Adequacy of Antenatal Care and Its Determinants in Assiut District

Assiut University

Status: Not yet enrolling

Conditions: Maternal Care Patterns

Treatments: Other: no intervention

Study type: Observational

Funder types: Other

Identifiers

NCT05490056

Adequacy of ANC in Assiut

Details and patient eligibility

About

Cross sectional study on women who gave birth and attend immunization session for their children in Assiut District to assess the adequacy of ANC, its determinants and knowledge and attitude of antenatal care among the studied women

Full description

The World health organization (WHO) estimated that worldwide in 2021, about 211 women died per 100,000 live birth from pregnancy related causes and increasing to 415 on average in the poorest countries (1)Globally in 2020, nearly 2.4 million babies died during the first 28 days of life (2). High coverage of quality Antenatal Care (ANC) can play a crucial role to decrease maternal and child mortality rates and achieve national and global targets related to maternal and child health. ANC received from skilled provider increases maternal and newborn survival and reduces the risk of pregnancy complications and adverse pregnancy outcomes(3) .

New WHO guidelines on antenatal care for a positive pregnancy experience include:

1. A minimum of eight contacts are recommended.
2. Counselling about healthy eating and keeping physically active during pregnancy.
3. Daily oral iron and folic acid supplementation
4. Tetanus toxoid vaccination is recommended.
5. One ultrasound scan before 24 weeks' gestation.
6. Health-care providers should ask all pregnant women about their use of alcohol and other substances(4).

The 2016 WHO prenatal care guidelines for a healthy pregnancy experience reflect a change from the centered ANC model with a prescribed minimum of 4 ANC visits (ANC4+) to a more expanded model that emphasizes contact number, timing, and services(5). At the global and national levels, most currently available data indicate that women receive at least 4 antenatal care visits. There is very limited data on the adequacy of ANC based and their correlates on updated WHO recommendations for antenatal care(5, (6),(7)). The current study is conducted in accordance with the research plan of Public Health and Community Medicine Department- Faculty of Medicine, Assiut University.

Enrollment: 400 estimated patients

Sex: Female

Ages: 15 to 49 years old

Volunteers: Accepts Healthy Volunteers

Inclusion and exclusion criteria

Inclusion Criteria :

women of reproductive age who gave birth

Exclusion Criteria:

Pregnant and menopaused women