دورية أكاديمية

Association between unintended pregnancy and maternal antenatal care services use in Ethiopia: analysis of Ethiopian demographic and health survey 2016.

التفاصيل البيبلوغرافية
العنوان: Association between unintended pregnancy and maternal antenatal care services use in Ethiopia: analysis of Ethiopian demographic and health survey 2016.
المؤلفون: Yalew AZ; Pan African University for Life and Earth Science Institute (Including Agriculture and Health), University of Ibadan, Ibadan, Nigeria.; School of Nursing, St. Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia., Olayemi OO; Department of Obstetrics and Gynecology, College of Medicine, University of Ibadan, Ibadan, Nigeria., Yalew AW; School of Public Health, College of Health Science, Addis Ababa University, Addis Ababa, Ethiopia.
المصدر: Frontiers in medicine [Front Med (Lausanne)] 2023 Apr 19; Vol. 10, pp. 1151486. Date of Electronic Publication: 2023 Apr 19 (Print Publication: 2023).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Frontiers Media S.A Country of Publication: Switzerland NLM ID: 101648047 Publication Model: eCollection Cited Medium: Print ISSN: 2296-858X (Print) Linking ISSN: 2296858X NLM ISO Abbreviation: Front Med (Lausanne) Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: Lausanne, Switzerland : Frontiers Media S.A., [2014]-
مستخلص: Introduction: Unintended pregnancy disproportionately affects women in low and middle-income countries including Ethiopia. Previous studies identified the magnitude and negative health outcomes of unintended pregnancy. However, studies that examined the relationship between antenatal care (ANC) utilization and unintended pregnancy are scarce.
Objective: This study aimed to examine the relationship between unintended pregnancy and ANC utilization in Ethiopia.
Methods: This is a cross-sectional study conducted using the fourth and most recent Ethiopian Demographic Health Survey (EDHS) data. The study comprised a weighted sample of 7,271 women with last alive birth and responded to questions on unintended pregnancy and ANC use. The association between unintended pregnancy and ANC uptake was determined using multilevel logistic regression models adjusted for possible confounders. Finally p  < 5% was considered significant.
Results: Unintended pregnancy accounted for nearly a quarter of all pregnancies (26.5%). After adjusting for confounders, a 33% (AOR: 0.67; 95% CI, 0.57-0.79) lower odds of at least one ANC uptake and a 17% (AOR: 0.83; 95% CI, 0.70-0.99) lower odds of early ANC booking were found among women who had unintended pregnancy compared to women with intended pregnancy. However, this study founds no association (AOR: 0.88; 95% CI, 0.74, 1.04) between unintended pregnancy and four or more ANC visits.
Conclusion: Our study found that having unintended pregnancy was associated with a 17 and 33% reduction in early initiation and use of ANC services, respectively. Policies and programs designed to intervene against barriers to early initiation and use of ANC should consider unintended pregnancy.
Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
(Copyright © 2023 Yalew, Olayemi and Yalew.)
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فهرسة مساهمة: Keywords: EDHS; Ethiopia; antenatal care; antenatal care initiation; unintended pregnancy
تواريخ الأحداث: Date Created: 20230508 Latest Revision: 20230509
رمز التحديث: 20240628
مُعرف محوري في PubMed: PMC10155231
DOI: 10.3389/fmed.2023.1151486
PMID: 37153096
قاعدة البيانات: MEDLINE
الوصف
تدمد:2296-858X
DOI:10.3389/fmed.2023.1151486