National Institute of Statistics and Demography, Interdisciplinary Research Laboratory in Social Sciences and Health, Joseph KI-ZERBO University, Burkina Faso.
Higher Institute of Population Sciences, Joseph KI-ZERBO University, Burkina Faso.
Afr J Reprod Health. 2024 Sep 30;28(9):45-62. doi: 10.29063/ajrh2024/v28i9.5.
This study aims to analyse the relationship between pregnancy planning and antenatal care in sub-Saharan Africa and to identify which categories of mothers are most likely to make inadequate use of antenatal care in the event of a mistimed or unwanted pregnancy. The latest data from the Demographic and Health Surveys of 32 countries were analysed using bivariate and multivariate descriptive methods. The results show that compared with planned births, mistimed and unwanted births are respectively 27% (OR=0.733) and 29% (OR=0.711) less likely to have an antenatal visit in the first three months of pregnancy, and 25% (OR=0.752) and 29% (OR=0.705) less likely to have the four recommended antenatal visits. In addition, the births of the most privileged women (richest, educated and exposed to the media) are the least likely to have an adequate prenatal visit in the event of mistimed or unwanted pregnancies, probably due to an increased psychosocial impact linked to school dropouts, damage to professional projects and a desire to hide the pregnancy from those around her.
这项研究旨在分析撒哈拉以南非洲地区的妊娠计划与产前护理之间的关系，并确定在意外怀孕或不想要孩子的情况下，哪些类别的母亲最有可能无法充分利用产前护理。本研究使用双变量和多变量描述性方法分析了来自 32 个国家的最新人口与健康调查数据。结果表明，与计划分娩相比，时机不当和非意愿妊娠的孕妇在怀孕前三个月进行产前检查的可能性分别降低 27%（OR=0.733）和 29%（OR=0.711），且进行四次推荐产前检查的可能性分别降低 25%（OR=0.752）和 29%（OR=0.705）。此外，最受优待的女性（最富有、受过教育和接触媒体）在遇到意外怀孕或不想要孩子的情况下，最不可能进行充分的产前检查，这可能是因为与辍学、职业项目受损以及希望向周围的人隐瞒怀孕有关的心理社会影响增加。
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