cross-sectional·obstetrics and gynecology, public health, epidemiology, pediatrics, family medicine·PMC10021392
Late antenatal care booking and associated factors among pregnant women in Mizan-Aman town, South West Ethiopia, 2021
PLOS Global Public Health · 5 authors, 3 centres
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This cross-sectional study of 425 pregnant women in Ethiopia found that 70.0% started antenatal care late (after the first trimester). Key factors associated with late booking were unplanned pregnancy, inappropriate perception of when to start care, and lack of awareness about pregnancy danger signs.
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An institutional-based cross-sectional study was conducted in Mizan-Aman town, Ethiopia, using systematic random sampling to survey 425 pregnant women visiting health institutions for antenatal care (ANC). The study assessed the prevalence of late first ANC booking (defined as at or after 16 weeks of gestation) and its associated factors using binary and multiple logistic regressions. The central result was a 70.0% prevalence of late ANC booking. Multivariate analysis identified unplanned pregnancy, inappropriate perception of ANC starting time, and unawareness of pregnancy-related danger signs as factors significantly associated with a higher likelihood of late booking. Awareness of health institution service delivery during working hours was associated with a lower likelihood. The findings suggest a need for public health interventions to improve awareness and access to early antenatal care.