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Related Experiment Videos

Delayed antenatal care: does it effect pregnancy outcome?

P Thomas1, J Golding, T J Peters

  • 1Department of Child Health, University of Bristol, U.K.

Social Science & Medicine (1982)
|January 1, 1991
PubMed
Summary

Delayed antenatal care (ANC) attendance, defined as not attending before 28 weeks of gestation, showed no association with adverse pregnancy outcomes like pre-eclampsia or low birthweight. However, delayed care was linked to a slightly longer gestation period.

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Area of Science:

  • Obstetrics and Gynecology
  • Public Health
  • Maternal Health

Background:

  • Delayed antenatal care (ANC) attendance is a concern in maternal health.
  • Predictors of delayed ANC include socioeconomic and demographic factors.
  • Understanding the impact of delayed ANC on pregnancy outcomes is crucial.

Purpose of the Study:

  • To investigate the association between delayed antenatal care attendance and adverse pregnancy outcomes.
  • To analyze if factors like region, marital status, and parity influence this association.

Main Methods:

  • Analysis of data from 13,127 mothers with known last menstrual period (LMP) dates.
  • Definition of delayed ANC as attendance after 28 weeks of gestation.
  • Statistical adjustment for background factors predictive of delayed attendance.

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Main Results:

  • No significant association found between delayed ANC and severe pre-eclampsia, perinatal mortality, preterm delivery, or birthweight.
  • A modest increase of approximately 2 days in gestation length was observed in delayed attenders after adjusting for background factors.
  • Background factors such as region of residence, father's region of birth, marital status, contraceptive use, parity, maternal age, and interpregnancy interval were considered.

Conclusions:

  • Delayed antenatal care attendance does not appear to be associated with major adverse pregnancy outcomes.
  • The findings suggest that focusing solely on delayed attendance may not be the most critical factor for improving certain pregnancy outcomes.
  • Further research could explore other aspects of antenatal care quality and accessibility.