TITLE

Antenatal Care Attendance, a Surrogate for Pregnancy Outcome? The Case of Kumasi, Ghana

AUTHOR(S)
Asundep, Ntui; Jolly, Pauline; Carson, April; Turpin, Cornelius; Zhang, Kui; Tameru, Berhanu
PUB. DATE
July 2014
SOURCE
Maternal & Child Health Journal;Jul2014, Vol. 18 Issue 5, p1085
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Antenatal care (ANC) has been shown to influence infant and maternal outcomes. WHO recommends 4 ANC visits for uncomplicated pregnancies. However, pregnant women in Ghana are required to attend 8-13 antenatal visits. We investigated the association of ANC attendance with adverse pregnancy outcomes (defined as low infant birth weight, stillbirth, preterm delivery or small for gestational age). A quantitative cross-sectional study was conducted on 629 women, age 19-48 years who presented for delivery at two selected public hospitals and 16 traditional birth attendants from July to November 2011. Socio-demographic and antenatal information were collected using a structured questionnaire. ANC attendance, medical and obstetric/gynecological history were abstracted from maternal antenatal records. Data were analyzed using Chi square and logistic regression. Twenty-two percent of the women experienced an adverse outcome. Eleven percent of the women attended <4 ANC visits. In an unadjusted model, these women had an increased likelihood of experiencing an adverse outcome (OR 2.27; 95 % CI 1.30-3.94; p = 0.0038). High parity (>5 children) was also associated with adverse birth outcomes. Women screened for syphilis or use of insecticide-treated bed nets had a 40 and 36 % ( p = 0.0447 and p = 0.0293) reduced likelihood of experiencing an adverse pregnancy outcome respectively. After adjusting for confounders, attending <4 antenatal visits was associated with adverse pregnancy outcome compared with ≥4 ANC visits (Adjusted OR 2.55; 95 % CI 1.16-5.63; p = 0.0202). Attending <4 antenatal visits and high parity were associated with adverse pregnancy outcomes for uncomplicated pregnancies.
ACCESSION #
96227394

 

Related Articles

  • The use of dietary supplements among older persons in Southern Germany - Results from the KORA-age study. Schwab, S.; Heier, M.; Schneider, A.; Fischer, B.; Huth, C.; Peters, A.; Thorand, Barbara // Journal of Nutrition, Health & Aging;May2014, Vol. 18 Issue 5, p510 

    Objectives: Current population-based surveys in Europe on the prevalence of dietary supplement (DS) use in older individuals are scarce. The aim of the present study was to investigate patterns, prevalence and determinants of non-herbal DS use in aged subjects. Furthermore, the intake amounts of...

  • Psychological, social and environmental barriers to cycling to school. Benson, Julie; Scriven, Angela // International Journal of Health Promotion & Education;Jan2012, Vol. 50 Issue 1, p34 

    Few adolescents choose to cycle to school in the UK despite the potential health and environmental benefits of the activity. This study sets out to establish the psychological, social and environmental barriers that affect an adolescent’s decision to cycle to school. Two cross-sectional...

  • Prevalence and correlates of preterm labor among young parturient women attending public hospitals in Brazil. Miranda, Angélica E.; Pinto, Valdir M.; Szwarcwald, Célia L.; Golub, Elizabeth T. // Pan American Journal of Public Health;Nov2012, Vol. 32 Issue 5, p330 

    Objective. To determine the prevalence of and risk factors for preterm labor (< 37 weeks of gestation) among young pregnant women in Brazil. Methods. A national cross-sectional study was conducted among parturient women aged 15--24 years attending Brazilian public maternities in 2009....

  • College Sexual Assault and Campus Climate for Sexual- and Gender-Minority Undergraduate Students. Coulter, Robert W. S.; Rankin, Susan R. // Journal of Interpersonal Violence;Mar2020, Vol. 35 Issue 5/6, p1351 

    Sexual- and gender-minority (e.g., lesbian, gay, bisexual, and transgender) undergraduate students are at greater risk for sexual assault victimization than their cisgender (i.e., nontransgender) heterosexual peers. However, few studies have examined how social environments affect sexual assault...

  • Prevalence and Factors Associated with Methamphetamine Use among Adult Substance Abusers. Barati, Majid; Ahmadpanah, Mohammad; Soltanian, Ali Reza // Journal of Research in Health Sciences;Summer2014, Vol. 14 Issue 3, p221 

    Background: The use of methamphetamine and other drugs among young adults has been a theme of growing interest and concern on the part of researchers and health associations. This paper reports recent use of methamphetamine and its relation with some demographic variables among substance users...

  • Rural longitudinal integrated clerkships: changing interests and demographics of medical students. Myhre, Douglas L.; Adamiak, Paul; Woloschuk, Wayne; Donnon, Tyrone // Canadian Journal of Rural Medicine (Joule Inc.);Summer2015, Vol. 20 Issue 3, p83 

    Introduction: The University of Calgary Longitudinal Integrated Clerkship (UCLIC) is an integrated curriculum of at least 32 weeks' duration based in rural communities. Rural LICs have been proposed as a method to respond to the needs of underserved rural communities; therefore, assessing...

  • Risky road-use behaviour among students at the University of Benha, Egypt. El-Gendy, S.D.; El-Gendy, M.F.; Dawah, A.Y.; Eldesouky, R.S.; Abd El-Raof, M.S. // Eastern Mediterranean Health Journal;Feb2015, Vol. 21 Issue 2, p120 

    Road traffic injuries constitute 45% of deaths due to injury in Egypt. The aim of this cross-sectional study was to identify and investigate risky behaviours regarding road use among university students in Benha. A self-administered questionnaire was completed by 953 students. Of the respondents...

  • Practice intentions of clinical associate students at the University of Pretoria, South Africa. Moodley, S. V.; Wolvaardt, L.; Louw, M.; Hugo, J. // Rural & Remote Health;Jul-Sep2014, Vol. 14 Issue 3, p1 

    Introduction: Like those in so many other countries, the South African health system faces a human resources crisis with rural areas most affected. The clinical associate program was initiated to develop a mid-level medical worker specifically for district health in underserved areas in South...

  • Determinants of Eye Care Utilization in Rural South-eastern Nigeria. Arinze, O.; Eze, B.; Ude, N.; Onwubiko, S.; Ezisi, C.; Chuka-Okosa, C. // Journal of Community Health;Oct2015, Vol. 40 Issue 5, p881 

    To determine the barriers and incentives to eye care utilization (ECU) in Abagana, a rural south-eastern Nigerian community. The study was a population-based cross-sectional mixed method (quantitative and qualitative) survey of adult inhabitants of Abagana, in July-August, 2011. Data on...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics