10.1371/journal.pone.0171136
Nora Moore
Nora
Moore
Brittany Blouin
Brittany
Blouin
Hugo Razuri
Hugo
Razuri
Martin Casapia
Martin
Casapia
Theresa W. Gyorkos
Theresa
W. Gyorkos
Determinants of first trimester attendance at antenatal care clinics in the Amazon region of Peru: A case-control study
Public Library of Science
2017
aOR
ANC registries
antenatal care clinics
case-control study Objective
ANC visit
CI
Main outcome measure Case-control status
2017-02-16 20:58:12
Dataset
https://plos.figshare.com/articles/dataset/Determinants_of_first_trimester_attendance_at_antenatal_care_clinics_in_the_Amazon_region_of_Peru_A_case-control_study/4663531
<div><p>Objective</p><p>To identify determinants which influence the timing of the first antenatal care (ANC) visit in pregnant women.</p><p>Design</p><p>Retrospective matched nested case-control study.</p><p>Setting</p><p>Two health centres, Belén and 6 de Octubre, in the Peruvian Amazon.</p><p>Population</p><p>All pregnant women who had attended ANC during the years 2010, 2011, and 2012.</p><p>Methods</p><p>All cases (819 women initiating ANC in their first trimester) were selected from ANC registries from 2010 to 2012. A random sample of controls (819 women initiating ANC in their second or third trimester) was matched 1:1 to cases on health centre and date of first ANC visit. Data were obtained from ANC registries. Conditional logistic regression analyses were performed.</p><p>Main outcome measure</p><p>Case-control status of each woman determined by the gestational age at first ANC visit.</p><p>Results</p><p>Cases had higher odds of: 1) being married or cohabiting (aOR = 1.69; 95% CI: 1.19, 2.41); 2) completing secondary school or attending post-secondary school (aOR = 1.45; 95% CI: 1.02, 2.06); 3) living in an urban environment (aOR = 1.79; 95% CI: 1.04, 3.10) and 4) having had a previous miscarriage (aOR = 1.56; 95% CI: 1.13, 2.15), compared to controls. No statistically significant difference in odds was found for parity (aOR = 1.08; 95% CI: 0.85, 1.36).</p><p>Conclusions</p><p>This study provides empirical evidence of determinants of first ANC attendance. These findings are crucial to the planning and timing of local interventions, like deworming, aimed at pregnant women so that they can access and benefit fully from all government-provided ANC services.</p></div>