Factors predicting timely initiation of antenatal care among pregnant women in Binh Dinh Province, Vietnam

Authors

  • Thuong Thi Le Nguyen Faculty of Nursing, Burapha University.
  • Wannee Deoisres Falculty of Nursing, Burapha University
  • Usa Chuahorm Falculty of Nursing, Burapha University

Keywords:

Pregnant women, antenatal care, timely initiation of antenatal care.

Abstract

Early antenatal visit is acknowledged to be an effective method of preventing adverse outcomes in pregnant women and their infants. The objectives of this predictive correlation study were to determine the timely initiation of antenatal care (ANC) and examine the influence of maternal age, maternal education, parity, knowledge about ANC, and family support for pregnancy on timely initiation of ANC among Vietnamese pregnant women. A random sample of 109 pregnant women visiting antenatal clinic from February to March, 2015 at Quy Nhon General Hospital in Binh Dinh Province, Vietnam were recruited in the study. The self-report questionnaires were used for data collection. The data were analyzed by using descriptive statistics, Pearson Chi-Square, Point Biserial, and multiple logistic regression. The study results showed that the average gestational age for the first ANC of the respondents were 11.85 weeks (S.D. = 5.34) and more than two thirds of the respondents started ANC within 12 weeks (72.5%). Pregnant women with 18-35 years old were 47.95 times more likely to initiate ANC after 12 weeks compared to women older than 35 years  old (AOR= 47.95, 95% CI= 3.80-605.74, p=.003). Women’s knowledge about ANC (AOR = .24, 95% CI = .10-.57, p =.001) and family support for pregnancy (AOR =.73, 95% CI=.57-.95, p=.020) were found to be predictors of early initiation of ANC. These findings suggest that we should pay more attention to pregnant women 18-35 years old and increasing knowledge about ANC. Antenatal care needs to enlarge and encourage the attention of all members in family, should not only focus on pregnant women.

Author Biographies

Thuong Thi Le Nguyen, Faculty of Nursing, Burapha University.

Mrs Thuong Thi Le Nguyen, is a Master degree student at Faculty of Nursing, Burapha University, Thailand, and also a teacher in Binh Dinh Medical College in Vietnam

Wannee Deoisres, Falculty of Nursing, Burapha University

Associate Professor Doctor Wannee Deoisres, Falculty of Nursing, Burapha University.

Usa Chuahorm, Falculty of Nursing, Burapha University

Assistant Professor Doctor Usa Chuahorm, Faculty of Nursing, Burapha university

References

World Health Organization. What is the efficacy/effectiveness of antenatal care and the financial and organizational implications? EUROPE: Hen; 2003.

World Health Organization. The World Health Report: Make every mother and child count. Switzerland: WHO Pess; 2005.

Hollowell L, Oakley L, Vigurs C, Barnett-Page E, Kavanagh J, Oliver S. Increasing the early initiation of antenatal care by Black and Minority Ethnic women in the United Kingdom: a systematic review and mixed methods synthesis of women’s views and the literature on intervention effectiveness. Oxford: National Perinatal Epidemiology Unit, 2012.

Low P, Paterson J, Wouldes T, Carter S, Williams M, Percival T. Factors affecting antenatal care attendance by mothers of Pacific infants living in New Zealand. N Z Med J 2005; 118(1216):1-10.

Vietnam Ministry of Health. National Guideline on reproductive health services. Issued together with Decision No 3367/QD-BYT of Minister of Health on 12/09/2002. In., vol. 3367/QD-BYT: Medical Publishing House, Hanoi; 2003.

The United Nations Population Fund. Compendium of research on reproductive health in Viet Nam for the period 2006-2010. Luck House Graphics; 2012.

Adekanle D A, Isawumi A I. Late antenatal care booking and its predictors among pregnant women in South Western Nigeria. Online J Health Allied Scs [Internet]. 2008 Apr; 7(1): 4. Available from: http://www.ojhas.org /issue25/2008-1-4.htm

Ndidi E P, Oseremen I G. Reasons given by pregnant women for late initiation of antenatal care in the Niger Delta, Nigeria. Ghana Med J 2010; 44(2): 47–51.

Kisuule I, Kaye D K, Najjuka F, Ssematimba S. K, Arinda A, Nakitende G, et al. Timing and reasons for coming late for the first antenatal care visit by pregnant women at Mulago Hospital, Kampala Uganda. BMC Pregnancy and Childbirth J 2013; 13(121):1-7.

Belayneh T, Adefris M, Andargie G. Previous early antenatal service utilization improves timely booking: Cross-sectional study at university of Gondar Hospital, Northwest Ethiopia. Pregnancy J 2014.

Baker E C, Rajasingam D. Using trust databases to identify predictors of late booking for antenatal care within the UK. Public Health J 2012;126(2):112-6.

Trinh L T T, Rubin G. Late entry to antenatal care in New South Wales, Australia. Reproductive Health J 2006; 3(8):1-8.

Trinh L T T, Dibley M J, Byles, J. Determinants of antenatal care utilization in three rural areas of Vietnam. Public Health J 2007; 24(4): 300-10.

Nguyen N T, Deoisres W, Sangin S. Factors predicting antenatal care utilization among postpartum women in Tu Du Hospital, Ho Chi Minh City, Vietnam. Science, Technology, and Humanities J 2013; 11(1): 49-54

Tran T K, Gottvall K, Nguyen H D, Ascher H, Petzold M. Factors associated with antenatal care adequacy in rural and urban contexts-results from two health and demographic surveillance sites in Vietnam. BMC Health Serv Res J 2012; 12(40): 1-10.

Onoh R C, Umeora O U J, Agwu U M, Ezegwui H U, Ezeonu P O, Onyebuchi A K. Pattern and determinants of antenatal booking at Abakaliki Southeast Nigeria. Ann Med Health Sci Res J 2012; 2(2):169-75.

Tayie F A K, Lartey A. Antenatal care and pregnancy outcome in Ghana, the importance of women’s education. AJFAND J 2008; 8(3): 291-303.

Nwagha U I, Anyaehie U S B. The influence of parity on the gestational age at booking among pregnant women in Enugu, South East Nigeria. Niger J Physiol Sci 2008; 23(1-2):67-70.

Secka E, Helleve A, Storeng K, Toure’ S O. Men’s involvement in care and support during pregnancy and childbirth. A qualitative study conducted in the Gambia. University of Oslo; 2010 May.

Gross K, Alba S, Glass T R, Schellenberg J A, Obrist B. Timing of antenatal care for adolescent and adult pregnant women in South-Eastern Tanzania. BMC Pregnancy and Childbirth J 2012, 12(16): 1-12.

Phafoli S H, Aswegen V, Alberts U U. Variables influencing delay in antenatal clinic attendance among teenagers in Lesotho. SA Fam Pract J 2007; 49(9): 17-17h.

Andersen R M. Revisiting the behavioral model and access to medical care: Does it matter? Health Soc Behav J 1995; 36(1):1-10.

Tabachnick B G, Fidell L S. Using multivariate statistics. 5th ed. Boston, MA: Allyn and Bacon, 2007.

Cha E-S, Kim K H, Erlen J A. Translation of scales in cross-cultural research: Issues and techniques. Adv Nurs J 2007; 58(4): 386-95.

Banda C L, Kinnunen T J. Barriers to utilization of focused antenatal care (FANC) among pregnant women in Ntchisi district in Malawi. University of Tampere: 2013 Apr.

Tariku A, Melkamu Y, Kebede Z. Previous utilization of service does not improve timely booking in antenatal care: Cross sectional study on timing of antenatal care booking at Public Health Facilities in Addis Ababa. Ethiopian J of Health Development 2010; 24(3): 226-233.

World Health Organization. Intergrated management of pregnancy and childbirth: Standards for maternal and neonatal care. Geneva: 2007.

Kipronoh K M, Agina B M O. Factors influencing the quality of antenatal care in public maternal and child health facilities in Nairobi province, Kenya. Kenyatta University; 2009.

House J S. Work stress and social support. Reading, M A: Addition- Wesley; 1981.

Sarason I G, Levine H M, Basham R B, Sarason B R. Assessing social support: The Social Support Questionnaire. Personality and Social Psychology J 1983; 44(1):127-139.

Zimet G D, Dahlem N W, Zimet S G, Farley G K. The multidimensional scale of perceived social support. Personality Assessment J 2010; 52(1): 30-41.

Weinert C. Measuring perceived social support: PRQ 2000. In O. L. Strickland & C. Dilorio. (Eds.), Measurement of Nursing outcome. New York: Spinger; 2003.

Mosunmola S, Adekunbi F, Foluso O. Women’s perception of husbands’ support during pregnancy, labour and delivery. IOSR-JNHS 2014; 3(3): 45-50.

Cresswell J A, Yu G, Hatherall B, Morris J, Jamal F, Harden A, et al. Predictors of the timing of initiation of antenatal care in an ethnically diverse urban cohort in the UK. BMC Pregnancy and Childbirth J 2013, 13(103): 1-8.

Hagey J, Rulisa S, Pe´rez-Escamilla R. Barriers and solutions for timely initiation of antenatal care in Kigali,Rwanda: Health facility professionals’ perspective. Midwifery J 2014; 30(1):96-102.

Tran T K, Nguyen C T K, Nguyen H D, Eriksson B, Bondjers G, Gottvall K, et al. Urban - Rural disparities in antenatal care utilization: a study of two cohorts of pregnant women in Vietnam. BMC Health Service Research J 2011; 15(29):163-171.

Ifenne D I, Utoo B T. Gestational age at booking for antenatal care in a tertiary health facility in north‑central, Nigeria. NigerMed J 2012, 53(4): 236-239.

Oladokun A, Oladokun R E, Morhason-Bello I, Bello A F, Adedokun B. Proximate predictors of early antenatal registration among Nigerian pregnant women. Ann Afr Med J 2010; 9(4): 222-5.

Banda I, Michelo C, Hazemba A. Factors associated with late antenatal care attendance in selected rural and urban communities of the Copperbelt Province of Zambia. Medical J of Zambia 2012; 39(3): 29-36.

Rowe R E, Magee H, Quigley M A, Heron P, Askham J, Brocklehurst P. Social and ethnic differences in attendance for antenatal care in England. Public Health J 2008; 122(12):1363-72.

Ayala L SH, Blumenthal P D, Sarnquist C C. Factors influencing women’s decision to seek antenatal care in the ANDES of Peru. Matern Child Health J 2013; 17(6):1112-8.

Downloads

Published

2016-01-06

How to Cite

1.
Nguyen TTL, Deoisres W, Chuahorm U. Factors predicting timely initiation of antenatal care among pregnant women in Binh Dinh Province, Vietnam. JNSH [Internet]. 2016 Jan. 6 [cited 2024 Mar. 29];38(4):123-36. Available from: https://he01.tci-thaijo.org/index.php/nah/article/view/33665