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What predicts delayed first antenatal care contact among primiparous women? Findings from a cross-sectional study in Nigeria
Authors: Bola Lukman Solanke, Olufemi O. Oyediran, Ayodele Aderemi Opadere, Taofik Olatunji Bankole, Olabusoye Olu Olupooye, and Umar Idris Boku
Source: BMC Pregnancy and Childbirth , Volume 22, Article 750; DOI:
Topic(s): Antenatal care
Country: Africa
Published: OCT 2022
Abstract: Background Delayed first antenatal care contact refers to first antenatal care contact occurring above twelfth weeks of gestation. Studies in Nigeria and in other countries have examined the prevalence and predictors of delayed first antenatal care contact. Nevertheless, existing studies have rarely examined the predictors among primiparous women. In addition, the evidence of higher health risks associated with primigravida emphasizes the need to focus on primiparous women. This study, therefore, examined the predictors of delayed first antenatal care contact among primiparous women in Nigeria. Methods The study was a descriptive cross-sectional design that analyzed data extracted from the 2018 Nigeria Demographic and Health Survey. The study analyzed a weighted sample of 3,523 primiparous women. The outcome variable was delayed first antenatal care contact. explanatory variables were grouped into predisposing, enabling, and need factors. The predisposing factors were maternal age, education, media exposure, religion, household size, The knowledge of the fertile period, and women’s autonomy. The enabling factors were household wealth, employment status, health insurance, partner’s education, financial inclusion, and barriers to accessing healthcare. The need factors were pregnancy wantedness and spousal violence during pregnancy. Data were analyzed using Stata 14. Two multivariable logistic regression models were fitted. Statistical significance was set at p?