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      Timing of first focused antenatal care booking and associated factors among pregnant mothers who attend antenatal care in Central Zone, Tigray, Ethiopia

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          Abstract

          Objective

          Focused antenatal care became the recommended type of antenatal care following the publication of a World Health Organization trial on antenatal care where it was discovered that the traditional antenatal care approach do not necessarily improve pregnancy out-come. This study was aimed to assess timing of first focused antenatal care booking and associated factors among pregnant mothers. Facility based cross sectional study was used in the randomly selected health facilities. Total 239 pregnant women who visited antenatal clinic were selected using simple random sampling technique and data were entered and analyzed using SPSS version 20.0 software.

          Results

          The study shows that only 41% of pregnant mothers booked timely antenatal care and the median duration of pregnancy at the first visit was 5 months. Multivariate logistic regression analysis showed that gravidity and information received on correct time of antenatal care booking from health care provider were significantly associated with timely initiation of antenatal care. Late antenatal care booking remains high in the study area and this indicated that provide information, education and communication to create community awareness is remarkable and implementing community based discussion up to the local level will be crucial.

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          Timing and reasons for coming late for the first antenatal care visit by pregnant women at Mulago hospital, Kampala Uganda

          Background Mothers who attend antenatal care late miss the opportunity of early detection of HIV and STDs, malaria and anaemia prophylaxis, health education and treatment or prevention of complications. Whereas many women in Mulago hospital make their first antenatal care visit after 20 weeks of gestation, the reasons for coming late are not documented. The objectives were to determine the gestation age at which pregnant women make their first antenatal care visit and the reasons for late coming. Method The study was conducted in June 2012 among women with a gestation age of more than 20 weeks on their first antenatal care visit. We collected data on gestation age (from weeks of amenorrhea or based on ultrasound scan) and reasons for coming late. Results Four hundred women participated in the study. Their mean age was 25.2 years with a standard deviation of 5.2 years. The majority of the participants were Catholics (n = 126, 31.5%), they lived in a distance of greater than five kilometers from the hospital (n = 201, 50.3%) and had attained secondary education (n = 220, 55.0%). The mean of their weeks of amenorrhea was 27.9 (± 4.6) weeks. The results showed that 291 (72.7%) of the study participants did not know the right gestation age at which a pregnant woman should start attending antenatal care. One hundred and ten (27.5%) agreed that they did not have money for transport to bring them to the hospital while 37 (9.3%) thought that they had to pay for the antenatal care services. Two hundred thirteen (53.3%) reported that they did not have any problem with their current pregnancy and so they saw no reason to come early for antenatal care, even though some of these knew the right gestation age at which they should make their first antenatal care visit. Conclusion Pregnant women who come late for antenatal care in Mulago hospital, Uganda are not well-informed about the right gestation age at which they should make their first antenatal care visit and/or of the importance of early attendance at antenatal care.
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            Timing and factors associated with first antenatal care booking among pregnant mothers in Gondar Town; North West Ethiopia

            Background Antenatal care service which is among strategies to maintain maternal and fetal wellbeing is strongly recommended to be initiated early during pregnancy. To developing world where there is uncommon practice of pre-pregnancy care and support, timely commencement is crucial in getting potential benefits from some of the elements of the care. Therefore, we sought to assess timing and factors associated with the first antenatal care booking among pregnant mothers attending antenatal care clinics in Gondar town health facilities; North West Ethiopia. Methods Health institution based cross-sectional study was conducted among pregnant mothers from April to June 2012 in Gondar town. A total of 407 pregnant mothers were interviewed at exit from antenatal clinic by using structured and pre-tested questionnaire. Bivariate and multivariate data analysis was performed using SPSS for Windows version 16.0. Result The study indicated that 35.4% of mothers started antenatal care timely (in the first trimester of pregnancy). The mean time was 4.5 months (17.7 weeks) of pregnancy. Multivariate logistic regression analysis showed that: [(AOR (95% CI)) maternal age ≤ 25 (1.85 (1.10, 3.09)), age at marriage ≥20 years (2.21 (1.33, 3.68)), pregnancy recognition by urine test (2.29 (1.42, 3.71)), mothers who perceived the right time to start antenatal care within first trimester (3.93 (2.29, 6.75)) and having decision power to use antenatal care (2.43 (1.18, 4.99))] were significantly associated with timely commencement to antenatal care. Conclusion Timely entry to antenatal care was low in the study area. In order to improve the situation, it is important to provide community based information, education and communication on antenatal care and its right time of commencement. In addition, empowering women and implementing the proclamation designed for the age at marriage is mandatory up to the local level. Electronic supplementary material The online version of this article (doi:10.1186/1471-2393-14-287) contains supplementary material, which is available to authorized users.
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              Antenatal care in developing countries. Promises, achievements and missed opportunities: an analysis of trends, levels and differentials, 1990–2001

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                Author and article information

                Contributors
                ggidey2006@gmail.com
                Hailuberhane14@gmail.com
                kidane1224@gmail.com
                tesfayhailu20@yahoo.com
                abitilife@gmail.com
                hadgugerensea2016@gmail.com , hadguegerensea2016@gmail.com
                Journal
                BMC Res Notes
                BMC Res Notes
                BMC Research Notes
                BioMed Central (London )
                1756-0500
                21 November 2017
                21 November 2017
                2017
                : 10
                : 608
                Affiliations
                [1 ]GRID grid.448640.a, Department of Midwifery, College of Health Science and Referral Hospital, , Aksum University, ; Aksum, Ethiopia
                [2 ]ISNI 0000 0004 1783 9494, GRID grid.472243.4, Department of Midwifery, MCHS, , Adigrat University, ; Adigrat, Ethiopia
                [3 ]GRID grid.448640.a, School of Nursing, College of Health Science and Referral Hospital, , Aksum University, ; Aksum, Ethiopia
                Article
                2938
                10.1186/s13104-017-2938-5
                5699019
                29162155
                bbd652b7-c96a-456e-9df3-6660be090bcd
                © The Author(s) 2017

                Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

                History
                : 30 August 2017
                : 15 November 2017
                Categories
                Research Note
                Custom metadata
                © The Author(s) 2017

                Medicine
                timely anti natal care booking,ethiopia
                Medicine
                timely anti natal care booking, ethiopia

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