Dataset Information

Determinants of late antenatal care presentation in rural and peri-urban communities in South Africa: A cross-sectional study.

ABSTRACT:

Objective

To investigate and compare determinates for delayed first presentation to antenatal care (ANC) services.

Methods

A cross-sectional study was conducted amongst pregnant women attending their first ANC visit in rural Capricorn District and peri-urban Tlokwe sub-district communities in South Africa. Data collection included questionnaires and medical record abstraction. Bivariate and multivariate analyses assessed factors associated with late ANC presentation.

Results

We recruited 807 pregnant women. Of these, 51% of rural women and 28% of peri-urban women presented late for first ANC. Rural women were more likely to present late for first ANC (AOR = 2.65; 95% CI 1.98-3.55) and report barriers to accessing ANC services (P<0.0001). Late ANC presentation in rural communities was associated with being married (AOR = 2.36; 95% CI 1.33-4.19), employed (AOR = 1.90; 95% CI 1.03-3.50), <20 years of age (AOR = 2.19; 95% CI 1.10-4.37), and reporting an unplanned pregnancy (AOR = 2.21; 95% CI 1.40-3.50). Late presentation in peri-urban communities was associated with unplanned pregnancy (AOR = 1.67; 95% CI 1.01-2.74), being told to come back later to initiate ANC after presenting early (AOR 0.51; 95% CI 0.30-0.89) and being pregnant for the first time (AOR = 0.56; 95% CI 0.34-0.94).

Conclusion

Both rural and peri-urban women had high rates of late presentation for first ANC. However, women in the rural communities were more likely to present late. Unplanned pregnancy was an independent risk factor in both rural and peri-urban communities. Interventions around family planning, especially for adolescent girls and young women, are needed to improve early presentation for ANC.

SUBMITTER: Ebonwu J

PROVIDER: S-EPMC5843210 | biostudies-literature | 2018

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

Determinants of late antenatal care presentation in rural and peri-urban communities in South Africa: A cross-sectional study.

Ebonwu Joy J Mumbauer Alexandra A Uys Margot M Wainberg Milton L ML Medina-Marino Andrew A

PloS one 20180308 3

<h4>Objective</h4>To investigate and compare determinates for delayed first presentation to antenatal care (ANC) services.<h4>Methods</h4>A cross-sectional study was conducted amongst pregnant women attending their first ANC visit in rural Capricorn District and peri-urban Tlokwe sub-district communities in South Africa. Data collection included questionnaires and medical record abstraction. Bivariate and multivariate analyses assessed factors associated with late ANC presentation.<h4>Results</h ...[more]

PMID: 29518082

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Dataset Information

Determinants of late antenatal care presentation in rural and peri-urban communities in South Africa: A cross-sectional study.

Objective

Methods

Results

Conclusion

Publications

Determinants of late antenatal care presentation in rural and peri-urban communities in South Africa: A cross-sectional study.

Similar Datasets

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