ArticleBMC pregnancy and childbirth2014
Understanding delayed access to antenatal care: a qualitative interview study.
Article in BMC pregnancy and childbirth, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 59 papers, 1 of them a synthesis that pooled it.
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Who cites it
59 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Provision and uptake of routine antenatal services: a qualitative evidence synthesis.The Cochrane database of systematic reviews · 2019Pooled it
- Concealed pregnancy as an act of care? A qualitative analysis of motivations for concealing and non-disclosure of early pregnancy in The Gambia.BMC pregnancy and childbirth · 2023Trial
- Assessing Factors that Influence Psychiatric Referral Time and Postpartum Follow-Up in Obstetric Patients.Community mental health journal · 2026Article
- Multilevel modified Poisson regression analysis of barriers to healthcare access among pregnant women in high and very high maternal mortality sub-Saharan African countries: insights from demographic and health surveys data.Archives of public health = Archives belges de sante publique · 2026Article
- Determinants of Late Antenatal Care Bookings Among Pregnant Women in Mangwe District, Zimbabwe: A Quantitative Cross-Sectional Study.SAGE open medicine · 2026Article
- Perceived barriers and facilitators of accessing statutory and non-statutory services, in disadvantaged communities, in England: a co-produced qualitative review.Public health reviews · 2026Review
- Prenatal care experiences of first-time mothers navigating socioeconomic challenges during pregnancy in New Brunswick: a qualitative descriptive study.BMC pregnancy and childbirth · 2025Article
- Can benchmarking uncover the disparities in the perinatal dashboard and improve the quality of care that pregnant women of diverse ethnic backgrounds receive? A retrospective cross-sectional study.BMJ open quality · 2025Article
- Reducing Inequalities in Timing of Antenatal Care Initiation: A Hypothetical Intervention in the Generation R Study.Paediatric and perinatal epidemiology · 2025Article
- Socio-demographic factors, informal payments and satisfaction with childbirth in the Hungarian context.BMC pregnancy and childbirth · 2025Article
- Factors associated with antenatal care utilization among women with disabilities in Ethiopia: Using Andersen's Behaviour Model of Health Service Use.PLOS global public health · 2025Article
- Factors affecting antenatal care attendance in Soweto, Johannesburg: The three-delay model.African journal of primary health care & family medicine · 2024Article
- Who is most vulnerable? Factors associated with presenting to antenatal care without a male partner in Northern Tanzania.Midwifery · 2024Article
- Management of hypertensive disorders of pregnancy in two Australian tertiary care maternity hospitals.Obstetric medicine · 2024Article
- Attitudes Toward Pregnancy and Their Impact on Timing of Prenatal Care Initiation after Prior Spontaneous Preterm Delivery: A Qualitative Descriptive Study.Women's health reports (New Rochelle, N.Y.) · 2024Article
- Article
- Prevalence of late antenatal care booking among pregnant women attending public health facilities of Kigamboni Municipality in Dar es Salaam region, Tanzania.African health sciences · 2023Article
- Scoping review of outpatient health services utilization among women.Primary health care research & development · 2023Article
- The magnitude and determinants of delayed initiation of antenatal care among pregnant women in Gambia; evidence from Gambia demographic and health survey data.BMC public health · 2023Article
- Observational
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDelayed access to antenatal care ('late booking') has been linked to increased maternal and fetal mortality and morbidity. The aim of this qualitative study was to understand why some women are late to access antenatal care.
methods27 women presenting after 19 completed weeks gestation for their first hospital booking appointment were interviewed, using a semi-structured format, in community and maternity hospital settings in South Yorkshire, United Kingdom. Interviews were transcribed verbatim and entered onto NVivo 8 software. An interdisciplinary, iterative, thematic analysis was undertaken.
resultsThe late booking women were diverse in terms of: age (15-37 years); parity (0-4); socioeconomic status; educational attainment and ethnicity. Three key themes relating to late booking were identified from our data: 1) 'not knowing': realisation (absence of classic symptoms, misinterpretation); belief (age, subfertility, using contraception, lay hindrance); 2) 'knowing': avoidance (ambivalence, fear, self-care); postponement (fear, location, not valuing care, self-care); and 3) 'delayed' (professional and system failures, knowledge/empowerment issues).
conclusionsWhilst vulnerable groups are strongly represented in this study, women do not always fit a socio-cultural stereotype of a 'late booker'. We report a new taxonomy of more complex reasons for late antenatal booking than the prevalent concepts of denial, concealment and disadvantage. Explanatory sub-themes are also discussed, which relate to psychological, empowerment and socio-cultural factors. These include poor reproductive health knowledge and delayed recognition of pregnancy, the influence of a pregnancy 'mindset' and previous pregnancy experience, and the perceived value of antenatal care. The study also highlights deficiencies in early pregnancy diagnosis and service organisation. These issues should be considered by practitioners and service commissioners in order to promote timely antenatal care for all women.
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