Online ISSN: 2515-8260

Keywords : Antenatal care


MISSED OPPORTUNITY FOR MATERNAL HEALTH CARE SERVICES IN EASTERN ETHIOPIA

Ibsa Mussa Abdulahi Ibsa Mussa Abdulahi

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 3, Pages 4713-4733

Background: In developing countries, a large number of maternal deaths happen due to complications of pregnancy and delivery. In Ethiopia, the maternal mortality ratio had been 353/100,000 live births in 2015. Therefore, this study was conducted to assess the missed opportunity for maternal health care services in Eastern Ethiopia.
Methods: A community-based cross-sectional study involving pregnant women in their third trimester and women who gave birth in the last five years was conducted between September to December 2017. Structured questionnaire was used for data collection and data were collected from a sample of 422 subjects in the districts. Descriptive (Univariable), bivariable and multivariable logistic regression analyses were conducted. Statistical tests were done at a level of significance of p < 0.05.
Results: The result of this study showed that among  359 (85%)  pregnant women who planned for  ANC visit,  16 (4.5%) received ANC four or more times during their last pregnancies, the respondents (81.3%) claimed that they were taken care of by skilled delivery attendant during delivery, 18.5% of them said that they delivered at home and 71.1% of them received medical care after delivery. Women in the age group 15-24 years (AOR=??95% CI: 0.37, 3.74) and women who intended their last pregnancy (AOR=??95% CI: 0.11, 0.94) were significant predictors of unplanned home delivery.  
Conclusion: For optimal and effective interventions of maternal health services utilization, provisions should be made for better women’s education, family planning, job opportunity, and women empowerment; provisions should also be made for creating income-generating activities for women. Strengthening village women’s army wing, refreshing and enabling health extension workers and traditional birth attendants. What is more, optimal measures should be taken to discourage traditional practices such as female genital mutilation, polygamy, violence against women, and teenage marriage. Finally, free maternal and child health services should be advocated for so that the gap in maternal healthcare services is bridged.

RISK FACTORS FOR LOW BIRTH WEIGHT IN PUSKESMAS GANDING

Ratna Indriyani; Ahmaniyah .; Mujib Hannan; Syaifurrahman Hidayat

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 7, Pages 21-27

Background: The high incidence of low birth weights (LBW) is due to interrelated factors from both the mother and the fetus. Maternal health status affects birth weight directly. Periodic health checks for pregnant women (antenatal care visits) are one of the main activities in maintaining the health of the mother and the fetus.
Objective: To examine the risk factors for LBW.
Method: This was an observational analytical study with a case-control approach. The sample was 48 respondents, with 24 mothers experiencing LBW as the case respondents and 24 mothers whose babies were in the normal weight range as the control respondents. The size of the sample was determined using a 1:1 comparison with a purposive sampling method.
Findings: The average height of the respondents was 151.23 cm, weight gain was 9.00 kg, systolic blood pressure was 113.75, mid-upper arm circumference (MUAC) was 23.58 cm, gestational age was 37.42 weeks, and infant birth weight was 2604.17 g. On average, the examination of multiparous status, fetal position, head presentation, counseling, and laboratory tests were also determined. A chi-squared test showed no statistically significant relationships with LBW for the height of the pregnant woman, the blood pressure, the fetal position, the status of TT vaccinations, the administration of iron tablets, counseling, or laboratory examination. In contrast, weight gain, MUAC, fundal height, parity, and maternal age had significant relationships with LBW.
Conclusion: The maternal age, weight gain during pregnancy, MUAC, fundal height, and parity were associated with LBW.