Proportion and Factors Associated with late Antenatal Care Booking among Pregnant Mothers in Gondar Town, North West Ethiopia

Temesgen W Gudayu

Abstract

The proportion of pregnant women initiating prenatal care during first trimester pregnancy is one of the standard clinical performance measures to assess the quality of maternal health care. Aiming to assess the proportion and factors associated with late booking at antenatal care, this health-institution based cross-sectional study was conducted from April to June 2012 among 390 pregnant mothers in Gondar town. The proportion of late entry to antenatal care was 64.9% with the mean time being 4.5 ± 1.8 months of pregnancy. Multiple logistic regression analysis showed that respondents who didn’t get information on correct time of booking, perceived the right time of booking beyond 12 weeks of pregnancy, were not autonomous to use antenatal care and recognized their pregnancy by missing periods were more likely to book late. Late booking was high in the study area. Empowering women and providing information, education and communication with emphasis on timely booking is important. (Afr J Reprod Health 2015; 19[2]: 94-100).

Full Text:

Untitled PDF

References

WHO, Unicef, UNFPA, The World Bank e. Trends in

maternal Mortality: 1990 to 2010; 2012.

Central Statistical Agency: ICF International. Ethiopia

Demographic and Health Survey. Addis Ababa,

Ethiopia, Calverton, Maryland, USA; 2012.

Campbell OM, Graham WJ. Strategies for reducing

maternal mortality: getting on with what works.

Lancet. 2006;368:1284-99.

Shelah S Bloom, Theo Lippeveld A, Wypij D. Does

Antenatal care make a difference to safe delivery? A

study in urban Uttar Pradesh, India Health policy

and planning. 1999;14(1):38-48.

WHO, UNDP, UNFPA, World Bank. Antenatal care

randomized trial: Manual for the implementation of

the new model. Geneva; 2002.

National Institute for Health and Clinical Excellence.

Antenatal care: routine care for the healthy pregnant

women. London; 2008.

WHO, UNAIDS, Unicef. Towards Universal Access:

scaling up priority HIV/AIDS interventions in the

health sector progress report 2010. Geneva; 2010.

Allen D, Ammann A, Bailey H, al e. Revised

Recommendation for HIV screening of pregnant

women: prenatal counseling and guidelines for

consultation. Atlanta, Georgia; 2001.

Irene M., Jenny H. Chang and adaptation in pregnancy. In:

Diane M. and Margaret A. (eds). Mayles text book

for Midwives. Churchill Livingstone: Elsevier,

:210.

Denise L.F. Furness, Nooraishah Yasin, Gustaaf A.

Dekker, Thompson SD, Roberts CT. Maternal red

blood cell folate concentration at 10-12 weeks

gestation and pregnancy outcome. The Journal of

Maternal-Fetal and Neonatal Medicine. 2011;24(6).

Scholl TO. Maternal iron status: relation to fetal growth,

length of gestation, and iron endowment of the

neonate. International Life Sciences Institute,

Nutrition Reviews. 2011;69(1):23-9.

Roth C, Magnus P, Schjølberg S, et al. Folic acid

supplements in pregnancy and severe language

delay in children. JAMA. 2011 Oct 12,

(14):1566-73.

Adekanle DA, Isawumi AI. Late Antenatal Care Booking

and Its Predictors among Pregnant Women In South

Western Nigeria. Online J Health Allied Scs.

;7(1):4

Fawole AO, Okunlola MA, Adekunle A. Clients'

perceptions of the quality of antenatal care. Journal

of the National Medical Association.

;100(9):1052-8.

Ndidi EP, Oseremen IG. Reasons given by pregnant

women for late initiation of antenatal care in the

niger delta, Nigeria. Ghana Med J. 2010;44(2):47-

Gross K, Alba S, Glass TR, and JAS, Obrist B. Timing

of antenatal care for adolescent and adult pregnant

women in south-eastern Tanzania. BMC Pregnancy

and Childbirth. 2012; 12(16).

FDRE, Census Commission: Summary and statistical

report of the 2007 Population and Housing census.

Addis Ababa; 2008.

Alemayehu Tariku, Yilma Melkamu, Zewditu Kebede,

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; Ethiop. J. Health

Dev. 2010; 24(3):226-233

Gondar Town Health Bureau. Gondar Town Health

Bureau Annual plan Achievement Report. Gondar,

Ethiopia; 2010/11.

Okunlola MA, Ayinde OA, Owonikoko KM,

Omigbodun AO. Factors influencing gestational age

at antenatal booking at the University College

Hospital, Ibadan, Nigeria. J Obstet Gynaecol.

;26:195-7.

Gross K, Alba S, Glass TR, and JAS, Obrist B.

Timing of antenatal care for adolescent and adult

pregnant women in south-eastern Tanzania. BMC

Pregnancy and Childbirth. 2012; 12(16).

Refbacks

  • There are currently no refbacks.