Maternal Pregnancy Intention and Professional Antenatal Care Utilization in Bangladesh: A Nationwide Population-Based Survey.
OBJECTIVE:To investigate the association between maternal pregnancy intention and professional antenatal and delivery care utilization. METHODS:Our data were derived from the 2011 nationally representative Bangladesh Demographic Health Survey. We included antenatal and delivery care utilization data...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Public Library of Science (PLoS)
2016-01-01
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| Series: | PLoS ONE |
| Online Access: | http://europepmc.org/articles/PMC4911017?pdf=render |
| _version_ | 1818992968056438784 |
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| author | Md Mosfequr Rahman Md Mizanur Rahman Md Ismail Tareque Jannatul Ferdos Syeda S Jesmin |
| author_facet | Md Mosfequr Rahman Md Mizanur Rahman Md Ismail Tareque Jannatul Ferdos Syeda S Jesmin |
| author_sort | Md Mosfequr Rahman |
| collection | DOAJ |
| description | OBJECTIVE:To investigate the association between maternal pregnancy intention and professional antenatal and delivery care utilization. METHODS:Our data were derived from the 2011 nationally representative Bangladesh Demographic Health Survey. We included antenatal and delivery care utilization data of the most recent live births for women for the previous three years (n = 4672). We used multilevel logistic regression models to assess the relationship between pregnancy intention and use of professional antenatal and delivery care, with adjustment for potential confounding variables. RESULTS:Approximately 13% and 16% of children were reported by their mothers as unwanted and mistimed at the time of conception, respectively. Among the women, 55% received at least one professional antenatal care service; 21% received four or more professional antenatal services, while 32% were attended by professionals during deliveries. Mothers of children whose pregnancies had been unwanted had a greater risk for not seeking professional antenatal and professional delivery care than those whose pregnancies had been wanted [1≥ ANC from professionals: AOR: 0.66; 95% CI:0.51-0.93; 4≥ ANC from professionals: AOR:0.56; 95% CI:0.37-0.84; and delivery care from professionals: AOR: 0.70; 95% CI:0.50-0.97]. Women who were married after age 18, had secondary or higher level of education, and were from the wealthiest households were more likely to utilize antenatal and delivery care. CONCLUSION:Unwanted pregnancy is significantly associated with lower utilization of professional antenatal and delivery care services in Bangladesh. Reducing unwanted births and promoting access to professional antenatal and delivery care are crucial for achieving the Sustainable Development Goals (SDGs) 3 in Bangladesh. |
| first_indexed | 2024-12-20T20:34:35Z |
| format | Article |
| id | doaj.art-67dea979b30f496e8399bad3ea5a8dc6 |
| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-12-20T20:34:35Z |
| publishDate | 2016-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj.art-67dea979b30f496e8399bad3ea5a8dc62022-12-21T19:27:16ZengPublic Library of Science (PLoS)PLoS ONE1932-62032016-01-01116e015776010.1371/journal.pone.0157760Maternal Pregnancy Intention and Professional Antenatal Care Utilization in Bangladesh: A Nationwide Population-Based Survey.Md Mosfequr RahmanMd Mizanur RahmanMd Ismail TarequeJannatul FerdosSyeda S JesminOBJECTIVE:To investigate the association between maternal pregnancy intention and professional antenatal and delivery care utilization. METHODS:Our data were derived from the 2011 nationally representative Bangladesh Demographic Health Survey. We included antenatal and delivery care utilization data of the most recent live births for women for the previous three years (n = 4672). We used multilevel logistic regression models to assess the relationship between pregnancy intention and use of professional antenatal and delivery care, with adjustment for potential confounding variables. RESULTS:Approximately 13% and 16% of children were reported by their mothers as unwanted and mistimed at the time of conception, respectively. Among the women, 55% received at least one professional antenatal care service; 21% received four or more professional antenatal services, while 32% were attended by professionals during deliveries. Mothers of children whose pregnancies had been unwanted had a greater risk for not seeking professional antenatal and professional delivery care than those whose pregnancies had been wanted [1≥ ANC from professionals: AOR: 0.66; 95% CI:0.51-0.93; 4≥ ANC from professionals: AOR:0.56; 95% CI:0.37-0.84; and delivery care from professionals: AOR: 0.70; 95% CI:0.50-0.97]. Women who were married after age 18, had secondary or higher level of education, and were from the wealthiest households were more likely to utilize antenatal and delivery care. CONCLUSION:Unwanted pregnancy is significantly associated with lower utilization of professional antenatal and delivery care services in Bangladesh. Reducing unwanted births and promoting access to professional antenatal and delivery care are crucial for achieving the Sustainable Development Goals (SDGs) 3 in Bangladesh.http://europepmc.org/articles/PMC4911017?pdf=render |
| spellingShingle | Md Mosfequr Rahman Md Mizanur Rahman Md Ismail Tareque Jannatul Ferdos Syeda S Jesmin Maternal Pregnancy Intention and Professional Antenatal Care Utilization in Bangladesh: A Nationwide Population-Based Survey. PLoS ONE |
| title | Maternal Pregnancy Intention and Professional Antenatal Care Utilization in Bangladesh: A Nationwide Population-Based Survey. |
| title_full | Maternal Pregnancy Intention and Professional Antenatal Care Utilization in Bangladesh: A Nationwide Population-Based Survey. |
| title_fullStr | Maternal Pregnancy Intention and Professional Antenatal Care Utilization in Bangladesh: A Nationwide Population-Based Survey. |
| title_full_unstemmed | Maternal Pregnancy Intention and Professional Antenatal Care Utilization in Bangladesh: A Nationwide Population-Based Survey. |
| title_short | Maternal Pregnancy Intention and Professional Antenatal Care Utilization in Bangladesh: A Nationwide Population-Based Survey. |
| title_sort | maternal pregnancy intention and professional antenatal care utilization in bangladesh a nationwide population based survey |
| url | http://europepmc.org/articles/PMC4911017?pdf=render |
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