Psychosocial factors associated with early initiation and frequency of antenatal care (ANC) visits in a rural and urban setting in South Africa: a cross-sectional survey

BMC Pregnancy and Childbirth
Lorrein Shamiso MuhwavaLeslie London

Abstract

Late booking and infrequent antenatal care (ANC) are common but avoidable patient-related risk factors for maternal deaths in South Africa. The aim of the study was to examine the association of psychosocial factors with early initiation of ANC and adequate frequency of attendance of ANC clinics among women in an urban and rural location in South Africa. Data from a 2006 cross-sectional household survey of 363 women from the rural Western Cape and 466 women from urban Gauteng provinces of South Africa for risk of alcohol-exposed pregnancy were analysed. We examined associations between psychosocial variables (self-esteem, cultural influences, religiosity, social capital, social support, pregnancy desire (wanted versus unwanted pregnancy), partner characteristics and mental health) and both early ANC first visit (before 16 weeks) and adequate frequency of ANC visits (4 or more visits) for respondents' last pregnancy. Overall prevalence among urban women of early ANC initiation was 46% and 84% for adequate ANC frequency. Overall prevalence among rural women of early ANC initiation was 45% and 78% for adequate ANC frequency. After adjusting for clustering, psychosocial factors associated with early ANC initiation in the urban site...Continue Reading

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Citations

Aug 30, 2017·The Australian & New Zealand Journal of Obstetrics & Gynaecology·Ahmed Al-AminFabricio da Silva Costa
Sep 7, 2017·Global Health Action·Langelihle MlotshwaSonja Merten
Oct 9, 2019·BMJ Open·Ijeoma Nkem Okedo-AlexChigozie Jesse Uneke
Aug 18, 2020·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Marisa R YoungFlorina Serbanescu
May 27, 2020·Journal of Primary Care & Community Health·Ali SsetaalaOlivier Degomme
Feb 26, 2019·Journal of Korean Medical Science·Kyung Hee KimYongKyoung Woo
Jul 12, 2019·Frontiers in Public Health·Seman Kedir OusmanJeanette H Magnus

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