Timing of antenatal care for adolescent and adult pregnant women in south-eastern Tanzania 英文参考文献.docVIP

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Timing of antenatal care for adolescent and adult pregnant women in south-eastern Tanzania 英文参考文献.doc

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Timing of antenatal care for adolescent and adult pregnant women in south-eastern Tanzania 英文参考文献

Grossetal.BMCPregnancyandChildbirth2012,12:16 /1471-2393/12/16 RESEARCH ARTICLE OpenAccess Timingofantenatalcareforadolescentandadult pregnantwomeninsouth-easternTanzania KarinGross1,2*,SandraAlba1,2,TracyRGlass1,2,JoannaArmstrongSchellenberg3andBrigitObrist1,2,4 Abstract Background:Earlyandfrequentantenatalcareattendanceduringpregnancyisimportanttoidentifyandmitigate riskfactorsinpregnancyandtoencouragewomentohaveaskilledattendantatchildbirth.However,many pregnantwomeninsub-SaharanAfricastartantenatalcareattendancelate,particularlyadolescentpregnant women.Thereforetheydonotfullybenefitfromitspreventiveandcurativeservices.Thisstudyassessesthetiming ofadultandadolescentpregnantwomen’sfirstantenatalcarevisitandidentifiesfactorsinfluencingearlyandlate attendance. Methods:ThestudywasconductedintheUlangaandKilomberoruralDemographicSurveillanceareainsouth- easternTanzaniain2008.Qualitativeexploratorystudiesinformedthedesignofastructuredquestionnaire.Atotal of440womenwhoattendedantenatalcareparticipatedinexitinterviews.Socio-demographic,social,perception- andservicerelatedfactorswereanalysedforassociationswithtimingofantenatalcareinitiationusingregression analysis. Results:Themajorityofpregnantwomeninitiatedantenatalcareattendancewithanaverageof5gestational months.BelongingtotheSukumaethnicgroupcomparedtootherethnicgroupssuchasthePogoro,Mhehe, Mgindoandothers,perceivedpoorqualityofcare,laterecognitionofpregnancyandnotbeingsupportedbythe husbandorpartnerwereidentifiedasfactorsassociatedwithalaterantenatalcareenrolment(p0.05). Primiparityandpreviousexperienceofamiscarriageorstillbirthwereassociatedwithanearlierantenatalcare attendance(p0.05).Adolescentpregnantwomenstartedantenatalcarenolaterthanadultpregnantwomen despitebeingmorelikelytobesingle. Conclusions:Factorsincludingpoorqualityofcare,lackofawarenessaboutthehealthbenefitofantenatalcare, laterecognitionofpregnancy,andsocialandeconomicfactorsmayinfluencetimingofantenatalcare. Community-basedinterventionsareneededthatin