Late entry to antenatal care in New South Wales, Australia

<p>Abstract</p> <p>Aims</p> <p>This study aimed to assess the prevalence of women who entered antenatal care (ANC) late and to identify factors related to the late entry to ANC in New South Wales (NSW) in 2004.</p> <p>Methods</p> <p>The NSW Midwi...

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Main Authors: Rubin George, Trinh Lieu
Format: Article
Language:English
Published: BMC 2006-08-01
Series:Reproductive Health
Online Access:http://www.reproductive-health-journal.com/content/3/1/8
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author Rubin George
Trinh Lieu
author_facet Rubin George
Trinh Lieu
author_sort Rubin George
collection DOAJ
description <p>Abstract</p> <p>Aims</p> <p>This study aimed to assess the prevalence of women who entered antenatal care (ANC) late and to identify factors related to the late entry to ANC in New South Wales (NSW) in 2004.</p> <p>Methods</p> <p>The NSW Midwives Data Collection contained data of 85,034 women who gave birth in 2004. Data were downloaded using SAS and transferred to STATA 8.0. Entering ANC after 12 weeks of gestation was classified as late. The Andersen Health Seeking Behaviour Model was used for selection and analyses of related factors. Regression and hierarchical analyses were used to identify significant factors and their relative contributions to the variation of pregnancy duration at entry to ANC.</p> <p>Results</p> <p>41% of women commenced ANC after 12 weeks of gestation. Inequality existed between groups of women with predisposing characteristics and enabling resources contributed more to the variation in pregnancy duration at entry to ANC than needs. The groups of women with highest risk were teenagers, migrants from developing countries, women living in Western Sydney, Aboriginal and Torres Strait Islanders, women with three or more previous pregnancies and heavy smokers. The high risk groups with largest number of women were migrants from developing countries and women living in Western Sydney.</p> <p>Conclusion</p> <p>A large number of women in NSW entered ANC late in their pregnancies. Efforts to increase early entry to ANC should be targeted on identified high risk groups of women.</p>
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spelling doaj.art-11934a19ed944f389f799e63636f85602022-12-21T22:12:24ZengBMCReproductive Health1742-47552006-08-0131810.1186/1742-4755-3-8Late entry to antenatal care in New South Wales, AustraliaRubin GeorgeTrinh Lieu<p>Abstract</p> <p>Aims</p> <p>This study aimed to assess the prevalence of women who entered antenatal care (ANC) late and to identify factors related to the late entry to ANC in New South Wales (NSW) in 2004.</p> <p>Methods</p> <p>The NSW Midwives Data Collection contained data of 85,034 women who gave birth in 2004. Data were downloaded using SAS and transferred to STATA 8.0. Entering ANC after 12 weeks of gestation was classified as late. The Andersen Health Seeking Behaviour Model was used for selection and analyses of related factors. Regression and hierarchical analyses were used to identify significant factors and their relative contributions to the variation of pregnancy duration at entry to ANC.</p> <p>Results</p> <p>41% of women commenced ANC after 12 weeks of gestation. Inequality existed between groups of women with predisposing characteristics and enabling resources contributed more to the variation in pregnancy duration at entry to ANC than needs. The groups of women with highest risk were teenagers, migrants from developing countries, women living in Western Sydney, Aboriginal and Torres Strait Islanders, women with three or more previous pregnancies and heavy smokers. The high risk groups with largest number of women were migrants from developing countries and women living in Western Sydney.</p> <p>Conclusion</p> <p>A large number of women in NSW entered ANC late in their pregnancies. Efforts to increase early entry to ANC should be targeted on identified high risk groups of women.</p>http://www.reproductive-health-journal.com/content/3/1/8
spellingShingle Rubin George
Trinh Lieu
Late entry to antenatal care in New South Wales, Australia
Reproductive Health
title Late entry to antenatal care in New South Wales, Australia
title_full Late entry to antenatal care in New South Wales, Australia
title_fullStr Late entry to antenatal care in New South Wales, Australia
title_full_unstemmed Late entry to antenatal care in New South Wales, Australia
title_short Late entry to antenatal care in New South Wales, Australia
title_sort late entry to antenatal care in new south wales australia
url http://www.reproductive-health-journal.com/content/3/1/8
work_keys_str_mv AT rubingeorge lateentrytoantenatalcareinnewsouthwalesaustralia
AT trinhlieu lateentrytoantenatalcareinnewsouthwalesaustralia