Characteristics and Predictors of Late Antenatal Booking Among Pregnant Women in Fiji

Overview

Journal Matern Child Health J

Specialty Health Services

Date 2022 Apr 27

PMID 35476167

Authors

Renita Maharaj

Masoud Mohammadnezhad

Sabiha Khan

Affiliations

Soon will be listed here.

Abstract

Objective: Antenatal Care (ANC) plays a pivotal role in improving child and maternal health. Even though antenatal coverage in Fiji is more than 95%, the majority of pregnant women fail to initiate ANC within the first trimester. Thus, the research aimed to determine factors that are associated with late antenatal booking among pregnant women who delivered in Ba Mission Hospital (BMH) in Fiji in 2019.

Methods: Secondary data analysis was done using SPSS version 24 on 340 pregnant women who had delivered in BMH from January 1 to December 31, 2019 and met the eligibility criteria. A data extraction sheet was used to collect information on socio-demographic, obstetric, and medical factors.

Results: The prevalence of late booking in BMH in 2019 was 79.7%. The results of the bivariate analysis showed that being from I-taukei ethnicity (AOR: 2.36; p = 0.003), an unmarried woman (AOR: 2.5; p = 0.004), and women with < eight ANC visits (AOR: 3.7; p < 0.001) during the pregnancy were significant predictors of late antenatal booking. Multivariate analysis showed that only < eight ANC visits were a significant determinant of late antenatal booking (COR: 3.6; p < 0.001).

Conclusion: The burden of late antenatal booking in Ba is higher than those of some other developing nations. Efforts are needed to create community awareness on the importance of early ANC booking. The significant factor identified should inform policymakers on how to influence pregnant women to come for an early booking for ANC.

Citing Articles

Factors Associated with Late Antenatal Initiation among Women in Malawi.

Palamuleni M Int J Environ Res Public Health. 2024; 21(2).

PMID: 38397633 PMC: 10887924. DOI: 10.3390/ijerph21020143.

References

Alemu Y, Aragaw A . Early initiations of first antenatal care visit and associated factor among mothers who gave birth in the last six months preceding birth in Bahir Dar Zuria Woreda North West Ethiopia. Reprod Health. 2018; 15(1):203. PMC: 6292069. DOI: 10.1186/s12978-018-0646-9. View

Bbaale E . Factors influencing timing and frequency of antenatal care in Uganda. Australas Med J. 2013; 4(8):431-8. PMC: 3562883. DOI: 10.4066/AMJ.2011.729. View

Benova L, Tuncalp O, Moran A, Campbell O . Not just a number: examining coverage and content of antenatal care in low-income and middle-income countries. BMJ Glob Health. 2018; 3(2):e000779. PMC: 5898334. DOI: 10.1136/bmjgh-2018-000779. View

Chiavarini M, Lanari D, Minelli L, Salmasi L . Socio-demographic determinants and access to prenatal care in Italy. BMC Health Serv Res. 2014; 14:174. PMC: 3991890. DOI: 10.1186/1472-6963-14-174. View

Ejeta E, Dabsu R, Zewdie O, Merdassa E . Factors determining late antenatal care booking and the content of care among pregnant mother attending antenatal care services in East Wollega administrative zone, West Ethiopia. Pan Afr Med J. 2017; 27:184. PMC: 5579454. DOI: 10.11604/pamj.2017.27.184.10926. View

Ewunetie A, Munea A, Meselu B, Simeneh M, Meteku B . DELAY on first antenatal care visit and its associated factors among pregnant women in public health facilities of Debre Markos town, North West Ethiopia. BMC Pregnancy Childbirth. 2018; 18(1):173. PMC: 5956942. DOI: 10.1186/s12884-018-1748-7. View

Gidey G, Hailu B, Nigus K, Hailu T, GHer W, Gerensea H . Timing of first focused antenatal care booking and associated factors among pregnant mothers who attend antenatal care in Central Zone, Tigray, Ethiopia. BMC Res Notes. 2017; 10(1):608. PMC: 5699019. DOI: 10.1186/s13104-017-2938-5. View

Gudayu T, Woldeyohannes S, Abdo A . Timing and factors associated with first antenatal care booking among pregnant mothers in Gondar Town; North West Ethiopia. BMC Pregnancy Childbirth. 2014; 14:287. PMC: 4152591. DOI: 10.1186/1471-2393-14-287. View

Haddrill R, Jones G, Mitchell C, Anumba D . Understanding delayed access to antenatal care: a qualitative interview study. BMC Pregnancy Childbirth. 2014; 14:207. PMC: 4072485. DOI: 10.1186/1471-2393-14-207. View

10.

Jiwani S, Amouzou-Aguirre A, Carvajal L, Chou D, Keita Y, Moran A . Timing and number of antenatal care contacts in low and middle-income countries: Analysis in the Countdown to 2030 priority countries. J Glob Health. 2020; 10(1):010502. PMC: 7101027. DOI: 10.7189/jogh.10.010502. View

11.

Moller A, Petzold M, Chou D, Say L . Early antenatal care visit: a systematic analysis of regional and global levels and trends of coverage from 1990 to 2013. Lancet Glob Health. 2017; 5(10):e977-e983. PMC: 5603717. DOI: 10.1016/S2214-109X(17)30325-X. View

12.

Paudel Y, Jha T, Mehata S . Timing of First Antenatal Care (ANC) and Inequalities in Early Initiation of ANC in Nepal. Front Public Health. 2017; 5:242. PMC: 5600995. DOI: 10.3389/fpubh.2017.00242. View

13.

Tesfaye G, Loxton D, Chojenta C, Semahegn A, Smith R . Delayed initiation of antenatal care and associated factors in Ethiopia: a systematic review and meta-analysis. Reprod Health. 2017; 14(1):150. PMC: 5688656. DOI: 10.1186/s12978-017-0412-4. View

14.

Vogel J, Habib N, Souza J, Gulmezoglu A, Dowswell T, Carroli G . Antenatal care packages with reduced visits and perinatal mortality: a secondary analysis of the WHO Antenatal Care Trial. Reprod Health. 2013; 10:19. PMC: 3637102. DOI: 10.1186/1742-4755-10-19. View

15.

Gebremariam Weldearegawi G, Teklehaimanot B, Gebru H, Gebrezgi Z, Tekola K, Baraki M . Determinants of late antenatal care follow up among pregnant women in Easter zone Tigray, Northern Ethiopia, 2018: unmatched case-control study. BMC Res Notes. 2019; 12(1):752. PMC: 6862862. DOI: 10.1186/s13104-019-4789-8. View