ArticleBMC pregnancy and childbirth2016
Provider adherence to first antenatal care guidelines and risk of pregnancy complications in public sector facilities: a Ghanaian cohort study.
Article in BMC pregnancy and childbirth, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.
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Who cites it
23 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Interventions to reduce preterm birth and stillbirth, and improve outcomes for babies born preterm in low- and middle-income countries: A systematic review.Journal of global health · 2021Pooled it
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- Factors associated with dropouts along the continuum of maternal care among adolescent girls in sub-Saharan Africa: A multilevel analysis of Demographic and Health Surveys from 15 countries.Journal of public health in Africa · 2026Article
- Home birth and its associated factors among mothers aged 15-49 years in Somalia: a nationwide population-based cross-sectional study.BMC women's health · 2025Article
- An assessment of the content of antenatal care provided by obstetricians in Lebanon: A cross-sectional study.PLOS global public health · 2024Article
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- Risk factors associated with anaemia among pregnant women in the Adaklu District, Ghana.Frontiers in global women's health · 2023Article
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- Prevalence and Predictors of Pre-Existing Hypertension among Prenatal Women: A Cross-Sectional Study in Ghana.Iranian journal of public health · 2021Article
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- Assessing the continuum of care for maternal health in Mexico, 1994-2018.Bulletin of the World Health Organization · 2021Article
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- Adherence to Iron and Folic Acid Supplementation and Its Associated Factors among Pregnant Women Attending Antenatal Care at Bwindi Community Hospital, Western Uganda.International journal of reproductive medicine · 2021Article
- The relationship between time spent during the first ANC contact, home visits and adherence to ANC contacts in Ghana.Global health action · 2021Article
- Client Factors Affect Provider Adherence to Guidelines during First Antenatal Care in Public Health Facilities, Ethiopia: A Multi-Center Cross-Sectional Study.Ethiopian journal of health sciences · 2020Article
- Assessment of the quality, content and perceived utility of local maternity guidelines in hospitals in England implementing the saving babies' lives care bundle to reduce stillbirth.BMJ open quality · 2020Article
- Adherence to clinical practice guidelines for South Australian pregnant women with cardiac conditions between 2003 and 2013.PloS one · 2020Article
- Communication between mothers and health workers is important for quality of newborn care: a qualitative study in neonatal units in district hospitals in South Africa.BMC pediatrics · 2019Observational
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Authors and funding
6 authors.
Funding
Abstract
backgroundGuideline utilization aims at improvement in quality of care and better health outcomes. The objective of the current study was to determine the effect of provider complete adherence to the first antenatal care guidelines on the risk of maternal and neonatal complications in a low resource setting.
methodsWomen delivering in 11 health facilities in the Greater Accra region of Ghana were recruited into a cohort study. Their first antenatal visit records were reviewed to assess providers' adherence to the guidelines, using a thirteen-point checklist. Information on their socio-demographic characteristics and previous pregnancy history was collected. Participants were followed up for 6 weeks post-partum to complete data collection on outcomes. The incidence of maternal and neonatal complications was estimated. The effects of complete adherence on risk of maternal and neonatal complications were estimated and expressed as relative risks (RRs) with their 95% confidence intervals (CI) adjusted for a potential clustering effect of health facilities.
resultsOverall, 926 women were followed up to 6 weeks post-partum. Mean age (SD) of participants was 28.2 (5.4) years. Complete adherence to guidelines pertained to the care of 48.5% of women. Incidence of preterm deliveries, low birth weight, stillbirths and neonatal mortality were 5.3, 6.1, 0.4 and 1.4% respectively. Complete adherence to the guidelines decreased risk of any neonatal complication [0.72 (0.65-0.93); p = 0.01] and delivery complication [0.66 (0.44-0.99), p = 0.04].
conclusionComplete provider adherence to antenatal care guidelines at first antenatal visit influences delivery and neonatal outcomes. While there is the need to explore and understand explanatory mechanisms for these observations, programs that promote complete adherence to guidelines will improve the pregnancy outcomes.
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