What predicts delayed first antenatal care contact among primiparous women? Findings from a cross-sectional study in Nigeria
Abstract Background Delayed first antenatal care contact refers to first antenatal care contact occurring above twelfth weeks of gestation. Studies in Nigeria and in other countries have examined the prevalence and predictors of delayed first antenatal care contact. Nevertheless, existing studies ha...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2022-10-01
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| Series: | BMC Pregnancy and Childbirth |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12884-022-05079-y |
| _version_ | 1797996058828079104 |
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| author | Bola Lukman Solanke Olufemi O. Oyediran Ayodele Aderemi Opadere Taofik Olatunji Bankole Olabusoye Olu Olupooye Umar Idris Boku |
| author_facet | Bola Lukman Solanke Olufemi O. Oyediran Ayodele Aderemi Opadere Taofik Olatunji Bankole Olabusoye Olu Olupooye Umar Idris Boku |
| author_sort | Bola Lukman Solanke |
| collection | DOAJ |
| description | Abstract Background Delayed first antenatal care contact refers to first antenatal care contact occurring above twelfth weeks of gestation. Studies in Nigeria and in other countries have examined the prevalence and predictors of delayed first antenatal care contact. Nevertheless, existing studies have rarely examined the predictors among primiparous women. In addition, the evidence of higher health risks associated with primigravida emphasizes the need to focus on primiparous women. This study, therefore, examined the predictors of delayed first antenatal care contact among primiparous women in Nigeria. Methods The study was a descriptive cross-sectional design that analyzed data extracted from the 2018 Nigeria Demographic and Health Survey. The study analyzed a weighted sample of 3,523 primiparous women. The outcome variable was delayed first antenatal care contact. explanatory variables were grouped into predisposing, enabling, and need factors. The predisposing factors were maternal age, education, media exposure, religion, household size, The knowledge of the fertile period, and women’s autonomy. The enabling factors were household wealth, employment status, health insurance, partner’s education, financial inclusion, and barriers to accessing healthcare. The need factors were pregnancy wantedness and spousal violence during pregnancy. Data were analyzed using Stata 14. Two multivariable logistic regression models were fitted. Statistical significance was set at p < 0.05. Results Nearly two-thirds (65.0%) of primiparous women delayed first antenatal care contact. Maternal age, maternal education, media exposure, religion, household membership, and knowledge of the fertile period were predisposing factors that significantly influenced the likelihood of delayed first antenatal care contact. Also, household wealth, employment status, health insurance, partner’s education, perception of distance to the health facility, and financial inclusion were enabling factors that had significant effects on delayed first antenatal care contact. Pregnancy wantedness was the only need factor that significantly influenced the likelihood of delayed first antenatal care contact. Conclusion The majority of primiparous women in Nigeria delayed first antenatal care contact and the delay was predicted by varied predisposing, enabling, and need factors. Therefore, a public health education program that targets women of reproductive age especially primiparous women is needed to enhance early antenatal care contact in the country. |
| first_indexed | 2024-04-11T10:11:26Z |
| format | Article |
| id | doaj.art-25099dbef67f4225aca182f9aa9ea36c |
| institution | Directory Open Access Journal |
| issn | 1471-2393 |
| language | English |
| last_indexed | 2024-04-11T10:11:26Z |
| publishDate | 2022-10-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Pregnancy and Childbirth |
| spelling | doaj.art-25099dbef67f4225aca182f9aa9ea36c2022-12-22T04:30:06ZengBMCBMC Pregnancy and Childbirth1471-23932022-10-0122111110.1186/s12884-022-05079-yWhat predicts delayed first antenatal care contact among primiparous women? Findings from a cross-sectional study in NigeriaBola Lukman Solanke0Olufemi O. Oyediran1Ayodele Aderemi Opadere2Taofik Olatunji Bankole3Olabusoye Olu Olupooye4Umar Idris Boku5Department of Demography and Social Statistics, Obafemi Awolowo UniversityDepartment of Nursing Science, Obafemi Awolowo UniversityDepartment of Behavioral Studies, Redeemer’s UniversityDepartment of Public Health, Osun State UniversityDepartment of Sociology, Lagos State UniversityDepartment of Demography and Social Statistics, Federal UniversityAbstract Background Delayed first antenatal care contact refers to first antenatal care contact occurring above twelfth weeks of gestation. Studies in Nigeria and in other countries have examined the prevalence and predictors of delayed first antenatal care contact. Nevertheless, existing studies have rarely examined the predictors among primiparous women. In addition, the evidence of higher health risks associated with primigravida emphasizes the need to focus on primiparous women. This study, therefore, examined the predictors of delayed first antenatal care contact among primiparous women in Nigeria. Methods The study was a descriptive cross-sectional design that analyzed data extracted from the 2018 Nigeria Demographic and Health Survey. The study analyzed a weighted sample of 3,523 primiparous women. The outcome variable was delayed first antenatal care contact. explanatory variables were grouped into predisposing, enabling, and need factors. The predisposing factors were maternal age, education, media exposure, religion, household size, The knowledge of the fertile period, and women’s autonomy. The enabling factors were household wealth, employment status, health insurance, partner’s education, financial inclusion, and barriers to accessing healthcare. The need factors were pregnancy wantedness and spousal violence during pregnancy. Data were analyzed using Stata 14. Two multivariable logistic regression models were fitted. Statistical significance was set at p < 0.05. Results Nearly two-thirds (65.0%) of primiparous women delayed first antenatal care contact. Maternal age, maternal education, media exposure, religion, household membership, and knowledge of the fertile period were predisposing factors that significantly influenced the likelihood of delayed first antenatal care contact. Also, household wealth, employment status, health insurance, partner’s education, perception of distance to the health facility, and financial inclusion were enabling factors that had significant effects on delayed first antenatal care contact. Pregnancy wantedness was the only need factor that significantly influenced the likelihood of delayed first antenatal care contact. Conclusion The majority of primiparous women in Nigeria delayed first antenatal care contact and the delay was predicted by varied predisposing, enabling, and need factors. Therefore, a public health education program that targets women of reproductive age especially primiparous women is needed to enhance early antenatal care contact in the country.https://doi.org/10.1186/s12884-022-05079-yDelayed first antenatal carePrimiparous womenMaternal and newborn healthNigeria |
| spellingShingle | Bola Lukman Solanke Olufemi O. Oyediran Ayodele Aderemi Opadere Taofik Olatunji Bankole Olabusoye Olu Olupooye Umar Idris Boku What predicts delayed first antenatal care contact among primiparous women? Findings from a cross-sectional study in Nigeria BMC Pregnancy and Childbirth Delayed first antenatal care Primiparous women Maternal and newborn health Nigeria |
| title | What predicts delayed first antenatal care contact among primiparous women? Findings from a cross-sectional study in Nigeria |
| title_full | What predicts delayed first antenatal care contact among primiparous women? Findings from a cross-sectional study in Nigeria |
| title_fullStr | What predicts delayed first antenatal care contact among primiparous women? Findings from a cross-sectional study in Nigeria |
| title_full_unstemmed | What predicts delayed first antenatal care contact among primiparous women? Findings from a cross-sectional study in Nigeria |
| title_short | What predicts delayed first antenatal care contact among primiparous women? Findings from a cross-sectional study in Nigeria |
| title_sort | what predicts delayed first antenatal care contact among primiparous women findings from a cross sectional study in nigeria |
| topic | Delayed first antenatal care Primiparous women Maternal and newborn health Nigeria |
| url | https://doi.org/10.1186/s12884-022-05079-y |
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