Journal of Health and Medical Sciences
ISSN 2622-7258
Published: 10 May 2022
Trend of Antenatal Bookings in a Teaching Hospital in South Western Nigeria
Olufemi A. Oloyede, Peter O. Adefuye, Adeniyi K. Akiseku
Olabisi Onabanjo University Teaching Hospital, Nigeria
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10.31014/aior.1994.05.02.213
Pages: 68-73
Keywords: Antenatal, Booking, Early and Late Booking, Gestational Age, Developing Countries
Abstract
Introduction: The age-long practice of late booking is gradually changing towards early pregnancy booking because of the benefits. Implementation of new medical guidelines is however often delayed in developing countries. Aim: The study proposes to observe the trend in antenatal booking in respect of booking gestational age, and the relationship with maternal socio-demographic and obstetric characteristics. Methodology: A retrospective study of antenatal bookings between 2016 and 2020 in Olabisi Onabanjo University Teaching Hospital, Sagamu Ogun State, Nigeria was carried out. Data were collected from pregnant women that had a minimum of 4 clinic attendances and delivered in the hospital. Data analysis was by descriptive statistics and presented in simple frequency tables. Results: Six thousand, eight hundred and ninety-nine pregnancies were booked, with early bookings (< 13 weeks) in 23.9% and late bookings in 64.6% (14-26 weeks) and 11.5% (27-36 weeks). The proportion of early bookings (23.9%) was higher compared with 18.8% reported in 2014 in same centre. Every year, the number of early bookings was initially stable at 20.4%, but rose to 26.7 - 30.8 in the last 2 years of study. Maternal age < 30 years, secondary or tertiary educational level and previous caesarean delivery were the predominant variables among women that booked in early pregnancy. Previous or on-going medical disorders and/or delivery complications were not strongly associated with early booking. Conclusions: The practice of late pregnancy booking is still a major issue, though the proportion of early bookings has continued to increase compared with previous study. Improvement in education, economic empowerment and health education that emphasizes preventive rather than curative role of ANC is advised.
References
Aduloju OP, Akintayo AA, Ade-ojo IP, Awoleke JO, Aduloju T, Ogundare OR. (2016). Gestational age at initiation of antenatal care in a tertiary hospital, Southwestern Nigeria. Niger J Clin Pr. 19: 772–777. doi: 10.4103/1119-3077.181398
Ifenne DI, Utoo BT. (2012). Gestational age at booking for antenatal care in a tertiary health facility in north‑central, Nigeria. Nigerian Medical Journal, 53 (4): 236-39. doi: 10.4103/0300-1652.107602
Zaman J, Isah DA, Isah AY. (2019). Effect of gestational age at booking on feto-maternal outcome at a Nigerian tertiary hospital. Arch Med Surg, 4:35-41. doi: 10.4103/archms.archms_37_18
Okunlola, MA, Ayinde OA, Owonikoko KM,Omigbodun AO. (2006). Factors influencing gestational age at antenatal booking at the University College Hospital, Ibadan, Nigeria. Journal of Obstetrics and Gynaecology, 26 (3): 195-97. doi: 10.1080/01443610500508220
Adegbola O, Kuku TO. (2015). The factors affecting gestational age at booking in Lagos University Teaching Hospital, Lagos, Nigeria. Journal of Clinical Sciences, 12:20-3. doi: 10.4103/1595-9587.160762
Tolefac PN, Halle-ekane GE, Agbor VN, Sama CB, Ngwasiri C, Tebeu PM. (2017). Why do pregnant women present late for their first antenatal care consultation in Cameroon ? Materal Heal Neonatol Perinatol. 3: 1–6. doi.org/10.1186/s40748-017-0067-8
Jice SF, Safii R, Hazmi H. (2018). Late Antenatal Booking and its Predictors in LunduDistrict of Sarawak. Malaysia. Int J Public Heal Res. 8: 956–964. doi: 10.52768/2766-7820/1646
Nicolaides KH (2011). Turning the pyramid of care. Fetal Diagnosis and Therapy, 29(3):183-96. doi: 10.1159/000324320
World Health Organization (2016). WHO recommendation on antenatal care for a positive pregancy experience. WHO. 172.
Ndidi EP, Oseremen IG. (2010). Reasons given by pregnant women for late initiation of antenatal care in the Niger Delta, Nigeria. Ghana Med J 44:47‑51. PMID: 21327003
Mohammed AA, Gadir EO, Elsadiq YM (2011). Quality of antenatal care provided for pregnant women in Rabat University Hospital, Khartoum. Sudanese J Pub Health 6:51‑5
Lamina MA (2004). Gestational age at first antenatal attendance in Sagamu, Western Nigeria. Nig J Clin Pract7(1): 1-3
Villar J, Ba’aqeel H, Piaggio G, Lumbiagnanon P, Miguel Belizan J, Fornat U. et al,. (2001). WHO Antenatal Care Trial Research Group. WHO antenatal care randomized trial for the evaluation of a new model of routine antenatal care. Lancet 357:1551‑64. doi: 10.1016/s0140-6736(00)04722-x
Aung TZ, Oo WM, Khaing W, Lwin N, Dar HT (2016). Late initiation of antenatal care and its determinants: a hospital based cross-sectional study. Int J Community Med Public Health. 3:900-5. doi.org/10.18203/2394-6040.ijcmph20160926
Namani CP, Onwusulu DN, Offor CC, Ekwebene OC. (2022). Timing and associated factors of antenatal booking among pregnant women at a tertiary health institution in Nigeria: A cross-sectional study. J Clin Images Med Case Rep. 3(2): 1646. doi:10.52768/2766-7820/1646