Oromia, TVET Commission, Mettu Health Science College, Mettu, Ethiopia.
Faculty of Public Health and Medical Sciences, Mettu University, Mettu, Ethiopia.
PLoS One. 2021 Jan 29;16(1):e0246230. doi: 10.1371/journal.pone.0246230. eCollection 2021.
Timely entries to antenatal care have various benefits for pregnant women and birth outcomes. The aim of antenatal care is to assure that every pregnancy culminates in the delivery of a healthy baby without negative effects on the health of pregnant women through health promotion and disease prevention, early detection, and treatment of complications and existing diseases. Hence, this study assessed the late initiation of antenatal care and associated factors among pregnant women attending antenatal clinics at public health centers of Ilu Ababor Zone, southwest Ethiopia. An Institution-based cross-sectional study was carried out among 389 pregnant women who were attending antenatal care service at twelve randomly selected health centers. A systematic sampling technique was employed to recruit pregnant women. Pretested and structured questionnaires were used to collect data. Data were entered into Epidata and exported to SPSS for analysis. Those women who started antenatal care follow up after 12 weeks of gestational age were categorized as booked lately. Bivariable and multivariable logistic regression was employed to identify an association between the independent predictors and the outcome variable. In this study, 277 (71.2%) of the participants were booked their first antenatal care visit lately. Having family size of ≥ 4 (AOR: 2.25; 95% CI: 1.07-4.74), maternal age ≥ 25 years (AOR: 2.30; 95%CI: 1.02-5.18) and perceived the right time of booking > 12 weeks of gestation (AOR: 2.39; 95% CI: 1.13-5.04) had higher odds of late antenatal care initiation. Similarly, not being a member of women's health developmental army (AOR: 2.35; 95%CI: 1.09-5.07) and ANC not attended previously (AOR: 3.32; 95% CI: 1.17-9.42) had also a more likelihood of booking antenatal care lately. In this study, the majority of women started antenatal care lately. Thus, the provision of health education on the importance of attending first antenatal care early is recommended.
及时进行产前保健对孕妇和分娩结果有各种好处。产前保健的目的是确保每一次怀孕都能顺利分娩出健康的婴儿，同时通过促进健康和预防疾病、早期发现和治疗并发症以及现有疾病，确保孕妇的健康不受影响。因此，本研究评估了在埃塞俄比亚西南部伊卢阿巴博尔地区公共卫生中心接受产前护理的孕妇中，开始产前护理较晚的情况及其相关因素。这是一项在 12 个随机选定的卫生中心接受产前护理服务的 389 名孕妇中进行的基于机构的横断面研究。采用系统抽样技术招募孕妇。使用经过预测试和结构化的问卷收集数据。数据被输入到 Epidata 并导出到 SPSS 进行分析。那些在妊娠 12 周后才开始进行产前护理随访的孕妇被归类为晚期预约。采用单变量和多变量逻辑回归来确定独立预测因素与结局变量之间的关联。在这项研究中，277 名（71.2%）参与者的首次产前护理预约较晚。家庭规模≥4 人（AOR：2.25；95%CI：1.07-4.74）、母亲年龄≥25 岁（AOR：2.30；95%CI：1.02-5.18）和认为合适的预约时间>12 周（AOR：2.39；95%CI：1.13-5.04）的孕妇更有可能较晚开始产前护理。同样，不是妇女发展军队的成员（AOR：2.35；95%CI：1.09-5.07）和以前未参加 ANC（AOR：3.32；95%CI：1.17-9.42）的孕妇也更有可能较晚预约产前护理。在这项研究中，大多数孕妇较晚开始产前护理。因此，建议提供关于早期参加第一次产前护理重要性的健康教育。
