Pregnancy and Childbirth
                Publisher: BioMed Central (London )
                ISSN (Electronic): 1471-2393
                Publication date (Electronic): 25 August 2014
                Publication date PMC-release: 25 August 2014
                Publication date Collection: 2014
                Volume: 14
                Issue: 1
                Electronic Location Identifier: 287
                Affiliations
                [ ]Department of Midwifery, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia
                [ ]Department of Epidemiology and Biostatistics, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia
                Article
                Publisher ID: 1160
                DOI: 10.1186/1471-2393-14-287
                PMC ID: 4152591
                PubMed ID: 25154737
                SO-VID: 8e3e460e-f9ef-4a83-82f7-40c9bf2aefb2
                Copyright © © Gudayu et al.; licensee BioMed Central Ltd. 2014
                License:

                This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/2.0) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited.

                History
                Date received : 7 February 2013
                Date accepted : 12 August 2014
                Categories
                Subject: Research Article
                Custom metadata
                issue-copyright-statement © The Author(s) 2014

                ScienceOpen disciplines: Obstetrics & Gynecology
                Keywords: timing at first antenatal care booking,gondar town
                Data availability:
                ScienceOpen disciplines: Obstetrics & Gynecology
                Keywords: timing at first antenatal care booking, gondar town

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