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Content and timing of antenatal care: predisposing enabling and pregnancy related determinants of care trajectories Vrije Universiteit Brussel

Katrien Beeckman, Freddy Louckx, Koen Putman
BACKGROUND When examining risk factors for inadequate antenatal care, assessment of antenatal care hardly considers content and timing of interventions during pregnancy. This study aims to provide information about the importance of predisposing, enabling and pregnancy-related determinants on received content and timing of antenatal care.
METHODS In the Brussels Metropolitan Region, 333 women were consecutively recruited at the beginning of ...

Efficiency of antenatal care and childbirth services in selected primary health care facilities in rural Tanzania : a cross-sectional study Universiteit Gent

Happiness P Saronga, Elza Duysburgh, Siriel Massawe, Maxwell A Dalaba, Germain Savadogo, Pencho Tonchev, Hengjin Dong, Rainer Sauerborn, Svetla Loukanova
Background: Cost studies are paramount for demonstrating how resources have been spent and identifying opportunities for more efficient use of resources. The main objective of this study was to assess the actual dimension and distribution of the costs of providing antenatal care (ANC) and childbirth services in selected rural primary health care facilities in Tanzania. In addition, the study analyzed determining factors of service provision ...

The relationship between antenatal care and preterm birth: the importance of content of care Vrije Universiteit Brussel

Katrien Beeckman, Freddy Louckx, Sue Downe, Koen Putman
BACKGROUND:

Antenatal care can play an important role in the prevention of preterm birth. Evaluation of antenatal care is usually based on the number of visits rather than the content of care, using tools such as the Adequacy of Prenatal Care Use index. This article presents an analysis of the relation between specific elements of antenatal care and the risk of preterm birth compared with considering the number of visits only.
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Is antenatal care preparing mothers to care for their newborns? A community-based cross-sectional study among lactating women in Masindi, Uganda Instituut voor Tropische Geneeskunde

Richard Mangwi Ayiasi, Simon Kasasa, Bart Criel, Christopher Garimoi Orach, Patrick Kolsteren

BACKGROUND: Neonatal mortality has remained resistant to change in the wake of declining child mortality. Suboptimal newborn care practices are predisposing factors to neonatal mortality. Adherence to four ANC consultations is associated with improved newborn care practices. There is limited documentation of this evidence in sub-Saharan Africa where suboptimal newborn care practices has been widely reported.

METHODS: Structured ...

Implications for anesthetic care in antenatal and postpartum care for pregnant women with cardiovascular conditions Universiteit Antwerpen

Yaël Vanharen, An Van Berendoncks, Eva Goossens, Dominique Mannaerts
Cardiovascular disease (CVD) has become an increasingly prevalent cause of maternal morbidity and mortality during pregnancy over the past decade. This trend emerges due to rising survival rates in patients with congenital heart disease, but also due to an increased prevalence of acquired conditions such as arterial hypertension. The physiological changes of pregnancy, such as the 40–50% increase in cardiac output and a reduction in systemic ...

Investigating complications of pregnant women during antenatal and delivery care who attended Kwadabeka Community Health Care Centre in Durban, South Africa Universiteit Antwerpen

Akm Monjurul Hoque
Many women and neonates in South Africa die and suffer from complications of pregnancy. The aim of this thesis was to investigate, estimate and identify the risk factors for the selected health problems of pregnant women during pregnancy and at the time of delivery. Method: A number of cross-sectional descriptive studies were undertaken. The samples were recruited from a midwife obstetric unit of Kwadabeka Community Health Centre that provides ...

Provision of recommended antenatal care services in Ethiopia: missed opportunity for screening and counselling Instituut voor Tropische Geneeskunde

AM Hussen, M Barreix, RK Muliokela, T Tamrat, Özge Tunçalp Mingard, Birkneh Tilahun, Diederick E. Grobbee, JL Browne
Background
Utilisation of Antenatal care (ANC) in Ethiopia has shown a steady increase in the last two decades, from 27% in 2000 to 74% in 2019. While it is encouraging to see more women attending and receiving ANC, attention to ensuring the quality of the ANC services provided to the visiting women is important. Therefore, this study aimed to assess the provision of recommended ANC services and to identify client related factors associated ...

Implementation of evidence-based antenatal care in Mozambique Instituut voor Tropische Geneeskunde

Leonardo Chavane, Mario Merialdi, Ana Pilar Betrán, Jennifer Requejo-Harris, Eduardo Bergel, Alicia Aleman, Mercedes Colomar, Maria Luisa Cafferata, Alicia Carbonell, Beatrice Crahay, et al.

BACKGROUND: Antenatal care (ANC) reduces maternal and perinatal morbidity and mortality directly through the detection and treatment of pregnancy-related illnesses, and indirectly through the detection of women at increased risk of delivery complications. The potential benefits of quality antenatal care services are most significant in low-resource countries where morbidity and mortality levels among women of reproductive age and neonates are ...

Quality of antenatal and childbirth care in selected rural health facilities in Burkina Faso, Ghana and Tanzania: similar finding Universiteit Gent

Elza Duysburgh, Wei Hong Zhang, M Ye, A Williams, S Massawe, A Sie, J Williams, R Mpembeni, S Loukanova, Marleen Temmerman, et al.
Objectives : To measure pre-intervention quality of routine antenatal and childbirth care in rural districts of Burkina Faso, Ghana and Tanzania and to identify shortcomings. Methods : In each country, we selected two adjoining rural districts. Within each district, we randomly sampled 6 primary healthcare facilities. Quality of care was assessed through health facility surveys, direct observation of antenatal and childbirth care, exit ...

How to Support the Referral Towards Group Antenatal Care in Belgian Primary Healthcare Organizations Vrije Universiteit Brussel Universiteit Hasselt Universiteit Antwerpen

Florence Talrich, Astrid Van Damme, Hilde L A Bastiaens, Jochen Bergs, Marlies E B Rijnders, Katrien Beeckman

INTRODUCTION: Group Antenatal Care (GANC) is an alternative for traditional antenatal care. Despite the model is well accepted among participants and is associated with positive effects on pregnancy outcomes, recruitment of participants can be an ongoing challenge, depending on the structure and financing of the wider health system. This is especially the case for primary care organizations offering GANC, which depend on other health care ...