Use of antenatal care services in Kassala, eastern Sudan 英文参考文献.docVIP

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Use of antenatal care services in Kassala, eastern Sudan 英文参考文献.doc

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Use of antenatal care services in Kassala, eastern Sudan 英文参考文献

Alietal.BMCPregnancyandChildbirth2010,10:67 /1471-2393/10/67 RESEARCH ARTICLE OpenAccess UseofantenatalcareservicesinKassala,eastern Sudan AbdelAziemAAli1,MohammedMOsman2,AmeerOAbbaker2,IshagAdam2* Abstract Background:AntenatalcareisnamedasoneofthefourpillarsinitiativesoftheSafeMotherhoodInitiative.While manyofroutineantenatalcareprocedurehavelittleeffectonmaternalmortalityandmorbidity,someofthese havebeenascertainedasbeneficial.Theaimofthisstudywastoinvestigatecoverageofantenatalcareand identifyfactorsassociatedwithinadequacyofantenatalcareinKassala,easternSudan. Methods:Across-sectionalcommunity-basedstudywascarriedoutinKassala,easternSudanduring September-October2009.Householdsurveyswereconducted.Structuredquestionnaireswereusedtogatherdata fromwomenwhohadbeenpregnantwithinthelastyear,orpregnantmorethan14weeks. Results:Outof900womeninvestigatedforantenatalcarecoverage,811(90%)womenhadatleastonevisit.Only 11%oftheinvestigatedwomenhad≥fourantenatalvisits,while10.0%hadnotattendedatall.Outof811 womenwhoattendedatleastonevisit,483(59.6%),303(37.4%)and25(3.1%)womenattendedantenatalcarein thefirst,secondandthirdtrimester,respectively.Inlogisticregressionanalyses,whilematernalageandresidence werenotassociatedwithinadequacyofantenatalcare(2visits),highparity(OR=2.0,CI=1.1-3.5;P=0.01)and husbandeducation≤secondarylevel(OR=2.4,CI=1.3-4.2;P=0.002)wereassociatedwithinadequacyof antenatalcare. Conclusions:AntenatalcareshowedalowcoverageinKassala,easternSudan.Thislowcoveragewasassociated withhighparityandlowhusbandeducation. Background Although, World Health Organization recommended Antenatalcareisoneofthefourpillarsinitiativesofthe fourantenatalvisitsforthelowriskpregnancy[6],there Safe Motherhood Initiative; however, its relative contri- isstilldebateregardingtheoptimalnumberofvisitsfor butiontomaternalhealthhasbeenunderdebate.While the antenatal care [7]. There is tendency towards late many of routine antenatal care procedures have little attendanceforthefir