Department of Midwifery, College of Medicine and Health Sciences, Ambo University, Ambo, Ethiopia.
Front Public Health. 2022 Jun 20;10:866030. doi: 10.3389/fpubh.2022.866030. eCollection 2022.
Antenatal care is a care given for pregnant women and is taken as a key maternal care service in improving and keeping health of both life outcomes for mothers and newborns. Countries with low antenatal care coverage are the countries with very high maternal mortality ratios.
Hence, The aim of this study was to determine the level of late initiation of antenatal care visit and associated factors amongst antenatal care follow up in Antenatal care (ANC) services at Gedo General Hospital, Western Oromia Region, Ethiopia, 2021.
A health facility based cross-sectional study design was conducted from July 10-30, 2021 using primary data review and face-to-face interviews among clients receiving ANC. A total of 347 mothers was selected by simple random sampling and were interviewed while they come to antenatal care follow-up in Gedo general hospital. Data were entered into Epi-data version 4.6 and then changed to SPSS version 23 for the analysis purpose. Those Variables which are < 0.25 in binary logistic regression were selected as a candidate for multiple logistic regressions to determine independently associated factors. The adjusted odds ratio was employed with 95% CI to illustrate the strength of association and < 0.05 was used to state a statistical significance.
Among 330 women, about 58.5% of women came for their first ANC visit initiation lately. Being a housewife, having a family size >4, and having a distance from the health facility >1 h were higher odds of late first ANC visit initiation as compared to . Besides, women aged 20-24 years had 0.18 times and 25-29 years had lower odds of late first ANC visit initiation.
Majority of women began their first antenatal care initiation lately. Therefore, the provision of awareness on the significance of attending the first antenatal care early health extension workers is recommended.
产前护理是为孕妇提供的护理，是改善和保持母婴生命健康的关键产妇护理服务。产前护理覆盖率低的国家，其孕产妇死亡率也非常高。
本研究旨在确定在盖多综合医院产前护理服务中，晚期开始产前护理就诊的水平及其相关因素，该医院位于埃塞俄比亚奥罗米亚西部地区。
本研究采用基于卫生机构的横断面研究设计，于 2021 年 7 月 10 日至 30 日，使用初级数据回顾和面对面访谈，对接受产前护理的患者进行研究。总共选择了 347 名母亲，采用简单随机抽样的方法进行访谈，他们在盖多综合医院进行产前护理随访时接受了访谈。数据录入 EpiData 版本 4.6 后，转换为 SPSS 版本 23 进行分析。在二元逻辑回归中，那些 <0.25 的变量被选为多逻辑回归的候选变量，以确定独立相关因素。采用调整后的比值比（OR）和 95%置信区间（CI）来表示关联的强度， <0.05 表示具有统计学意义。
在 330 名妇女中，约有 58.5%的妇女很晚才开始首次产前护理就诊。与其他人群相比，家庭主妇、家庭规模 >4 人和距离卫生机构 >1 小时的妇女更有可能较晚地开始首次产前护理就诊。此外，20-24 岁的妇女首次较晚开始产前护理就诊的几率是 0.18 倍，25-29 岁的妇女首次较晚开始产前护理就诊的几率较低。
大多数妇女较晚才开始首次产前护理就诊。因此，建议向卫生工作者提供关于尽早接受首次产前护理重要性的认识。
