Centre for the Development of Best Practices in Health, Avenue Henri Dunant-Messa, PO BOX 87, Yaoundé, Cameroon.
Matern Child Health J. 2011 Nov;15(8):1427-34. doi: 10.1007/s10995-010-0707-3.
A combined measure of optimal antenatal care can provide more information on the role it plays in maternal health. Our objectives were to investigate the determinants of a measure of optimal antenatal care and the associated pregnancy outcomes. Data on 7,557 women taken from the 2004 Demographic and Health Survey in Cameroon were used to develop a new measurement of optimal antenatal care based on four indicators: at least four visits, first visit in first trimester, last visit in third trimester and a professional provider of antenatal care. We studied the relationship of this new variable with other related variables in a multivariate analysis, taking into account the complex study design. Almost sixty six percent of the women had optimal antenatal care. Secondary or higher education (OR 1.74; 95% CI 1.28-2.36), greater wealth (OR 2.31; 95% CI 1.73-3.1), urban residence (OR 1.42; 95% CI 1.12-1.82) and parity of 3-4 (OR 0.79; 95% CI 0.62-0.99) were independently associated with optimal antenatal care. Women with optimal antenatal care were more likely to deliver in a health unit (OR 2.91; 95% CI 2.42-3.49), to be assisted by a skilled health worker during delivery (OR 1.88; 95% CI 1.49-2.37) and to have a baby with a normal birthweight (OR 1.62; 95% CI 1.11-2.38). Obtaining and using a new measure for ANC is feasible. The association of optimal antenatal care to education, wealth and residence in this study, consistent with others, highlights the role of the country's development in maternal health.
一种综合的产前护理最佳措施可以提供更多关于其在产妇健康中所扮演角色的信息。我们的目标是研究产前护理最佳措施的决定因素及其相关的妊娠结局。本研究使用了 2004 年喀麦隆人口与健康调查中 7557 名妇女的数据，基于四个指标制定了一种新的产前护理最佳措施测量方法：至少进行四次产检、首次产检在妊娠早期、最后一次产检在妊娠晚期和由专业人员提供产前护理。我们在多变量分析中研究了这种新变量与其他相关变量的关系，同时考虑到复杂的研究设计。近 66%的妇女接受了最佳产前护理。中等或高等教育（OR 1.74；95%CI 1.28-2.36）、较高的财富（OR 2.31；95%CI 1.73-3.1）、城市居住（OR 1.42；95%CI 1.12-1.82）和产次为 3-4（OR 0.79；95%CI 0.62-0.99）与最佳产前护理独立相关。接受最佳产前护理的妇女更有可能在医疗机构分娩（OR 2.91；95%CI 2.42-3.49），在分娩过程中由熟练的卫生工作者协助（OR 1.88；95%CI 1.49-2.37），并生下正常体重的婴儿（OR 1.62；95%CI 1.11-2.38）。获得和使用新的 ANC 措施是可行的。在这项研究中，产前护理最佳措施与教育、财富和居住地的关联与其他研究一致，突出了国家发展在产妇健康中的作用。
