Late registration for antenatal care by pregnant women with previous history of caesarean section

Background: Despite good access to antenatal care (ANC) services for most women, and regular training of healthcare workers in obstetrics and gynaecology, many pregnant women with a previous history of caesarean section (C/S) still presented late for ANC services at Letsholathebe II Memorial Hospita...

Full description

Bibliographic Details
Main Authors: Mareko Ramotsababa, Vincent Setlhare
Format: Article
Language:English
Published: AOSIS 2021-05-01
Series:African Journal of Primary Health Care & Family Medicine
Subjects:
Online Access:https://phcfm.org/index.php/phcfm/article/view/2776
_version_ 1818740398729723904
author Mareko Ramotsababa
Vincent Setlhare
author_facet Mareko Ramotsababa
Vincent Setlhare
author_sort Mareko Ramotsababa
collection DOAJ
description Background: Despite good access to antenatal care (ANC) services for most women, and regular training of healthcare workers in obstetrics and gynaecology, many pregnant women with a previous history of caesarean section (C/S) still presented late for ANC services at Letsholathebe II Memorial Hospital (LIIMH) in Maun, Botswana. This may increase morbidity and mortality in women with previous C/S delivery and neonates. Knowing why women with previous C/S present late for ANC may help in the formulation of interventions that decrease morbidity and mortality amongst these women and neonates. Aim: The aim of this study was to explore the reasons why pregnant women with a previous history of C/S registered late for ANC, at LIIMH. Setting: This study was performed at LIIMH, a district hospital situated in Maun, Botswana. Methods: This was a descriptive qualitative study. Consenting pregnant women with previous C/S who presented at LIIMH after the 20 weeks of pregnancy were interviewed until data saturation. The data was analysed for themes. Results: The reasons for late registration at LIIMH include lack of information, misconception on the appropriate booking time and venue, dissatisfaction with the quality of ANC clinic services, use of alternative ANC providers, delayed referral, and pregnancy experience. Conclusion: Lack of knowledge of ANC delivery venue, using alternative ANC providers, and dissatisfaction with ANC clinic services, contributed to late registration. Pregnant women with previous history of C/S should be informed about ANC, delivery plans, and the assistance of alternative ANC providers should be explored.
first_indexed 2024-12-18T01:40:06Z
format Article
id doaj.art-79887e23122441a9a9bfde55eed27800
institution Directory Open Access Journal
issn 2071-2928
2071-2936
language English
last_indexed 2024-12-18T01:40:06Z
publishDate 2021-05-01
publisher AOSIS
record_format Article
series African Journal of Primary Health Care & Family Medicine
spelling doaj.art-79887e23122441a9a9bfde55eed278002022-12-21T21:25:22ZengAOSISAfrican Journal of Primary Health Care & Family Medicine2071-29282071-29362021-05-01131e1e910.4102/phcfm.v13i1.2776831Late registration for antenatal care by pregnant women with previous history of caesarean sectionMareko Ramotsababa0Vincent Setlhare1Ministry of Health and Wellness, Government of Botswana, GaboroneDepartment of Family Medicine and Public Health Medicine, Faculty of Medicine, University of Botswana, GaboroneBackground: Despite good access to antenatal care (ANC) services for most women, and regular training of healthcare workers in obstetrics and gynaecology, many pregnant women with a previous history of caesarean section (C/S) still presented late for ANC services at Letsholathebe II Memorial Hospital (LIIMH) in Maun, Botswana. This may increase morbidity and mortality in women with previous C/S delivery and neonates. Knowing why women with previous C/S present late for ANC may help in the formulation of interventions that decrease morbidity and mortality amongst these women and neonates. Aim: The aim of this study was to explore the reasons why pregnant women with a previous history of C/S registered late for ANC, at LIIMH. Setting: This study was performed at LIIMH, a district hospital situated in Maun, Botswana. Methods: This was a descriptive qualitative study. Consenting pregnant women with previous C/S who presented at LIIMH after the 20 weeks of pregnancy were interviewed until data saturation. The data was analysed for themes. Results: The reasons for late registration at LIIMH include lack of information, misconception on the appropriate booking time and venue, dissatisfaction with the quality of ANC clinic services, use of alternative ANC providers, delayed referral, and pregnancy experience. Conclusion: Lack of knowledge of ANC delivery venue, using alternative ANC providers, and dissatisfaction with ANC clinic services, contributed to late registration. Pregnant women with previous history of C/S should be informed about ANC, delivery plans, and the assistance of alternative ANC providers should be explored.https://phcfm.org/index.php/phcfm/article/view/2776previous caesarean sectionmaternal risklate registration for antenatal carelate presentation for antenatal care
spellingShingle Mareko Ramotsababa
Vincent Setlhare
Late registration for antenatal care by pregnant women with previous history of caesarean section
African Journal of Primary Health Care & Family Medicine
previous caesarean section
maternal risk
late registration for antenatal care
late presentation for antenatal care
title Late registration for antenatal care by pregnant women with previous history of caesarean section
title_full Late registration for antenatal care by pregnant women with previous history of caesarean section
title_fullStr Late registration for antenatal care by pregnant women with previous history of caesarean section
title_full_unstemmed Late registration for antenatal care by pregnant women with previous history of caesarean section
title_short Late registration for antenatal care by pregnant women with previous history of caesarean section
title_sort late registration for antenatal care by pregnant women with previous history of caesarean section
topic previous caesarean section
maternal risk
late registration for antenatal care
late presentation for antenatal care
url https://phcfm.org/index.php/phcfm/article/view/2776
work_keys_str_mv AT marekoramotsababa lateregistrationforantenatalcarebypregnantwomenwithprevioushistoryofcaesareansection
AT vincentsetlhare lateregistrationforantenatalcarebypregnantwomenwithprevioushistoryofcaesareansection