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Reproductive Health

, 3:8

First Online: 18 August 2006Received: 21 March 2006Accepted: 18 August 2006DOI: 10.1186-1742-4755-3-8

Cite this article as: Trinh, L.T.T. & Rubin, G. Reprod Health 2006 3: 8. doi:10.1186-1742-4755-3-8


AimsThis study aimed to assess the prevalence of women who entered antenatal care ANC late and to identify factors related to the late entry to ANC in New South Wales NSW in 2004.

MethodsThe NSW Midwives Data Collection contained data of 85,034 women who gave birth in 2004. Data were downloaded using SAS and transferred to STATA 8.0. Entering ANC after 12 weeks of gestation was classified as late. The Andersen Health Seeking Behaviour Model was used for selection and analyses of related factors. Regression and hierarchical analyses were used to identify significant factors and their relative contributions to the variation of pregnancy duration at entry to ANC.

Results41% of women commenced ANC after 12 weeks of gestation. Inequality existed between groups of women with predisposing characteristics and enabling resources contributed more to the variation in pregnancy duration at entry to ANC than needs. The groups of women with highest risk were teenagers, migrants from developing countries, women living in Western Sydney, Aboriginal and Torres Strait Islanders, women with three or more previous pregnancies and heavy smokers. The high risk groups with largest number of women were migrants from developing countries and women living in Western Sydney.

ConclusionA large number of women in NSW entered ANC late in their pregnancies. Efforts to increase early entry to ANC should be targeted on identified high risk groups of women.

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Autor: Lieu Thuy Thi Trinh - George Rubin


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