Belayneh Tadesse, Adefris Mulat, Andargie Gashaw
Department of Medical Anesthesiology, College of Medicine and Health Sciences, University of Gondar, Kebele 16, P.O. Box 196, Gondar, Ethiopia.
Department of Gynecology and Obstetrics, College of Medicine and Health Sciences, University of Gondar, P.O. Box 196, Gondar, Ethiopia.
J Pregnancy. 2014;2014:132494. doi: 10.1155/2014/132494. Epub 2014 Jul 1.
Early booking of antenatal care (ANC) is regarded as a cornerstone of maternal and neonatal health care. However, existing evidence from developing countries indicate that lots of pregnant woman begin ANC booking lately. Objective. It was aimed to assess timing of ANC booking and associated factors among pregnant women attending ANC clinic at University of Gondar Hospital, 2013.
An institution based cross-sectional study design was used to collect data with a face-to-face interview technique. Bivariate and multivariate analysis was used to identify associated factors for early ANC visit using SPSS version 20.
From total women (N = 369) interviewed, 47.4% were timely booked. Mothers with younger age (AOR = 3.83, 95% CI: 1.89, 10.53), formal education (AOR = 1.06, 95% CI: 1.03, -7.61), previous early ANC visit (AOR = 2.39, 95% CI: 2.23, 9.86), and perceived ANC visit per pregnancy of four and greater were significantly associated with early ANC visit.
Although late booking is a problem in this study, previous early utilization of ANC visit favors current timely booking. This indicates that the importance of early booking was appropriately addressed from previous visits. Counseling of timely booking during ANC visit should be strengthened. Moreover, empowering through education is also recommended.
产前保健（ANC）的早期预约被视为孕产妇和新生儿保健的基石。然而，来自发展中国家的现有证据表明，许多孕妇开始产前保健预约的时间较晚。目的：旨在评估2013年在贡德尔大学医院产前保健诊所就诊的孕妇的产前保健预约时间及其相关因素。
采用基于机构的横断面研究设计，通过面对面访谈技术收集数据。使用SPSS 20版进行双变量和多变量分析，以确定早期产前保健就诊的相关因素。
在接受访谈的全部女性（N = 369）中，47.4%的人预约及时。年龄较小的母亲（调整后比值比[AOR]=3.83，95%置信区间[CI]：1.89，10.53）、接受过正规教育（AOR = 1.06，95% CI：1.03，-7.61）、之前有过早期产前保健就诊经历（AOR = 2.39，95% CI：2.23，9.86）以及认为每次怀孕产前保健就诊次数为4次及以上的孕妇与早期产前保健就诊显著相关。
尽管在本研究中预约较晚是个问题，但之前早期利用产前保健就诊有利于当前的及时预约。这表明早期预约的重要性在之前的就诊中已得到适当解决。应加强产前保健就诊期间关于及时预约的咨询。此外，还建议通过教育增强能力。
