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    Effects of mother related factors on perinatal outcomes-a study of mothers seeking antenatal care at public and non-public health facilities in Kisii County, Kenya

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    Publication Date
    2017
    Authors
    Matiang'i, Micah
    Karanja, Simon
    Wanzala, Peter
    Ngure, Kenneth
    Luciani, Albino
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    (5 total)
    Type
    Article, Journal
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    Citation

    Matiang’i, M., Karanja, S., Wanzala, P., Ngure, K., & Luciani, A. (2017). Effects of mother related factors on perinatal outcomes-a study of mothers seeking antenatal care at public and non-public health facilities in Kisii County, Kenya. Journal of Public Health in Africa, 8(2), 689.

    Abstract/Overview

    The study sought to determine client level and facility-level factors that affect perinatal outcomes among women attend ing comparable public (government owned) and non-public health facilities (non-gov ernment owned) in Kisii County-Kenya in the context of free maternity care. A total of 365 pregnant mothers recruited in 4 health facilities during their ANC visit and fol lowed up to 2 weeks post-delivery but only 287 attended all follow-up visits. Study sub jects were recruited proportionate to num ber of deliveries each of the facilities had conducted in the preceding 6 months. The dependent variable was perinatal outcome; independent variables were demographic and clinical factors. Analysis was done using χ2, logistic regression, paired t and McNemar’s tests. Maternal BMI and a mother’s parity were statistically correlated with perinatal outcome (χ2= 8.900, d.f =3, P=0.031 and (χ2= 13.232, d.f =4, P=0.039) respectively. Mothers with 1 parity were 4.5 times more likely to have normal perinatal outcomes (OR =4.5, 95% CI 2.25-14.29, P=0.012). There was a significant relation ship between a mother’s knowledge of pregnancy-related issues and the baby’s weight (t=-67.8 d.f. 213 P<0.001). Mothers’ knowledge on pregnancy issues and spousal involvement influences perinatal outcomes. Dietary Diversity Score (DDS) of a mother does not have a direct influence on the out come of a pregnancy. There is need to focus on maternal factors that affect perinatal out comes besides free maternity care

    Subject/Keywords
    Perinatal; pregnancy; maternal child health; free maternity care
    Publisher
    Journal of Public Health in Africa
    Permalink
    https://repository.amref.ac.ke/handle/20.500.14173/1022
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    • Department of Health Systems [16]

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