Prevalence and Determinants of Early Antenatal Care Visit among Pregnant Women Attending Antenatal Care in Debre Berhan Health Institutions, Central Ethiopia

Amtatachew M. Zegeye, Bikes D. Bitew, Digsu N. Koye

Abstract

Antenatal care (ANC), which is given to pregnant women, is widely used for prevention, early diagnosis and treatment of general medical and pregnancy-related complications. This study assessed the prevalence of early ANC visit and associated factors among pregnant women attending ANC in Debre Berhan town. An institution based cross-sectional study design was used to collect data from pregnant mothers with a face to face interview technique. Bivariate and multivariate analyses were used to identify associated factors for early ANC visit. A total of 446 pregnant women were included in the study. One hundred seventeen (26.2%) pregnant mothers started their first ANC visit early. The multivariate analysis showed that mothers with no parity before (AOR = 3.65, 95%CI: 2.14, 6.24), had good knowledge on early ANC (AOR = 3.10, 95%CI: 1.80, 5.33) and planned pregnancy (AOR = 1.66, 95%CI: 1.06, 2.61) were significantly associated with early ANC visit. The prevalence of early ANC visit was low. Awareness creation on the importance of early ANC visit needs to be emphasized at the time of service provision as well as at community levels. (Afr J Reprod Health 2013; 17[4]: 130-136).

Full Text:

PDF

References

Beeckman K, Louckx F, Putman K. Predisposing,

enabling and pregnancy-related determinants of late

initiation of prenatal care. Maternal and Child Health

Journal. 2011;15(7):1067-75.

Villar J, Bergsj P. Randomized trial; manual for the

implementation of new model, World Health

Organization. Geneva. 2002.

Barnhart KT, Casanova B, Sammel MD, Timbers K,

Chung K, Kulp JL. Prediction of location of a

symptomatic early gestation based solely on clinical

presentation. Obstetrics and Gynecology.

;112(6):1319-26.

Adekanle D, Isawumi A. Late antenatal care booking and

Its predictors among pregnant women In South

Western Nigeria Online Journal of Health and Allied

Science. 2008;7(1):4.

Delva W, Yard E, Luchters S, Chersich MF, Muigai E,

Oyier V, et al. A Safe Motherhood project in Kenya:

assessment of antenatal attendance, service provision

and implications for PMTCT. Tropical Medicine &

International Health: TM & IH. 2010;15(5):584-91.

CSA, ICFInternational. Ethiopia Demographic and Health

Survey 2011. Addis Ababa, Ethiopia and Calverton,

Maryland, USA: Central Statistical Agency and ICF

International, 2012.

Tariku A, Melkamu Y, Zewuditu K. Previous utilization

of service does not improve timely booking in

antenatal care: cross sectional study on timing of

antenatal care booking at public health facilities in

Addis Ababa. Ethio J Health. 2010;24(3):226-33.

Health Nccfwsacs. Antenatal care, routine care for

pregnant women, clinical guideline. 2009 [cited 2012

/9/2012]; Available from:

http://www.nice.org.uk/nicemedia/live/11947/40145/4

pdf.

Kirk E, Condous G, Bourne T. The non-surgical

management of ectopic pregnancy. Ultrasound in

Obstetrics & Gynecology: The Official Journal of the

International Society of Ultrasound in Obstetrics and

Gynecology. 2006;27(1):91-100.

Oladokun A, Oladokun RE, Morhason-Bello I, Bello AF,

Adedokun B. Proximate predictors of early antenatal

registration among Nigerian pregnant women. Annals

of African Medicine. 2010;9(4):222-5.

Riskin-Mashiah S, Younes G, Damti A, Auslender R.

First-trimester fasting hyperglycemia and adverse

pregnancy outcomes. Diabetes Care.

;32(9):1639-43.

Sheila B. Current challenge in the assessment and

management of patients in early pregnancy.

Emergency Medicine. 2003;15: 219–22.

Watson-Jones D, Gumodoka B, Weiss H, Changalucha J,

Todd J, Mugeye K, et al. Syphilis in pregnancy in

Tanzania. II. The effectiveness of antenatal syphilis

screening and single-dose benzathine penicillin

treatment for the prevention of adverse pregnancy

outcomes. The Journal of Infectious Diseases.

;186(7):948-57.

Fekede B, G/Mariam A. Antenatal care services

utilization and factors associated in Jimma Town

(south west Ethiopia). Ethiopian medical journal.

;45(2):123-33. Epub 2007/07/24.

WHO, UNICEF. Antenatal care in developing

countries:Promises, achievements and missed

opportunities: an analysis of trends, levels and

differentials, 1990-2001. Genevea: WHO, 2003.

Tewodros B, G/Mariam A, Dibaba Y. Factors Affecting

Antenatal Care Utilization In Yem Special Woreda,

Southwestern Ethiopia. Ethiop J Health Sci.

;19(1):45-51.

Zeine A, Mirkuzie W, Shimeles O. Facors influencing

antenatal care service utlization in Hadya zone

Ethiop J Health Sci. 2010;20(2):75-82.

Manithip C, Sihavong A, Edin K, Wahlstrom R, Wessel

H. Factors associated with antenatal care utilization

among rural women in Lao People's Democratic

Republic. Maternal and Child Health Journal.

;15(8):1356-62.

Van Eijk AM, Bles HM, Odhiambo F, Ayisi JG, Blokland

IE, Rosen DH, et al. Use of antenatal services and

delivery care among women in rural western Kenya: a

community based survey. Reproductive Health.

;3:2.

Okunlola MA, Ayinde OA, Owonikoko KM, Omigbodun

AO. Factors influencing gestational age at antenatal

booking at the University College Hospital, Ibadan,

Nigeria. Journal of Obstetrics and Gynaecology: The

Journal of the Institute of Obstetrics and

Gynaecology. 2006;26(3):195-7.

Ebeigbe PN, Ndidi EP, Igberase GO, Oseremen IG.

Reasons given by pregnant women for late initiation

of antenatal care in the niger delta, Nigeria. Ghana

Medical Journal. 2010;44(2):47-51.

Refbacks

  • There are currently no refbacks.