Adequacy of Antenatal Care and Its Determinants in Assiut District

NCT ID: NCT05490056

Last Updated: 2022-08-05

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Total Enrollment

400 participants

Study Classification

OBSERVATIONAL

Study Start Date

2022-09-01

Study Completion Date

2024-07-31

Brief Summary

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Cross sectional study on women who gave birth and attend immunization session for their children in Assiut District to assess the adequacy of ANC, its determinants and knowledge and attitude of antenatal care among the studied women

Detailed Description

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The World health organization (WHO) estimated that worldwide in 2021, about 211 women died per 100,000 live birth from pregnancy related causes and increasing to 415 on average in the poorest countries (1)Globally in 2020, nearly 2.4 million babies died during the first 28 days of life (2). High coverage of quality Antenatal Care (ANC) can play a crucial role to decrease maternal and child mortality rates and achieve national and global targets related to maternal and child health. ANC received from skilled provider increases maternal and newborn survival and reduces the risk of pregnancy complications and adverse pregnancy outcomes(3) .

New WHO guidelines on antenatal care for a positive pregnancy experience include:

1. A minimum of eight contacts are recommended.
2. Counselling about healthy eating and keeping physically active during pregnancy.
3. Daily oral iron and folic acid supplementation
4. Tetanus toxoid vaccination is recommended.
5. One ultrasound scan before 24 weeks' gestation.
6. Health-care providers should ask all pregnant women about their use of alcohol and other substances(4).

The 2016 WHO prenatal care guidelines for a healthy pregnancy experience reflect a change from the centered ANC model with a prescribed minimum of 4 ANC visits (ANC4+) to a more expanded model that emphasizes contact number, timing, and services(5). At the global and national levels, most currently available data indicate that women receive at least 4 antenatal care visits. There is very limited data on the adequacy of ANC based and their correlates on updated WHO recommendations for antenatal care(5, (6),(7)). The current study is conducted in accordance with the research plan of Public Health and Community Medicine Department- Faculty of Medicine, Assiut University.

Conditions

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Maternal Care Patterns

Study Design

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Observational Model Type

OTHER

Study Time Perspective

CROSS_SECTIONAL

Interventions

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no intervention

the study will not apply on intervention

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

women of reproductive age who gave birth

\-

Exclusion Criteria

Pregnant and menopaused women
Minimum Eligible Age

15 Years

Maximum Eligible Age

49 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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Assiut University

OTHER

Sponsor Role lead

Responsible Party

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Marwa Fazzaa Hassan Farag

Physician at Egyptian Ministry of Health and Population

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Mahmoud Attia, Professor

Role: PRINCIPAL_INVESTIGATOR

Assiut Universiyy

Central Contacts

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Marwa Fazzaa, physician

Role: CONTACT

01091434853

Doaa Mohamed, Assistant

Role: CONTACT

01010015817

References

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Osterman MJK, Martin JA. Timing and Adequacy of Prenatal Care in the United States, 2016. Natl Vital Stat Rep. 2018 May;67(3):1-14.

Reference Type RESULT
PMID: 29874159 (View on PubMed)

Pugliese-Garcia M, Radovich E, Hassanein N, Campbell OMR, Khalil K, Benova L. Temporal and regional variations in use, equity and quality of antenatal care in Egypt: a repeat cross-sectional analysis using Demographic and Health Surveys. BMC Pregnancy Childbirth. 2019 Jul 26;19(1):268. doi: 10.1186/s12884-019-2409-1.

Reference Type RESULT
PMID: 31349804 (View on PubMed)

El Aty MA, Meky FA, Morsy M, El Sayed MK. Overall adequacy of antenatal care in Oman: secondary analysis of national reproductive health survey data, 2008. East Mediterr Health J. 2015 Feb 2;20(12):781-8.

Reference Type RESULT
PMID: 25664516 (View on PubMed)

Related Links

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https://www.who.int/news/item/05-10-2021-new-global-targets-to-prevent-maternal-deaths

https://www.who.int/news/item/05-10-2021-new-global-targets-to-prevent-maternal-deaths

Other Identifiers

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Adequacy of ANC in Assiut

Identifier Type: -

Identifier Source: org_study_id

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