Pregnancy wantedness, frequency and timing of antenatal care visit among women of childbearing age in Kenya.
Pregnancy wantedness, frequency and timing of antenatal care visit among women of childbearing age in Kenya.
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DOI：
10.1186/s12978-016-0168-2
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发表时间：
2016-05-04
影响因子：
3.4
通讯作者：
Gichuhi W
中科院分区：
文献类型：
--
作者：
Ochako R;Gichuhi W
一名妇女在怀孕期间寻求健康的行为被发现对她和她未出生的孩子的健康有重大影响。例如，在没有接受产前护理的妇女中，妊娠结局不良和孕产妇死亡的风险更高。这项研究描述了在调查时报告从最后一个孩子开始怀孕的妇女的特征；产前护理就诊频率与怀孕意愿之间的联系，以及第一次产前护理就诊的时间与怀孕意愿之间的关系，因为在没有接受产前护理的妇女中，产妇的发病率和死亡率更高。研究分析采用的是2008-2009年肯尼亚人口与健康调查数据，多项Logistic回归和Logistic回归分析。结果显示，那些报告想要怀孕的女性更有可能接受产前护理，而那些报告不想要怀孕的女性更不可能接受产前护理，但更有可能第一次来晚，并且产前护理次数少于四次。此外，错误的怀孕时间与产前检查的频率低和第一次检查的时间较晚有关。我们的发现证实了怀孕意愿、产前检查的频率和第一次产前检查的时间之间的关系。被报告为怀孕时机不当和意外怀孕的女性更有可能没有接受任何产前护理，而且当她们接受了产前护理时；她们去的次数少于建议的四次就诊时间较晚。卫生政策和战略应确保所有孕妇，无论其怀孕时的状况如何，首先接受产前护理，并及时接受，并在分娩前至少进行四次产前护理。这将有助于确定分娩期间和分娩后可能出现的健康并发症，并降低孕产妇、新生儿和婴儿死亡率。应在全国范围内加强关于计划生育的信息、教育和宣传活动，特别是关于间隔和与产前检查、时间安排和频率有关的事项。
A woman’s health seeking behaviour during pregnancy has been found to have significant repercussions on her wellbeing and that of her unborn child. For example, the risk of poor pregnancy outcomes and maternal death is higher among women who do not receive antenatal care. The study described the characteristics of women who reported wanted, unwanted and mistimed pregnancies from their last birth at the time of the survey; the linkage between frequency of antenatal care visits and pregnancy wantedness and the relationship between timing of the first antenatal care visit and pregnancy wantedness since maternal morbidity and mortality are higher among women who do not receive antenatal care. The 2008-09 Kenya Demographic and Health Survey data is used and multinomial logistic regression and logistic regression informed the study analysis. Results showed that women, who reported wanted pregnancy were more likely to receive antenatal care while those who reported unwanted pregnancy were less likely to receive antenatal care, but more likely to attend late the first time and have fewer than four antenatal care visits. Also, mistimed pregnancies were associated with low frequency of antenatal care visit and late timing of the first visit. Our findings confirm an association between pregnancy wantedness, frequency of antenatal care visits and timing of the first antenatal care visit. Women whose pregnancy was reported as mistimed and unwanted were more likely not to receive any antenatal care and when they did; they went for fewer than the recommended four visits with late timing. Health policy and strategies should ensure that all pregnant women regardless of their pregnancy status at the time of conception first receive antenatal care, and receive it in a timely manner and make at least four antenatal care visits before delivery. This will help to identify health complications that may arise during and after delivery and reduce maternal, new-born and infant mortality. Information, education and communication campaigns on family planning especially for spacing and matters related to antenatal care visits, timing and frequency should be intensified nationally.