Maternity and Reproductive Health Nursing

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Browsing Maternity and Reproductive Health Nursing by Subject "Antenatal Care, Late ANC booking, Mizan-Aman town, southwest Ethiopia."

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    Late Antenatal Care Booking and Associated Factor among Pregnant Women in Mizan-Aman Town, South West Ethiopia, 2021: a Mixed Study Method .
    (Addis Ababa University, 2021-06) Gashawbeza Gelila; Teshome Roza(MSc); Adugna Haweni (MSc)
    Background: Antenatal care (ANC) is one of the key strategies for reducing maternal and neonatal morbidity and mortality directly by antenatal care service. World health organization recommends;the first ANC contact should be within the first trimester of gestational age. Objective: To determine late antenatal care booking and associated factors among pregnant women in Mizan-Aman Town, South West Ethiopia, 2021. Method: Institutional based a convergent mixed study designed was implemented. The data collection was conducted from February, 15 to March 25, 2021 through structured questioner for quantitative study and in-depth, key informant interview by using of semi-structured questioner for qualitative study. A total of 425 pregnant women were recruited by systematic random sampling method for quantitative, 11 late ANC booker pregnant women and 9 health care provider for qualitative. The data was analysis by using logistic regression model (quantitative data) and thematic analysis was used for qualitative data with assistance QDA miner lite soft ware. Results: From the overall participants [70.0 %, 95% CI=65.65, 74.35] of pregnant women’s were late to book their first ANC booking. Living in rural [AOR= 2.38, 95% CI: 1.0, 5.68],unplanned pregnancy [AOR = 2.63, 95% CI: 1.18, 5.85], inappropriate perception of ANC starting time [AOR=4.1, 95% CI: 1.9, 8.83], pregnant women who didn’t have awareness about pregnancy related danger sign [AOR= 6.76, 95% CI: 2.83, 16.1] and the pregnant women those who didn’t know the service delivery through the working hour in the institution[AOR= 0.44,95% CI: 0.19, 0.98] found to be significantly associated factors with late initiation of antenatal care. Additionally, the qualitative study identified a number of reasons were: Health care provider recommendation Unaware of being pregnant , Being busy Unfriendly health care provider and Card room related problem Conclusion and recommendations: The current study showed a higher prevalence of delayed antenatal care initiation. All responsible bodes working in maternal and child health care better to create awareness for community on the family planning, benefit of early ANC booking and appropriate ANC starting time.