ArticlePloS one2022
An assessment of the quality of antenatal care and pregnancy outcomes in a tertiary hospital in Ghana.
Article in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 2 of them syntheses that pooled it.
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Who cites it
28 citing papers in PubMed, 2 syntheses or guidelines pooled it, 44 citations in OpenAlex.
- Incidence of pregnancy-associated acute kidney injury in low- and middle-income countries: a meta-analysis.Bulletin of the World Health Organization · 2025Pooled it
- First trimester antenatal care contact in Africa: a systematic review and meta-analysis of prevalence and contributing factors.BMC pregnancy and childbirth · 2023Pooled it
- Quality of antenatal care and maternal mortality: a mixed-methods study in Purwakarta District, Indonesia.BMC public health · 2026Article
- Factors Influencing Timing of First Antenatal Care Visit Among Bangladeshi Women: Application of Accelerated Failure Time Models Using Demographic Health Survey 2022.Health science reports · 2026Article
- Article
- Comparison of urban-rural inequality in quality antenatal care among women in Bangladesh and Pakistan: a multivariable decomposition analysis.Reproductive health · 2026Article
- Development and validation of a person-centered antenatal care scale for low- and middle-income countries.npj women's health · 2026Article
- Adverse maternal and neonatal outcomes in Northern Sudan: the role of antenatal care and socioeconomic inequities in war.Reproductive health · 2025Article
- Antenatal care quality and pregnancy outcomes in the northern region of Ghana: a mixed-methods analysis.BMC pregnancy and childbirth · 2025Article
- Quality assessment of routine antenatal care services provided at a primary healthcare facility in a rural area of Delhi, India: A record-based study.Journal of family medicine and primary care · 2025Article
- A Community-Based Reproductive Health Care Model Effectively Enhances Reproductive Health Among Lahu Women in Northern Thailand.Journal of racial and ethnic health disparities · 2025Article
- Examining the Impact of Integrated Obstetric Simulation Training on the Quality of Antenatal Care in Northern Ghana.Maternal and child health journal · 2025Article
- Assessment of antenatal care quality in Ethiopia: Facility-based study using service provision assessment data.PloS one · 2025Article
- More than just visits: Timing, frequency, and determinants of effective antenatal care in Bangladesh - BDHS 2007 to 2017-18.PloS one · 2025Article
- Evaluating the impact of engaging healthcare providers in an AI-based gamified mHealth intervention for improving maternal health outcomes among disadvantaged pregnant women in Lebanon.Frontiers in digital health · 2025Article
- Incidence, risk factors and outcomes of preterm live births in a tertiary health facility in Ghana.PloS one · 2025Article
- How maternal morbidities impact women's quality of life during pregnancy and postpartum in sub-Saharan Africa and South Asia: A qualitative study.PLOS global public health · 2025Article
- Quality of antenatal care services received by women of reproductive age prior to delivery in selected public health facilities in the northern zone of Ghana.BMC health services research · 2024Article
- Article
- Individual and community-level determinants of quality antenatal care in six South Asian countries.Scientific reports · 2024Article
Corrections and comments
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Authors and funding
9 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAntenatal care (ANC) is imperative to decreasing adverse pregnancy outcomes and their related maternal mortality. However, in sub-Saharan Africa, increases in ANC coverage have not correlated well with improved maternal and fetal outcomes suggesting the quality of ANC received could be the missing link. This study assessed ANC quality and its effect on adverse pregnancy outcomes among women who delivered at Komfo Anokye Teaching Hospital.
methodsA cross-sectional study was conducted among women who delivered at Komfo Anokye Teaching Hospital within the study period. Women were selected through systematic sampling and interviewed using a pretested structured questionnaire as well as review of their medical records. Data were collected on their sociodemographic and reproductive characteristics, care provided during ANC and delivery outcomes. Categorical variables were compared using the χ2 test. Factors associated with quality of ANC and adverse pregnancy outcomes were assessed using univariate and multivariate logistic regression to generate crude and adjusted odds ratios (ORs) with 95% confidence intervals (CIs). Statistical analyses were performed using SPSS and GraphPad Prism. P-values of < 0.05 were considered statistically significant.
results950 women were recruited into the study with mean age of 30.39±5.57 years. Less than one-tenth (7.6%) of the women received good quality ANC, 63.4% had average quality ANC, and 29.0% received poor quality ANC. Increasing educational level and initiating ANC in the first trimester [aOR 0.2; 95%CI 0.08-0.68; p<0.001] increased the odds of receiving good quality ANC while being unemployed decreased the odds of receiving good quality ANC [aOR 0.3; 95% CI 0.12-0.65; p = 0.003]. Receiving poor and average quality of ANC were significantly associated with increased likelihood of developing anaemia during pregnancy, preeclampsia with severe features or delivering a low birth weight baby.
conclusionMost women did not receive good quality ANC. High quality ANC should be provided while the women are encouraged to comply with the recommendations during ANC.
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