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Receiving quality antenatal care (ANC) from skilled providers is essential to ensure the critical health circumstances of a pregnant woman and her child. Thus, this study attempted to assess which risk factors are significantly as...
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Receiving quality antenatal care (ANC) from skilled providers is essential to ensure the critical health circumstances of a pregnant woman and her child. Thus, this study attempted to assess which risk factors are significantly associated with the timing of antenatal care and the number of items of antenatal care content received from skilled providers in recent pregnancies among mothers in Ethiopia. The data was extracted from the Ethiopian Demographic and Health Survey 2016. A total of 6645 mothers were included in the analysis. Multilevel mixed-effects logistic regression analysis and multilevel mixed Negative binomial models were fitted to find the factors associated with the timing and items of the content of ANC services. The 95% Confidence Interval of Odds Ratio/Incidence Rate Ratio, excluding one, was reported as significant. About 20% of the mothers initiated ANC within the first trimester, and only 53% received at least four items of antenatal care content. Being rural residents (IRR?=?0.82; 95%CI: 0.75–0.90), wanting no more children (IRR?=?0.87; 95%CI: 0.79–0.96), and the husband being the sole decision maker of health care (IRR?=?0.88; 95%CI: 0.81–0.96), were associated with reduced items of ANC content received. Further, birth order of six or more (IRR?=?0.74; 95%CI: 0.56–0.96), rural residence (IRR?=?0.0.41; 95%CI: 0.34–0.51), and wanting no more children (IRR?=?0.61; 95%CI: 0.48–0.77) were associated with delayed antenatal care utilization. Rural residences, the poorest household wealth status, no education level of mothers or partners, unexposed to mass media, unwanted pregnancy, mothers without decision-making power, and considerable distance to the nearest health facility have a significant impact on delaying the timing of ANC visits and reducing the number of items of ANC received in Ethiopia. Mothers should start an antenatal care visit early to ensure that a mother receives all of the necessary components of ANC treatment during her pregnancy. The third Sustainable Development Goals prioritizes maternal mortality reduction, intending to lower the worldwide maternal mortality rate to 70 per 100,000 live births by 2030. Regular antenatal care from a skilled provider reduces maternal mortality by 20%. The overall quality of ANC service is determined collectively by the timing of ANC, and the contents of ANC received. Though there is an increase in ANC visits and the quality of services received, only 74% of women who gave birth in 2019 received antenatal care from a skilled provider, ranging from 85% in the urban to 70% in the rural. Thus, the quality and content of care might remain poor while the coverage of ANC visits is high. Therefore, it is necessary to analyze the levels and risk factors that affect the timing of ANC visits and contents to assess the quality of ANC services. This is the focus of the current study's research. In this study, nationally representative data from the 2016 Ethiopian Demographic and Health Survey was employed. Our study shows that rural residences, the poorest wealth quintile, no education level, unexposed to mass media, unwanted pregnancy, without decision-making power, and being far from the nearest health facility were found to be factors that hinder early initiation of ANC visits and reduce the number of items of ANC received. In conclusion, we ought to initiate an ANC visit early for a frequent antenatal care visit so that a mother will receive the necessary ANC components.
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Background: Pregnancy is a time of increased vulnerability for the development of anxiety and depression. This systematic review aims to identify the main risk factors involved in the onset of antenatal anxiety and depression.
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Given that the perinatal period is a time of increased risk for pregnant women to manifest mental health problems, the identification of antenatal hypomanic symptoms is particularly important. However, data on antenatal hypomanic ...
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Given that the perinatal period is a time of increased risk for pregnant women to manifest mental health problems, the identification of antenatal hypomanic symptoms is particularly important. However, data on antenatal hypomanic symptoms is lacking. The present study was aimed at filling this research gap by investigating the prevalence of hypomanic symptoms, including the "active-elated" and "irritable/risk-taking" sides of hypomanic symptoms at the first trimester, and examining their associations with anxiety and depressive symptoms at the following time points: the first trimester, the second trimester, and up to 6-week postpartum. A prospective longitudinal design with a quantitative approach was adopted. A consecutive sample of 229 pregnant Chinese women in Hong Kong was assessed. Hypomanic symptoms were assessed with the Hypomania Checklist-32 (HCL-32). Of the sample, 43.6% had elevated levels of hypomanic symptoms in the first trimester. Multiple regression analysis showed that after adjusting for potential confounding factors, irritable/risk-taking symptoms were independently associated with higher anxiety symptoms in the first and second trimesters and in the 6-week postpartum period. Primary healthcare practitioners should be made aware of antenatal hypomanic symptoms in pregnant women to facilitate early identification and intervention for anxiety and depression to improve the well-being of both mothers and infants.
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Abnormalities of the urinary tract (AUTAs) are some of the commonest abnormalities detected in the foetus due to increased resolution of the ultrasound machines, detailed foetal scanning at 20 weeks of gestation and the increase i...
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Abnormalities of the urinary tract (AUTAs) are some of the commonest abnormalities detected in the foetus due to increased resolution of the ultrasound machines, detailed foetal scanning at 20 weeks of gestation and the increase in foetal medicine specialists. Even minor abnormalities can cause considerable anxiety to prospective parents and appropriate information and counselling needs to be provided. More severe abnormalities will usually be referred to specialist centres where counselling can be provided by the paediatric nephrouroradiology team. Severe oligohydramnios usually portends a poor prognosis but counselling about the foetal outcome is never dogmatic. There are few indications for antenatal intervention involving vesicoamniotic shunts. Severe abnormalities are best delivered at a centre with regional nephrourology expertise. However, most abnormalities are not severe and are unilateral with a good prognosis for long-term kidney function. There needs to be a proper mechanism for communication with neonatal staff so that severe abnormalities are referred at birth and more minor abnormalities are investigated in an appropriate manner. The natural history of many AUTAs has still not been defined and the management of conditions such as asymptomatic moderate hydronephrosis due to pelviureteric junction obstruction (or hold-up) needs to be discussed at a nephrouroradiology meeting.
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Exploring barriers contributing to low utilization of Antenatal Care (ANC) during the first trimester of pregnancy is of national programmatic importance. We conducted an exploratory study in 2013 at Bilira Health Centre in Ntcheu...
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Exploring barriers contributing to low utilization of Antenatal Care (ANC) during the first trimester of pregnancy is of national programmatic importance. We conducted an exploratory study in 2013 at Bilira Health Centre in Ntcheu district-Malawi with an aim of understanding barriers that prevent pregnant women from attending antenatal clinics in the first trimester of pregnancy. This was cross sectional exploratory study using qualitative approach. Data were collected from ANC clients, key informants, health services professionals and women of child bearing age (15–49?years) using an in-depth interviews and Focus Group Discussions (FGDs). Data were analysed manually by reading the transcriptions and memos several times inorder to be familiar with the themes emerged. The emerged themes were coded. Most of the women reported that they have a feeling of starting ANC in the early days of their pregnancies, however, they also reported several barriers ranging from cultural beliefs, social economic to service delivery barriers. On cultural barriers many women wait for marriage counselors from husband’s side to give them advice before starting ANC in the process called “Kuthimba”. Some women hide the pregnancy in early months to avoid being bewitched. On social-economic barriers, some of the women mentioned that they don’t start ANC early waiting for new clothes. Poor attitude of health workers also has an effect on ANC attendants. Most women pointed out that they started ANC late because some health workers were rude and do not observe confidentiality. Men’s refusal to accompany their spouses to antenatal clinic in fear of HIV test and some by-laws which restrict women who had pregnancy outside marriage to seek an authorisation letter first from Traditional Leaders for them to start ANC at the health facility were also mentioned as contributing barriers. Women should be oriented on the national guidelines on Focused ANC (FANC) which advocates for at least 4 visits. There should also be Information, Education and Communication (IEC) on ANC and interventions to deal with social-cultural issues while at the same time improving service delivery at the health facility so that ANC services can be accessible and responsive enough.
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Background: The quality of antenatal care (ANC) a woman receives during pregnancy is crucial to both the child and the mother's life. It has been established that providing high-quality ANC can save lives and has a positive impact...
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Background: The quality of antenatal care (ANC) a woman receives during pregnancy is crucial to both the child and the mother's life. It has been established that providing high-quality ANC can save lives and has a positive impact on postnatal health care services. However, the quality of ANC in Zambia requires attention as maternal and neonatal mortality rates are still unacceptably high with Lusaka district not being left out of the problem.
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ABSTRACT Antenatal Care (ANC) is a service provided to pregnant women by health workers to maintain pregnancy. Coverage of complete antenatal care visits in Brebes remains below the standard. This possibly?related to the completen...
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ABSTRACT Antenatal Care (ANC) is a service provided to pregnant women by health workers to maintain pregnancy. Coverage of complete antenatal care visits in Brebes remains below the standard. This possibly?related to the completeness of pregnancy examination privided in Brebes District.. This study aimed to describe pregnancy examination in the ANC in Brebes District. This was a descriptive study with rapid survey design and multistages sampling method. Research subjects were 210 mothers with 0-4 months baby. The results showed the majority of pregnant women in Brebes conceive a healthy reproductive age, low education level, and unemployed. Complete ANC (K4)?coverage in January-May 2010 is 26.67%. Proportion of trimester visit I-III tends to decrease. Examination of pregnancy has not been fully compliant the 7T?standard, including blood pressure measurements, giving of Fe tablets, urine and blood laboratory tests, the completeness of TT immunization, fundal height measurements, as well as pregnancy counseling. District Health Office Brebes is expected to improve the performance of health workers?and health care facilities on pregnancy examination as an effort to improve Maternal and Child Health to improve?antenatal care visits.
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Purpose Antenatal maternal mental health has been identified as an important determinant of postpartum depression (PPD). We investigated the occurrence of depression both antenatally and postnatally and examined whether maternal t...
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Purpose Antenatal maternal mental health has been identified as an important determinant of postpartum depression (PPD). We investigated the occurrence of depression both antenatally and postnatally and examined whether maternal trait anxiety and depression during pregnancy were associated with PPD at 8 weeks postpartum in a prospective mother-child cohort (Rhea Study) in Crete, Greece.Methods 438 women completed the Edinburgh Postnatal Depression Scale (EPDS) and the Trait subscale of the State-Trait Anxiety Inventory (STAI-Trait) questionnaires assessing antenatal depression and anxiety, respectively, during the third trimester of pregnancy as well as the EPDS at 8 weeks postpartum.
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OBJECTIVE: To assess the antenatal knowledge and preferred information seeking behavior of pregnant women attending antenatal care clinics of Allied Hospitals of Rawalpindi Medical University, Rawalpindi.METHODOLOY: This was a mul...
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OBJECTIVE: To assess the antenatal knowledge and preferred information seeking behavior of pregnant women attending antenatal care clinics of Allied Hospitals of Rawalpindi Medical University, Rawalpindi.METHODOLOY: This was a multi-centered based cross-sectional design study. This study was conducted in the antenatal care clinics of three allied hospitals of Rawalpindi medical University, Rawalpindi. A total of 400 pregnant women in third trimester of pregnancy, attending antenatal care clinics were included in the study through consecutive sampling. Antenatal knowledge was assessed by a valid (scale-content validity index=1.00) and reliable (Cronbach’s alpha=0.90) questionnaire developed for this purpose. SPSS 22 was used for data analysis. RESULTS: Out of 400 pregnant women, majority 148 (37%) were in the age group of 23-27 years. Mean age was 26.5±4.8 years. Mean antenatal knowledge score was 28±6.2. Two hundred and sixty-eight (67%) women had poor (?70% score), ninety-six (24%) had adequate (70%-80% score) and thirty-six (9%) had good (?80% score) level of antenatal knowledge. Three hundred and sixty (90%) women had poor nutritional and gestational weight gain knowledge. Antenatal knowledge scores were significantly associated with education, number of antenatal care visits, locality and monthly household income. One to one education was preferred format by most (53%) of women. Doctors were the preferred source of information by 80% of the participants.CONCLUSION: The findings of the study indicate that most of the pregnant women lack the adequate antenatal knowledge while one to one education given by doctors was the preferred mode of health education by the majority of the participants.
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