Department of Midwifery, Leku General Hospital, Sidama, Ethiopia.
Department of Midwifery, College of Medicine and Health Science, Wachemo University, Hossana, Ethiopia.
J Pregnancy. 2023 Mar 16;2023:7054381. doi: 10.1155/2023/7054381. eCollection 2023.
Timely detection and treatment of pregnancy-related or preexisting diseases, health education, and the promotion of adequate care provision improve the health of mothers and unborn children. As such, these factors are crucial within the first pregnancy trimester. However, very few women in low and middle-income countries initiate their first ANC in the recommended trimester of pregnancy. This study is aimed at assessing the prevalence of timely initiation of ANC and its associated factors among pregnant women attending antenatal clinics in Wachemo University Nigist Eleni Mohammed Memorial comprehensive specialized hospital, Hossana, Ethiopia.
A hospital-based cross-sectional study was conducted from April 4, 2022 to May 19, 2022. A systematic sampling technique was used to select study participants. Data were collected from pregnant women using a pretested structured interview questionnaire. EpiData version 3.1 was used to enter the data, and SPSS version 24 was used to analyze it. Bivariate and multivariable logistic regression were used to identify the associated factors at a 95% confidence interval with a value < 0.05.
This study indicated that 118 (34.3%) of the women initiated ANC timely. The factors associated with timely initiation of ANC included women aged 25-34 years (AOR = 0.3; 95% CI: (0.1, 0.7)), tertiary maternal education (AOR = 3.2, 95% CI: (1.0, 9.9)), zero parity (AOR = 7.7; 95% CI: (3.6, 15.3)), planned pregnancy (AOR = 13.7; 95% CI: (5.5, 34.3)), good knowledge about ANC services (AOR = 3.1; 95% (CI: (2.3, 11.3)), and good knowledge about danger signs in pregnancy (AOR = 4.8; 95% CI: (2.2, 8.1)).
This study demonstrates the importance of making a significant effort to increase the coverage of timely ANC initiation in the study area. Therefore, increasing the awareness level of mothers regarding ANC services given during pregnancy and danger signs in pregnancy and advancing the academic level of mothers are essential to increase the coverage of timely initiation of ANC.
及时发现和治疗与妊娠相关或已存在的疾病、提供健康教育以及促进充分的护理提供可改善母婴健康。因此，这些因素在妊娠早期至关重要。然而，在中低收入国家，很少有妇女在推荐的妊娠早期开始第一次 ANC。本研究旨在评估在埃塞俄比亚霍萨纳的瓦切莫大学尼吉斯特·埃莱尼·穆罕默德纪念综合专科医院接受产前检查的孕妇及时开始 ANC 的流行率及其相关因素。
这是一项 2022 年 4 月 4 日至 5 月 19 日进行的基于医院的横断面研究。使用系统抽样技术选择研究参与者。使用预先测试的结构化访谈问卷从孕妇那里收集数据。使用 EpiData 版本 3.1 输入数据，使用 SPSS 版本 24 进行分析。使用双变量和多变量逻辑回归在 95%置信区间内识别与 值 < 0.05 相关的因素。
本研究表明，118 名（34.3%）妇女及时开始 ANC。与及时开始 ANC 相关的因素包括 25-34 岁的妇女（AOR = 0.3；95%CI：（0.1，0.7））、高等教育（AOR = 3.2，95%CI：（1.0，9.9））、零胎次（AOR = 7.7；95%CI：（3.6，15.3））、计划妊娠（AOR = 13.7；95%CI：（5.5，34.3））、对 ANC 服务的良好认识（AOR = 3.1；95%CI：（2.3，11.3））和对妊娠危险信号的良好认识（AOR = 4.8；95%CI：（2.2，8.1））。
本研究表明，在研究区域内需要做出重大努力来提高及时 ANC 起始的覆盖率。因此，提高母亲对妊娠期间提供的 ANC 服务和妊娠危险信号的认识水平以及提高母亲的学术水平对于提高及时 ANC 起始的覆盖率至关重要。
