Maternal and Child Health Division, International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), Dhaka, Bangladesh.
Health Department, Enfants du Monde, Geneva, Switzerland.
PLoS One. 2018 Nov 19;13(11):e0205149. doi: 10.1371/journal.pone.0205149. eCollection 2018.
Antenatal care (ANC) has long been considered a critical component of the continuum of care during pregnancy, with the potential to contribute to the survival and thriving of women and newborns. Although ANC utilization has increased in over the past decades, adequate coverage and content of ANC contacts have fallen under increased scrutiny. The objectives of this article are to describe the coverage and content of ANC contacts in the context of rural Bangladesh.
A community-based, cross-sectional household survey was conducted in two sub-districts of Netrokona district, Bangladesh in 2016. A total of 737 women with a recent birth outcome were interviewed. Respondents reported on the ANC contacts and the content of these contacts. Descriptive statistics were used to report coverage and content of ANC contacts stratified by covariates. Chi-square tests were performed to explore whether the estimates are different among different categories and significant differences were reported at p<0.05.
Around 25% of women attended at least four ANC contacts, with only 11% initiating ANC in the first trimester of pregnancy. Blood pressure was measured in almost all of the ANC contacts (92%), and abdominal examination performed in 80% and weight measured in 85% of ANC contacts. Urine tests were conducted in less than half of the ANC contacts, whereas blood screening tests and ultrasound were conducted in 45% contacts. Health care providers counselled women on danger signs in only 66% of the ANC contacts. Overall, the content of facility-based ANC contacts were better than home-based ANC contacts across all components.
Adequate coverage of ANC remains poor in Netrokona, Bangladesh and important gaps remain in the content of ANC contacts when women attend these services.
产前护理（ANC）长期以来一直被视为妊娠连续护理的重要组成部分，有可能促进妇女和新生儿的生存和茁壮成长。尽管在过去几十年中 ANC 的利用率有所增加，但 ANC 接触的充分覆盖和内容受到了更多的关注。本文的目的是描述孟加拉国农村地区 ANC 接触的覆盖范围和内容。
2016 年在孟加拉国诺罗康纳区的两个分区进行了一项基于社区的横断面家庭调查。共采访了 737 名近期分娩的妇女。受访者报告了 ANC 接触次数和这些接触的内容。按协变量分层，使用描述性统计数据报告 ANC 接触的覆盖范围和内容。进行卡方检验，以探讨不同类别中的估计值是否不同，报告 p<0.05 的差异具有统计学意义。
约 25%的妇女至少接受了四次 ANC 接触，仅有 11%的妇女在妊娠早期开始接受 ANC。几乎所有 ANC 接触（92%）都测量了血压，80%的 ANC 接触进行了腹部检查，85%的 ANC 接触测量了体重。不到一半的 ANC 接触进行了尿液检查，而 45%的 ANC 接触进行了血液筛查检查和超声检查。只有 66%的 ANC 接触中卫生保健提供者向妇女提供了危险信号咨询。总体而言，在所有方面，医疗机构提供的 ANC 接触内容都优于家庭 ANC 接触。
孟加拉国诺罗康纳的 ANC 覆盖率仍然很低，而且妇女接受这些服务时，ANC 接触的内容仍然存在重要差距。
