University of Rwanda, College of Medicine and Health Sciences, School of medicine and pharmacy.
University of Rwanda, College of Medicine and Health Sciences, School of Public Health.
Afr J Reprod Health. 2021 Feb;25(1):90-100. doi: 10.29063/ajrh2021/v25i1.11.
We investigated the relationship between intended pregnancy and utilization of antenatal care services in Rwanda. Using Demographic and Health Survey 2014/2015, secondary data was obtained on maternal health services utilization. We performed stepwise logistic regression analysis to examine the effect of independent variables on women's early and late utilization, as well as their sustained use of antenatal services. Dependent and main independent variables included: first trimester visits, completed antenatal visits and intended pregnancy respectively. Of 5,944 women sampled; 56.6% had made early antenatal visits and 44% had completed 4 visits. Unintended pregnancies were less likely to make early antenatal visits and complete 4 antenatal visits. Religion and being in union had positive association with standard antenatal visits; while age (>24 years), grand multiparty, and poor economic status had negative association. Our results call for deeper sensitization on utilization of antenatal services and more use of contraception to reduce unintended pregnancies.
我们调查了卢旺达计划妊娠与产前保健服务利用之间的关系。利用 2014/2015 年人口与健康调查，获得了关于孕产妇保健服务利用的二级数据。我们进行逐步逻辑回归分析，以检查独立变量对妇女早期和晚期利用以及持续利用产前服务的影响。因变量和主要自变量分别为：孕早期就诊、完成产前检查和计划妊娠。在抽样的 5944 名妇女中；56.6%的人进行了早期产前检查，44%的人完成了 4 次产前检查。意外妊娠的妇女不太可能进行早期产前检查和完成 4 次产前检查。宗教信仰和婚姻状况与标准产前检查呈正相关；而年龄（>24 岁）、多胎妊娠和经济状况不佳则与标准产前检查呈负相关。我们的研究结果呼吁对产前保健服务的利用进行更深入的宣传，并更多地使用避孕措施来减少意外妊娠。
