Department of Public Health, Ambo University, Ambo, Oromia, Ethiopia
Department of Midwifery, Arsi University, Assela, Oromia, Ethiopia.
BMJ Open. 2020 Jun 22;10(6):e032960. doi: 10.1136/bmjopen-2019-032960.
This study aimed to assess antenatal care (ANC) booking within the first trimester of pregnancy and its associated factors among urban dwellers of pregnant women in Debre Berhan town, Ethiopia.
Cross-sectional.
Public and private health facilities that provide ANC services in Debre Berhan town.
First ANC booking within the first trimester of pregnancy.
Urban dwellers of pregnant women in Debre Berhan town (n=384).
A total of 387 pregnant women in Debre Berhan town were selected for this study, of which 384 responded giving a response rate of 99.2%. The proportion of pregnant women who had ANC booking within the first trimester of pregnancy was 156 (40.6%; 95% CI: 35.8% to 45.6%). In the multivariable analysis, the odds of first ANC booking within the first trimester was higher among pregnant women who had secondary school (adjusted OR (AOR): 1.84; 95% CI: 1.10 to 3.19) and more than secondary level of education (AOR: 2.26; 95% CI: 1.27 to 4.03) compared with those who had less than a secondary school level of education. Pregnant women who have any ill health with their current pregnancy (AOR: 1.99; 95% CI: 1.21 to 3.27) were more likely to start booking within the first trimester than their counterparts. The odds of ANC booking within the first trimester was threefold higher among women with knowledge of ANC (AOR: 3.05; 95% CI: 1.52 to 6.11) compared with their counterparts.
First ANC booking within the first trimester was found to be low among urban dwellers of Debre Berhan town. Secondary school and more educational level, having ill health during early pregnancy and women's knowledge about ANC services were statistically associated with ANC booking within the first trimester of pregnancy. Therefore, improving ANC booking according to the WHO recommendation requires due attention. Further qualitative research exploring why early ANC booking remains low among urban dwellers is important to design intervention modalities.
本研究旨在评估埃塞俄比亚德布雷贝汉镇城市居民孕妇在孕早期接受产前保健（ANC）预约的情况及其相关因素。
横断面研究。
在德布雷贝汉镇提供 ANC 服务的公立和私立卫生机构。
孕早期首次 ANC 预约。
德布雷贝汉镇城市居民孕妇（n=384）。
本研究共选择了德布雷贝汉镇的 387 名孕妇，其中 384 名孕妇做出回应，回应率为 99.2%。在孕早期进行 ANC 预约的孕妇比例为 156 人（40.6%；95%CI：35.8%至 45.6%）。在多变量分析中，与中学以下学历的孕妇相比，具有中学（调整后的优势比（AOR）：1.84；95%CI：1.10 至 3.19）和中学以上学历的孕妇（AOR：2.26；95%CI：1.27 至 4.03）更有可能在孕早期首次预约 ANC。与没有中学以下学历的孕妇相比，目前怀孕时患有任何疾病的孕妇（AOR：1.99；95%CI：1.21 至 3.27）更有可能在孕早期开始预约。与对照组相比，具有 ANC 知识的妇女在孕早期进行 ANC 预约的几率高出三倍（AOR：3.05；95%CI：1.52 至 6.11）。
在德布雷贝汉镇城市居民中，孕早期首次 ANC 预约的比例较低。中学及以上学历、早孕期间患病以及妇女对 ANC 服务的了解与孕早期 ANC 预约呈统计学相关。因此，根据世卫组织的建议提高 ANC 预约率需要引起足够的重视。进一步开展探索为何城市居民孕早期 ANC 预约率仍然较低的定性研究，对于设计干预模式很重要。
