International Journal of Infertility & Fetal Medicine

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VOLUME 13 , ISSUE 3 ( September-December, 2022 ) > List of Articles


Gestational Age at Booking for Antenatal Care in a Tertiary Healthcare Facility: A Glance

R Aishwarya, Shanthi Ethirajan

Keywords : Antenatal visit, Care, Early booking, Late booking, Pregnancy outcome

Citation Information : Aishwarya R, Ethirajan S. Gestational Age at Booking for Antenatal Care in a Tertiary Healthcare Facility: A Glance. Int J Infertil Fetal Med 2022; 13 (3):91-95.

DOI: 10.5005/jp-journals-10016-1295

License: CC BY-NC 4.0

Published Online: 29-12-2022

Copyright Statement:  Copyright © 2022; The Author(s).


Background: Perinatal care is important to improve the outcome of the pregnancy and reduce associated morbidity and/or mortality to the pregnant mother and the developing fetus. Ideally, preconception counseling and preparedness for conception are necessary for an optimal pregnancy outcome. But this is not practiced by everyone due to various reasons. In such a scenario, an early antenatal visit will provide an opportunity for early screening and prepare a plan of care that will result in a better outcome of the pregnancy. In many countries, pregnant women still start their first antenatal visit late. Hence this study aims to determine the mean gestational age at booking, the magnitude and the factors associated with late booking for antenatal care in a tertiary care referral hospital. Objectives: (1) To assess the gestational age of booking for antenatal care in a tertiary referral healthcare facility. (2) To assess the prevalence of late booking and factors contributing to it. Materials and methods: This is a prospective study conducted on pregnant women visiting the outpatient Obstetrics and Gynaecology Department at Saveetha Medical College and Hospital from February 2020 to July 2020. A total of 203 pregnant mothers, who consented to the study, were interviewed at the antenatal clinic by using a structured questionnaire. The data was compiled and assessed using Microsoft Excel. The mean gestational age at booking and prevalence of late booking visit and their causes are assessed. Bivariate and multivariate data analysis was performed using Statistical Software for the Social Sciences (SPSS) for Windows version 16.0. Result: This study showed that 203 pregnant women who participated in the study were between 19 and 40 years of age. A total of 121 patients were nulliparous, and 82 were multiparous. The mean gestational age at booking was found to be approximately 11 weeks of gestation in the study group. Around 83 were late for their booking visit (40.89%). Lack of knowledge of early booking and its benefits was the most common cause of increased gestational age at the first antenatal visit (28.92%). The recent COVID-19 outbreak this year has caused a delay in the booking of 12 patients (14.46%).

  1. Abosse Z, Woldie M, Ololo S. Factors influencing antenatal care service utilization in Hadiya zone. Ethiop J Health Sci 2010;20(2):75–82. DOI: 10.4314/ejhs.v20i2.69432
  2. Sonek JD, Kagan KO, Nicolaides KH. Inverted pyramid of care. Clin Lab Med 2016;36(2):305–317. DOI: 10.1016/j.cll.2016.01.009
  3. Nicolaides KH. Turning the pyramid of prenatal care. Fetal Diagn Ther 2011;29(3):183–196. DOI: 10.1159/000324320.
  4. World Health Organization, WHO recommendations on antenatal care for a positive pregnancy experience. 2016: Geneva, Switzerland.
  5. Okunbola MA, Ayinde OA, Owonikoko KM, et al. Factors influencing gestational age of antenatal booking at the University College Hospital, Ibadan, Nigeria. J Obstet Gynaecol 2006;26(3):195–197. DOI: 10.1080/01443610500508220
  6. Adekanle OA, Isawumi AI. Late antenatal care booking and its predictors among pregnant women in South Western Nigeria. J Health Allied Sci 2008;7(1):4–7. DOI: 10.4103/2141-9248.105666
  7. Poon LC, Shennan A, Hyett JA, et al. The International Federation of Gynecology and Obstetrics (FIGO) initiative on pre-eclampsia: a pragmatic guide for first – trimester screening and prevention. Int J Gynaecol Obstet 2019;145(1):1–33. DOI: 10.1002/ijgo.12802
  8. Grum T, Brhane E. Magnitude and factors associated with late antenatal care booking on first visit among pregnant women in public health centers in central zone of Tigray Region, Ethiopia: a cross sectional study. PLoS One 2018;13(12): e0207922. DOI: 10.1371/journal.pone.0207922
  9. Onoh RC, Umeora O, Agwu UM, et al. Pattern and determinants of antenatal booking at Abakaliki Southeast Nigeria. Ann Med Health Sci Res 2012;2(2):169–175. DOI: 10.4103/2141-9248.105666
  10. Adegbola O. Gestational age at antenatal booking in Lagos University Teaching Hospital (LUTH). Nig Q J Hosp Med 2009;19(3):162–164. DOI: 10.1186/1471-2458-12-1012
  11. Zhao Q, Huang ZJ, Yang S, et al. The utilization of antenatal care among rural-to-urban migrant women in Shanghai: a hospital-based cross-sectional study. BMC Public Health 2012;12:1012. DOI: 10.1186/1471-2458-12-1012
  12. Tariku A, Melkamu Y, Kebede Z. Previous utilization of service does not improve timely booking in antenatal care: cross sectional study on timing of antenatal care booking at public health facilities in Addis Ababa. Ethiop J Health Dev 2010;24(3):226–233. DOI: 10.4314/ejhd.v24i3.68390
  13. Ifenne DI, Utoo BT. Gestational age at booking for antenatal care in a tertiary health facility in north-central, Nigeria. Niger Med J 2012;53(4):236–239. DOI: 10.4103/0300-1652.107602
  14. Adegbola O, Kuku TO. The factors affecting gestational age at booking in Lagos University Teaching Hospital, Lagos, Nigeria. J Clin Sci 2015;12(1):20–23. DOI: 10.4103/1595-9587.160762
  15. Efendi F, Chen CM, Kurniati A, et al. Determinants of utilization of antenatal care services among adolescent girls and young women in Indonesia. J Women Health 2017;57(5):1–16. DOI: 10.1080/03630242.2016.1181136
  16. Ali NR, Luby S, Rahbar MH. Does use of a government service depend on distance from the health facility? Health Policy Plan 1999;14(2):191–197. DOI: 10.1093/heapol/14.2.191
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