Association of antenatal care with facility delivery and perinatal survival – a population-based study in Bangladesh

摘要: Antenatal Care (ANC) during pregnancy can play an important role in the uptake of evidence-based services vital to health women and their infants. Studies report positive effects ANC on use facility-based delivery perinatal mortality. However, most existing studies are limited cross-sectional surveys with long recall periods, generally do not include population-based samples. This study was conducted within Health Demographic Surveillance System (HDSS) International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b) Matlab, Bangladesh. The HDSS area is divided into icddr,b service (SA) where children receive care from facilities, a government SA people facilities. In 2007, new Maternal, Neonatal, Child (MNCH) program initiated that strengthened ongoing maternal child including ANC. We estimated association facility mortality using prospectively collected data 2005 2009. Using before-after design, we also determined reduction between periods before (2005 – 2006) after (2008–2009) implementation MNCH program. visits were associated increased SAs. SA, adjusted odds about 2-times higher (odds ratio (OR) 1.91; 95% confidence intervals (CI): 1.50, 2.42) among who received ≤1 compared ≥3 visits. No such observed SA. Controlling substantially reduced effect intervention (OR 0.64; CI: 0.52, 0.78) non-significance 0.81; 0.65, 1.01), when comparing cohorts initiation (Sobel test mediation P < 0.001). improved survival Further testing approach simultaneously improving quality needed system other low-income countries maximize benefits mothers newborns.