Determinants of Non- Adherence to Antenatal Care Among Pregnant Women
Journal Title: IOSR Journal of Nursing and health Science - Year 2018, Vol 7, Issue 3
Abstract
Background: Early antenatal care (ANC) and regular follow up of service more often provide a range of opportunities for delivering health information and interventions that can significantly conveying the well-being of the mother and the fetus. However, in most cases, women in Africa hold up until the momentof the second or third trimester in pregnancy to make the initial antenatal care visit, reducing their chances of making at least four visits. The aim of this study was to assess the determinants of non- adherence to antenatal care among the pregnant women. Methodology:A descriptive exploratory research design was utilized for this study. Convenient sample included 300 pregnant women who attended antenatal care clinic at El-Manial University Hospital with gestational age 16 weeks and more in the first visit, their age 20-39 years,low risk pregnancy and not reported any previous medical problems during pregnancy. The required data was collected through Structured interviewing questionnaire developed by the research investigator. Results:The study results revealed that the mean age of the study sample was 26.8 ± 4.2 years. The majority of them (95%) were housewives. Sixty point seven percent live in rural area as well as 52.3% of the study sample married at age < 20 year. The majority of the study sample has unsatisfactory knowledge about ANC. There were many reasons and factors which lead to late booking among the study sample such as; high cost of investigation, high living expenses, undesired pregnancy, not have the freedom of decision to start ANC, mother –in-law refusal, far setting, long waiting time, no good communication and some of the women reported that they haven't complained in the first three months so they come late. Conclusion& recommendation: Economic, social and psychological factors in addition to the level of knowledge related to antenatal care play an important role in determining time of first ANC visit. Excessive efforts needed to inform the pregnant women about the importance of early booking to encourage them to engage early with the maternity services.
Authors and Affiliations
Eman Mohammed Eraky
Keywords
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- DOI 10.9790/1959-0703031524.
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