Demographic correlates of gestational age at booking among antenatal clinic attendees in secondary healthcare facilities in semi-urban/rural areas of Rivers state, Southern Nigeria
Keywords:
Early antenatal care, demography, correlates, gestational age, rural, semi-urban healthcare, NigeriaAbstract
Background: Pregnancy related complications remain unacceptably high in Nigeria. Antenatal Care is one of the pillars of safe motherhood. Early booking is known to improve outcomes and demographic factors correlate with the timing of booking. The aim of this study is to determine the booking pattern and demographic correlates of rural/semi-urban dwellers.
Method: The study was a cross-sectional study of women registering for Antenatal Care in Zonal/General Hospitals sited in rural/semi-urban areas of Rivers State, Southern Nigeria between January and June 2022.
Results: Half (50%) of the participants were aged between 21 and 30 years with a mean age was 29.86 ± 6.067. 54% were business women and 61.5% had secondary level of education. 57.5% of their spouses were businessmen and 51% had secondary level of education. 13.5% of the participants booked early. Multivariate analysis revealed significant correlation between early booking and Parity (p=0.023), Spouse’s Occupation (p=0.02), Marital Status (p=0.013) and Spouse’s Education (p=0.01). 66.7% were either nullipara or primipara. There was no significant correlation between early booking and the participants age, educational status, occupation and religion.
Conclusion: Early booking remains a challenge in these women especially the multiparous women and the spouses of the women play a significant role in their health seeking behaviour with low spousal education associated with early booking.
References
Otundo MR. WHO Recommendations on Antenatal Care for a Positive Pregnancy Experience in Kenya. Available at SSRN 3449460. 2019 Sep 6
Awoyesuku PA, MacPepple DA, Kwosah NJ. Pattern and socio-demographic determinants of gestational age at antenatal booking at the Rivers State University Teaching Hospital, Nigeria: A two year review. Asian Journal of Pregnancy and Childbirth. 2019;2(3):1-8
Jeremiah I, Orazulike NC, Korubo IF. Factors Influencing Gestational Age at Booking at The University of Port Harcourt Teaching Hospital South-South Nigeria. Intern Journ Trop Disease and Health. 2015; 6(2):52-7.
Addah A, Omietimi J, Allagoa D. Gestational age at first antenatal booking at the federal medical centre Yenagoa, Bayelsa State, South-South, Nigeria. Lancet. 2015; 5(1):19-24.
Enabudoso EJ, Obhielo E. Socio-demographic and obstetric determinants of gestational age at booking at the University of Benin Teaching Hospital: a descriptive survey. The Nigerian Postgraduate Medical Journal. 2012; 19(3):149-52.
Umoh AV, Umoiyoho AJ, James SR. Gestational age at first antenatal visit in Uyo, Nigeria. Ibom Medical Journal. 2006; 1(1):13-7.
Nwagha UI, Ugwu OV, Anyaehie US. The influence of parity on the gestational age at booking among pregnant women in Enugu, South East Nigeria. Nigerian Journal of Physiological Sciences. 2008; 23(1-2): 67 -70.
Okunlola MA, Ayinde OA, Owonikoko KM, Omigbodun AO. Factors influencing gestational age at antenatal booking at the University College Hospital, Ibadan, Nigeria. Journal of Obstetrics and Gynaecology. 2006; 26(3):195-7.
Adegbola O. Gestational age at antenatal booking in Lagos University Teaching Hospital (LUTH). Nig QJ Hosp Med. 2009; 19(suppl 3):162-4.
Ifenne DI, Utoo BT. Gestational age at booking for antenatal care in a tertiary health facility in north-central, Nigeria. Nigerian Medical Journal: Journal of the Nigeria Medical Association. 2012; 53(4): 236 –339.
Omoja B, Onoja KO, Nyangu DD, Sagay AS. Sociodemographic factors that influence gestational age at antenatal care booking in Jos university Teaching Hospital, Jos, Nigeria. Jos Journal of Medicine. 2015; 9(3):16-21.
Manyeh AK, Amu A, Williams J, Gyapong M. Factors associated with the timing of antenatal clinic attendance among first-time mothers in rural southern Ghana. BMC Pregnancy and Childbirth. 2020; 20(1):1-7.
Tolefac PN, Halle-Ekane GE, Agbor VN, Sama CB, Ngwasiri C, Tebeu PM. Why do pregnant women present late for their first antenatal care consultation in Cameroon?. Maternal Health, Neonatology and Perinatology. 2017; 3(1):1-6.
Drammeh B, Hsieh CJ, Liu CY, Kao CH. Predictors of antenatal care booking among pregnant women in The Gambia. African Journal of Midwifery and Women's Health. 2018; 12(2):65-71.
Solarin I, Black V. “They told me to come back”: women’s antenatal care booking experience in inner-city Johannesburg. Maternal and Child Health Journal. 2013; 17(2):359-67.
Basu JK, Basu D, Jeketera CM. Demographic and clinical variables influencing gestational age at booking among South African pregnant women. Journal of Obstetrics and Gynaecology. 2011; 31(8):718-20.
Gudayu TW, Woldeyohannes SM, Abdo AA. Timing and factors associated with first antenatal care booking among pregnant mothers in Gondar Town; North West Ethiopia. BMC Pregnancy and Childbirth. 2014; 14(1):1-7.
Turyasiima M, Tugume R, Openy A, Ahairwomugisha E, Opio R, Ntunguka M, Mahulo N, Akera P, Odongo-Aginya E. Determinants of first antenatal care visit by pregnant women at community based education, research and service sites in Northern Uganda. East African Medical Journal. 2014; 91(9):317-22.
Sinyange N, Sitali L, Jacobs C, Musonda P, Michelo C. Factors associated with late antenatal care booking: population-basedobservations from the 2007 Zambia demographic and health survey. The Pan African Medical Journal. 2016; 25: 109. [dio: 10.11604/pamj.2016.25.109.6873].
Alwan NA, Roderick PJ, Macklon NS. Is timing of the first antenatal visit associated with adverse birth outcomes? Analysis from a population-based birth cohort. The Lancet. 2016; 388:S18.
Al-Shammari SA, Khoja T, Jarallah JS. The pattern of antenatal visits with emphasis on gestational age at booking in Riyadh Health Centres. Journal of the Royal Society of Health. 1994; 114(2):62-6.
Utuk N, Ekanem A, Abasiattai A. Timing and reasons for antenatal care booking among women in a tertiary health care center in Southern Nigeria. Int J Reprod Contracept Obstet Gynecol. 2017; 6(9):3731-6.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 The Nigerian Health Journal
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
The Journal is owned, published and copyrighted by the Nigerian Medical Association, River state Branch. The copyright of papers published are vested in the journal and the publisher. In line with our open access policy and the Creative Commons Attribution License policy authors are allowed to share their work with an acknowledgement of the work's authorship and initial publication in this journal.
This is an open access journal which means that all content is freely available without charge to the user or his/her institution. Users are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles in this journal without asking prior permission from the publisher or the author.
The use of general descriptive names, trade names, trademarks, and so forth in this publication, even if not specifically identified, does not imply that these names are not protected by the relevant laws and regulations. While the advice and information in this journal are believed to be true and accurate on the date of its going to press, neither the authors, the editors, nor the publisher can accept any legal responsibility for any errors or omissions that may be made. The publisher makes no warranty, express or implied, with respect to the material contained herein.
TNHJ also supports open access archiving of articles published in the journal after three months of publication. Authors are permitted and encouraged to post their work online (e.g, in institutional repositories or on their website) within the stated period, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access). All requests for permission for open access archiving outside this period should be sent to the editor via email to editor@tnhjph.com.
