Factors associated with delays at the first prenatal consultation in the health district of Kouibly (Côte d'Ivoire).
Keywords:
Prenatal Care, First Pregnancy Trimester, No-Show Patient, Ivory Coast.Abstract
Delays in the first prenatal consultation are responsible for an increase in maternal and neonatal morbidity and mortality. However, in Ivory Coast, its prevalence is very high, going against the recommendations of the World Health Organization. This study aims to identify the factors associated with delays in the first prenatal consultation at the urban health center of Totrodrou. We conducted an analytical descriptive cross-sectional survey over a period of six (06) months from August 16, 2017, to February 25, 2018. The factors associated with delays in the first prenatal consultation were identified through a multivariate logistic regression at the significance level by 5%. A total of 210 mothers were included in the study and their average age was 24.88 years. More than 95% of the mothers surveyed lived with a partner. Only, a little less than 7% of these women had a secondary level. Level of education (OR=0.02 [0.07-0.62], p=0.005), of knowledge of the period of the first prenatal consultation (OR=2.87 [1.22-6.75], p=0.015) and knowledge of the role of prenatal consultation in the prevention of malaria (OR=3[1.26-7.10]) were associated with delays in the first prenatal consultation. It is therefore essential to strengthen women's knowledge of the benefits of early prenatal consultation.
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