Abstract: Back ground: Increasing the proportion of institutional deliveries with a skilled attendant is a key intervention for reducing maternal morbidity and mortality. However remarkable difference is observed between the proportion of antenatal care clients and facility delivery utilisation. In Ethiopia, little is known about the factors that affect women’s place of delivery after utilization of antenatal care service. Objective: To identified women’s place of delivery and associated factors after antenatal care (ANC) service in Fogera district, North West Ethiopia. Method: Community based cross sectional study was conducted from January to March, 2013 on randomly selected sample of 399 women who had antenatal care visit and delivered one year before the survey. Pre-tested and structured interviewer administered questioner was used to collect the data. The data were analysed using SPSS version 16 and multiple logistic regression was used. Results: A total of 399 women who had at least one antenatal care (ANC) follow up and delivered one year prior to the survey was interviewed. Only 126(31.6%) of mothers gave birth in the health facilities. Multivariate analysis showed that residence AOR= 4.6, 95%CI; (1.3, 15.9), privacy during antenatal care (ANC) AOR =4.6, 95%CI :( 2.2,9.2), respect during ANC AOR =2.9, 95%CI:( 1.5,5.9) and quality of antenatal care counseling were important predictors of place of delivery after antenatal care (ANC). Conclusion: Institutional delivery after ANC utilization was low. Maternal education, absence of privacy and low quality of antenatal care counseling during ANC visit were important predictors. Women friendly care and quality of counseling during ANC visit have a great role on facility delivery.Abstract: Back ground: Increasing the proportion of institutional deliveries with a skilled attendant is a key intervention for reducing maternal morbidity and mortality. However remarkable difference is observed between the proportion of antenatal care clients and facility delivery utilisation. In Ethiopia, little is known about the factors that affect wom...Show More
Abstract: Objective: To compare obstetric outcomes among women at advanced maternal age in relation to another group of 20 to 29 years. Methods: this is an observational descriptive study. Women of advanced maternal age were 40 and older at the first pregnant control (N = 154). The control group were pregnant women between 20 and 29 years (N = 3900). Odds ratio (CI 95%), mean and standard deviation, median and Fisher exact test were used to compare. Results: The rate of chronic hypertension, preeclampsia, diabetes, and bleeding were higher in the study group when compared with the control group. The rate of caesarean sections (due to a great number of elective ones), preterm delivery <37 weeks and lower birth weight (< 2500g) were also higher in the study group. Conclusion: women at advanced maternal age have an increased risk of adverse outcomes during pregnancy and delivery compared to pregnant women between 20 and 29 years. This electronic document is a “live” template. The various components of your paper [title, text, heads, etc.] are already defined on the style sheet, as illustrated by the portions given in this document.Abstract: Objective: To compare obstetric outcomes among women at advanced maternal age in relation to another group of 20 to 29 years. Methods: this is an observational descriptive study. Women of advanced maternal age were 40 and older at the first pregnant control (N = 154). The control group were pregnant women between 20 and 29 years (N = 3900). Odds ra...Show More