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Related Experiment Videos

Poor antenatal attendance and obstetric performance.

J D Keeping, A M Chang, J Morrison

    The Australian & New Zealand Journal of Obstetrics & Gynaecology
    |August 1, 1980
    PubMed
    Summary
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    Women with poor antenatal care attendance were identified as young, unmarried, or Aboriginal. This group, though small, significantly contributed to adverse birth outcomes including low Apgar scores and neonatal deaths.

    Area of Science:

    • Public Health
    • Maternal Health
    • Perinatal Epidemiology

    Background:

    • Antenatal care (ANC) attendance is crucial for monitoring maternal and fetal well-being.
    • Identifying factors associated with poor ANC attendance can inform targeted interventions.
    • Previous studies highlight socioeconomic and demographic predictors of healthcare utilization.

    Purpose of the Study:

    • To survey antenatal care attendance patterns at a public hospital in Brisbane.
    • To identify demographic and socioeconomic characteristics of "poor attenders" for antenatal care.
    • To determine the association between poor antenatal care attendance and adverse perinatal outcomes.

    Main Methods:

    • A survey was conducted at a public hospital in Brisbane to assess antenatal care attendance.

    Related Experiment Videos

  • Data collected included patient demographics, socioeconomic factors, and birth outcomes.
  • Statistical analysis was performed to compare "poor attenders" with regular attenders and to assess outcome associations.

    • Main Results:

    • "Poor attenders" were characterized as young, unmarried, grande multiparous, Aboriginal, and residing in disadvantaged areas.
    • This group represented 6.5% of the total patient population.
    • Despite their small proportion, "poor attenders" accounted for a disproportionately high percentage of adverse outcomes: 14.6% of low Apgar scores, 23% of low birth weight babies, 23.1% of stillbirths, and 18.2% of neonatal deaths.

    Conclusions:

    • Poor antenatal care attendance is linked to specific demographic and socioeconomic factors.
    • A small subgroup of women with poor ANC attendance is associated with a significantly higher burden of adverse perinatal outcomes.
    • Targeted public health strategies are needed to improve antenatal care access and reduce disparities in birth outcomes for vulnerable populations.