Department of Obstetrics and Gyanecology, College of Medicine, University of Nigeria, Ituku-Ozalla, Campus, Nigeria.
Department of Pediatrics, University of Nigeria Teaching Hospital, Ituku-Ozalla, Nigeria.
Niger J Clin Pract. 2023 May;26(5):558-565. doi: 10.4103/njcp.njcp_117_22.
The benefits of antenatal care are maximized when women book early for care. However, despite these resounding benefits, women still book late, while others do not book at all, resulting in dire feto-maternal consequences.
Determine the effect of late prenatal booking on maternal anemia and birth weight in babies of women who delivered in public health facilities in Enugu and deduce the reasons for booking late.
A cross-sectional study of two groups of women (235 participants in each group) who delivered in 4 randomly selected hospitals in Enugu. Descriptive statistics were obtained for continuous variables, and frequency and percentages were used for categorical variables. Degree of associations was determined using the Chi-square, the student's t-test, and 2 x 2 table.
The prevalence of anemia among women that booked late and early were (69.7%; n = 147) and (50.7%; n = 107) respectively. Women who booked late were two times more likely to have anemia than those who booked early (OR = odds ratio, p = p-value, CI = confidence interval,). Those who booked late were six times more likely to deliver low birth weight babies than those who booked early (OR = 5.934, 95% CI = 1.299-27.119, P = 0.022).
Late prenatal booking is associated with a high prevalence of maternal anemia in labor, low mean maternal hemoglobin, and low birth weight compared to those of women who booked early and the reasons for booking late are multifactorial.
孕妇尽早预约产前护理可最大程度地受益。然而，尽管有这些明显的好处，仍有许多女性预约过晚，甚至有些则完全不预约，导致母婴严重后果。
确定在埃努古公立医疗机构分娩的妇女中，晚期产前预约对产妇贫血和婴儿出生体重的影响，并推断出预约过晚的原因。
对埃努古随机选择的 4 家医院分娩的两组妇女（每组 235 名参与者）进行了横断面研究。对连续变量进行描述性统计，对分类变量使用频率和百分比。使用卡方检验、学生 t 检验和 2x2 表确定关联程度。
晚期预约和早期预约的妇女贫血患病率分别为（69.7%；n=147）和（50.7%；n=107）。与早期预约相比，晚期预约的妇女发生贫血的可能性高两倍（OR=优势比，p=P 值，CI=置信区间）。晚期预约的妇女比早期预约的妇女更有可能分娩低出生体重儿（OR=5.934，95%CI=1.299-27.119，P=0.022）。
与早期预约相比，晚期产前预约与分娩时产妇贫血患病率高、平均产妇血红蛋白低和低出生体重相关，而晚期预约的原因是多因素的。
