Late registration for antenatal care by pregnant women with previous history of caesarean section

African Journal of Primary Health Care & Family Medicine


 
 
Field Value
 
Title Late registration for antenatal care by pregnant women with previous history of caesarean section
 
Creator Ramotsababa, Mareko Setlhare, Vincent
 
Subject Family medicine; general practice; rural health; rural medicine; primary care; primary health care previous caesarean section; maternal risk; late registration for antenatal care; late presentation for antenatal care
Description Background: Despite good access to antenatal care (ANC) services for most women, and regular training of healthcare workers in obstetrics and gynaecology, many pregnant women with a previous history of caesarean section (C/S) still presented late for ANC services at Letsholathebe II Memorial Hospital (LIIMH) in Maun, Botswana. This may increase morbidity and mortality in women with previous C/S delivery and neonates. Knowing why women with previous C/S present late for ANC may help in the formulation of interventions that decrease morbidity and mortality amongst these women and neonates.Aim: The aim of this study was to explore the reasons why pregnant women with a previous history of C/S registered late for ANC, at LIIMH.Setting: This study was performed at LIIMH, a district hospital situated in Maun, Botswana.Methods: This was a descriptive qualitative study. Consenting pregnant women with previous C/S who presented at LIIMH after the 20 weeks of pregnancy were interviewed until data saturation. The data was analysed for themes.Results: The reasons for late registration at LIIMH include lack of information, misconception on the appropriate booking time and venue, dissatisfaction with the quality of ANC clinic services, use of alternative ANC providers, delayed referral, and pregnancy experience.Conclusion: Lack of knowledge of ANC delivery venue, using alternative ANC providers, and dissatisfaction with ANC clinic services, contributed to late registration. Pregnant women with previous history of C/S should be informed about ANC, delivery plans, and the assistance of alternative ANC providers should be explored.
 
Publisher AOSIS
 
Contributor Ministry Of Health and Wellness, Botswana
Date 2021-05-26
 
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — qualitative research
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/phcfm.v13i1.2776
 
Source African Journal of Primary Health Care & Family Medicine; Vol 13, No 1 (2021); 9 pages 2071-2936 2071-2928
 
Language eng
 
Relation https://phcfm.org/index.php/phcfm/article/view/2776/4668 https://phcfm.org/index.php/phcfm/article/view/2776/4669 https://phcfm.org/index.php/phcfm/article/view/2776/4670 https://phcfm.org/index.php/phcfm/article/view/2776/4671
 
Coverage — 2014- 2015 Age, Gender, Education, Employment, Previous C/S, gestation period
Rights Copyright (c) 2021 Vincent Setlhare, Mareko Ramotsababa https://creativecommons.org/licenses/by/4.0