Late initiation of antenatal care and associated factors among pregnant women attending antenatal clinic at Hiwot Fana Comprehensive Specialized Hospital, Eastern Ethiopia: a cross-sectional study
BackgroundLate initiation of antenatal care (ANC) is a major public health concern. If women initiate ANC late, they do not get adequate care, reducing the chances of early detection of pregnancy-related complications. However, there is a lack of data related to the initiation of antenatal care in t...
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Frontiers Media S.A.
2024-11-01
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| Series: | Frontiers in Global Women's Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fgwh.2024.1431876/full |
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| author | Bayisa Dibaba Miressa Bekena Tariku Dingeta Eshetu Refisa Habtamu Bekele Shambel Nigussie Eyobel Amentie |
| author_facet | Bayisa Dibaba Miressa Bekena Tariku Dingeta Eshetu Refisa Habtamu Bekele Shambel Nigussie Eyobel Amentie |
| author_sort | Bayisa Dibaba |
| collection | DOAJ |
| description | BackgroundLate initiation of antenatal care (ANC) is a major public health concern. If women initiate ANC late, they do not get adequate care, reducing the chances of early detection of pregnancy-related complications. However, there is a lack of data related to the initiation of antenatal care in the study area.ObjectivesTo assess the prevalence of late initiation of antenatal care and identify associated factors among pregnant women attending antenatal care at Hiwot Fana Comprehensive Specialized Hospital, Eastern Ethiopia.MethodsAn institutional-based cross-sectional study design was conducted among 454 pregnant women. All eligible participants during the study period were included. Data were collected via face-to-face interviews, were entered into Epi Data version 4.3, and analyzed using SPSS version 22 software. The results are presented using texts and tables. Logistic regression with the 95% confidence interval (CI) was used to identify factors associated with the late initiation of antenatal care. Statistical significance was declared at P < 0.05.ResultsThe prevalence of late-initiation antenatal care in this study was 59.5% (95% CI 54.6–63.4). Age range of 30–34 years [adjusted odds ratio (AOR) 2.7, 95% CI 1.69–13.1] and age ≥35 years (AOR 4.2, 95% CI 1.92–9.84), rural residency (AOR 2.92, 95% CI 1.59–5.39), unplanned pregnancy (AOR 2.3, 95% CI 1.35–8.11), inability to make the decision to start ANC (AOR 2.14, 95% CI 1.18–3.89), multigravidity (AOR 1.9, 95% CI 1.13–12.4), wrong perception on the time of antenatal care initiation (AOR 5.8, 95% CI 3.71–9.34), lack of previous ANC experience (AOR 2.01, 95% CI 1.14–5.81), and more than 10 km distance from the hospital (AOR 1.36, 95% CI 0.62–2.95) were associated with late initiation antenatal care in this study.ConclusionMore than half of the study participants were initiated into ANC after the 12th week of gestation. Moreover, rural residence, unplanned pregnancy, age ≥30 years, lack of previous antenatal care, inability to make decisions, and wrong perception on the time of initiation of ANC were found to be associated with late initiation of ANC. Educating women and involving partners and family members in discussions about ANC were recommended to build a supportive environment for pregnant mothers. |
| format | Article |
| id | doaj-art-72e64c7a6d894a09aa99a014f0dda990 |
| institution | OA Journals |
| issn | 2673-5059 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | Frontiers Media S.A. |
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| series | Frontiers in Global Women's Health |
| spelling | doaj-art-72e64c7a6d894a09aa99a014f0dda9902025-08-20T02:27:42ZengFrontiers Media S.A.Frontiers in Global Women's Health2673-50592024-11-01510.3389/fgwh.2024.14318761431876Late initiation of antenatal care and associated factors among pregnant women attending antenatal clinic at Hiwot Fana Comprehensive Specialized Hospital, Eastern Ethiopia: a cross-sectional studyBayisa Dibaba0Miressa Bekena1Tariku Dingeta2Eshetu Refisa3Habtamu Bekele4Shambel Nigussie5Eyobel Amentie6School of Medicine, College of Health and Medical Sciences, Haramaya University, Harar, EthiopiaSchool of Medicine, College of Health and Medical Sciences, Haramaya University, Harar, EthiopiaSchool of Public Health, College of Health and Medical Sciences, Haramaya University, Harar, EthiopiaSchool of Medicine, College of Health and Medical Sciences, Haramaya University, Harar, EthiopiaSchool of Midwifery, College of Health and Medical Sciences, Haramaya University, Harar, EthiopiaSchool of Pharmacy, College of Health and Medical Sciences, Haramaya University, Harar, EthiopiaSchool of Medicine, College of Health and Medical Sciences, Haramaya University, Harar, EthiopiaBackgroundLate initiation of antenatal care (ANC) is a major public health concern. If women initiate ANC late, they do not get adequate care, reducing the chances of early detection of pregnancy-related complications. However, there is a lack of data related to the initiation of antenatal care in the study area.ObjectivesTo assess the prevalence of late initiation of antenatal care and identify associated factors among pregnant women attending antenatal care at Hiwot Fana Comprehensive Specialized Hospital, Eastern Ethiopia.MethodsAn institutional-based cross-sectional study design was conducted among 454 pregnant women. All eligible participants during the study period were included. Data were collected via face-to-face interviews, were entered into Epi Data version 4.3, and analyzed using SPSS version 22 software. The results are presented using texts and tables. Logistic regression with the 95% confidence interval (CI) was used to identify factors associated with the late initiation of antenatal care. Statistical significance was declared at P < 0.05.ResultsThe prevalence of late-initiation antenatal care in this study was 59.5% (95% CI 54.6–63.4). Age range of 30–34 years [adjusted odds ratio (AOR) 2.7, 95% CI 1.69–13.1] and age ≥35 years (AOR 4.2, 95% CI 1.92–9.84), rural residency (AOR 2.92, 95% CI 1.59–5.39), unplanned pregnancy (AOR 2.3, 95% CI 1.35–8.11), inability to make the decision to start ANC (AOR 2.14, 95% CI 1.18–3.89), multigravidity (AOR 1.9, 95% CI 1.13–12.4), wrong perception on the time of antenatal care initiation (AOR 5.8, 95% CI 3.71–9.34), lack of previous ANC experience (AOR 2.01, 95% CI 1.14–5.81), and more than 10 km distance from the hospital (AOR 1.36, 95% CI 0.62–2.95) were associated with late initiation antenatal care in this study.ConclusionMore than half of the study participants were initiated into ANC after the 12th week of gestation. Moreover, rural residence, unplanned pregnancy, age ≥30 years, lack of previous antenatal care, inability to make decisions, and wrong perception on the time of initiation of ANC were found to be associated with late initiation of ANC. Educating women and involving partners and family members in discussions about ANC were recommended to build a supportive environment for pregnant mothers.https://www.frontiersin.org/articles/10.3389/fgwh.2024.1431876/fulllate initiationpregnant womenantenatal careHararEthiopia |
| spellingShingle | Bayisa Dibaba Miressa Bekena Tariku Dingeta Eshetu Refisa Habtamu Bekele Shambel Nigussie Eyobel Amentie Late initiation of antenatal care and associated factors among pregnant women attending antenatal clinic at Hiwot Fana Comprehensive Specialized Hospital, Eastern Ethiopia: a cross-sectional study Frontiers in Global Women's Health late initiation pregnant women antenatal care Harar Ethiopia |
| title | Late initiation of antenatal care and associated factors among pregnant women attending antenatal clinic at Hiwot Fana Comprehensive Specialized Hospital, Eastern Ethiopia: a cross-sectional study |
| title_full | Late initiation of antenatal care and associated factors among pregnant women attending antenatal clinic at Hiwot Fana Comprehensive Specialized Hospital, Eastern Ethiopia: a cross-sectional study |
| title_fullStr | Late initiation of antenatal care and associated factors among pregnant women attending antenatal clinic at Hiwot Fana Comprehensive Specialized Hospital, Eastern Ethiopia: a cross-sectional study |
| title_full_unstemmed | Late initiation of antenatal care and associated factors among pregnant women attending antenatal clinic at Hiwot Fana Comprehensive Specialized Hospital, Eastern Ethiopia: a cross-sectional study |
| title_short | Late initiation of antenatal care and associated factors among pregnant women attending antenatal clinic at Hiwot Fana Comprehensive Specialized Hospital, Eastern Ethiopia: a cross-sectional study |
| title_sort | late initiation of antenatal care and associated factors among pregnant women attending antenatal clinic at hiwot fana comprehensive specialized hospital eastern ethiopia a cross sectional study |
| topic | late initiation pregnant women antenatal care Harar Ethiopia |
| url | https://www.frontiersin.org/articles/10.3389/fgwh.2024.1431876/full |
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