Abstract
BackgroundReasonable use of antenatal care (ANC) services by pregnant women played a crucial role in ensuring maternal and child safety and reducing the risk of complications, disability, and death in mothers and their infants. This study aimed to investigate the ANC use, and to explore the factors associated with ANC use among migrant women during the first delivery in China.MethodsThis study used the data of National Health and Family Planning Commission of People Republic of China in 2014. A total of 1505 migrant primiparous women were included in our current analysis. Frequencies and proportions were used to describe the data. Chi-square tests and multivariate binary logistic regression models were performed to explore the determinants that affect the number of times migrant women used ANC during their first delivery.ResultsOf the 1505 participants, 279 (18.54%) women received the ANC less than 5 times, and 1226 (81.46%) women used the ANC at least 5 times during the first delivery. The multivariate logistic regression model showed that migrant primiparous women with college and above education(P < 0.05;OR = 2.57;95%CI = 1.19–5.55), from the households with higher monthly income (P < 0.01;OR = 2.01;95%CI = 1.30–3.13), covered by maternity insurance(P < 0.01;OR = 2.01;95%CI = 1.28–3.18), with maternal health records (P < 0.001;OR = 2.44;95%CI = 1.61–3.69), migrating across county (P < 0.05;OR = 2.57;95%CI = 1.14–5.81), having migration experience before pregnancy(P < 0.05;OR = 1.37;95%CI = 1.03–1.81) were more likely to use ANC for at least five times.ConclusionsThis study demonstrated that there were still some migrant maternal women (18.54%) who attended the ANC less than 5 times. Targeted policies should be developed to improve the utilization of ANC among migrant pregnant women.
Highlights
Reasonable use of antenatal care (ANC) services by pregnant women played a crucial role in ensuring maternal and child safety and reducing the risk of complications, disability, and death in mothers and their infants
Factors associated with times of ANC use among migrant women during the first delivery Table 2 presented the results of the univariate analysis for the ANC use
Education, Hukou, household monthly income, kinds of insurances, maternity insurance, maternal health records within 12 weeks of pregnancy, migration range, migration experience before pregnancy were associated with the ANC use among migrant women during the first delivery in China(P < 0.05)
Summary
Reasonable use of antenatal care (ANC) services by pregnant women played a crucial role in ensuring maternal and child safety and reducing the risk of complications, disability, and death in mothers and their infants. According to the Report of Migrant Population Service Center, National Health Commission, People’s Republic of China (PRC), the number of migrant population has reached 244 million by the end of 2017 [4]. According to the “Chinese citizens’ health literacy - basic knowledge and skills” issued by the former Ministry of Health, PRC, pregnant women should take the initiative to accept pre-marital and pre-pregnancy care, and should use at least five times of antenatal care during pregnancy [8]. According to National Basic Public Health Service Project, pregnant women may go to the community health center or township health center to enjoy five times of free ANC, including pregnant women health assessment (medical history, family history, etc.), general physical examination, gynecological examination, blood routine, routine urine, liver function, renal function, and hepatitis B test [9].
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