ArticleMaternal and child health journal2021
Antenatal Care Visit Attendance Frequency and Birth Outcomes in Rural Uganda: A Prospective Cohort Study.
Article in Maternal and child health journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.
- Impact of travel time to health facilities on perinatal outcomes: a systematic review with narrative synthesis and meta-analysis.Journal of global health · 2026Pooled it
- Effect of community health worker home visits on antenatal care and institutional delivery: an analysis of secondary outcomes from a cluster randomised trial in Mali.BMJ global health · 2023Trial
- Exploring the experiences of adolescent primigravidae during their first antenatal care visit in Gauteng Province.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2026Article
- Effect of antenatal care attendance on maternal and birth outcomes in Somaliland: a cohort study.BMJ open · 2026Article
- HIV and Syphilis Coinfection in Pregnancy and Adverse Birth Outcomes in Uganda.The Journal of infectious diseases · 2026Article
- Impact of non-communicable diseases on maternal and perinatal outcomes in a low resource setting.Maternal health, neonatology and perinatology · 2025Article
- Preterm birth and its associated factors among women of reproductive age in Zambia: a survey analysis.BMC pregnancy and childbirth · 2025Article
- Prevalence and associated factors of eight antenatal care contacts among mothers who give birth in Shebel Berenta district, East Gojjam zone, northeast Ethiopia, 2024.Frontiers in reproductive health · 2025Article
- Evolution and determinants of antenatal care services utilization among women of reproductive age in Rwanda: a scoping review.BMC health services research · 2024Article
- Birth outcomes and survival by sex among newborns and children under 2 in the Birhan Cohort: a prospective cohort study in the Amhara Region of Ethiopia.BMJ global health · 2024Article
- Associations between Antenatal Care Visit Attendance and Infant Mortality and Growth.The American journal of tropical medicine and hygiene · 2024Article
- Perinatal care and its association with perinatal death among women attending care in three district hospitals of western Uganda.BMC pregnancy and childbirth · 2024Article
- Maternal near miss as a predictor of adverse perinatal outcomes: findings from a prospective cohort study in southwestern Uganda.BMC pregnancy and childbirth · 2024Article
- Article
- Do black women's lives matter? A study of the hidden impact of the barriers to access maternal healthcare for migrant women in South Africa.Frontiers in sociology · 2024Article
- The epidemiology and risk factors for postnatal complications among postpartum women and newborns in southwestern Uganda: A prospective cohort study.PLOS global public health · 2024Article
- Development of Prediction Models for Antenatal Care Attendance in Amhara Region, Ethiopia.JAMA network open · 2023Article
- Assessment of Safe Motherhood Health Service Coverage, Birth Defects Detection and Child Disability Prevention Using Lot Quality Assurance Sampling in Central Uganda.The East African health research journal · 2023Article
- Article
Corrections and comments
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Authors and funding
7 authors at 4 institutions in 2 countries.
Funding
Abstract
objectivesAntenatal care (ANC) is designed to improve pregnancy outcomes by providing screening and treatment for preventable and treatable diseases. However, data are lacking on whether ANC affects stillbirth risk. We hypothesized stillbirth risk in Uganda is lower in women attending the recommended ≥ 4 ANC visits compared to those attending ≤ 3.
methodsWe performed a secondary analysis of subset of 1,785 women enrolled in a prospective cohort of postpartum infection who presented to a regional referral hospital for delivery. Our primary outcome was documented stillbirth; a secondary composite poor birth outcome included stillbirth, early neonatal death, low birth weight (< 2500 g), and 5-min APGAR score < 7. We performed multivariable logistic regression analyses to identify independent correlates of stillbirth and poor birth outcome.
resultsOf 1,785 participants, 58 (3%) pregnancies resulted in stillbirth and 198 (11%) had a poor birth outcome. Of 1,236 women attending ≥ 4 ANC visits, 31 (2.5%) had a stillbirth, compared to 27/510 (5.2%) attending ≤ 3. In multivariable analyses controlling for age, parity, distance traveled, referral status to hospital, malaria prophylaxis, and syphilis infection; attending ≥ 4 ANC visits was associated with significantly reduced odds of stillbirth (aOR 0.5, 95% CI 0.3-0.9, P = 0.02) and poor birth outcome (aOR 0.66, 95% CI 0.4-0.96, P = 0.03). Malaria prophylaxis was also independently associated with reduced odds of stillbirth (aOR 0.05, 95% CI 0.2-1.0, P = 0.04).
conclusionsAttending ≥ 4 ANC visits was associated with reduced odds of stillbirth and poor birth outcomes in this Ugandan cohort, which may be related to more comprehensive infection screening, treatment, and prevention services.
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