Table 6 Comparison of experiences and awareness of danger signs between pregnant women attending rural and urban antenatal clinics.
From: Antenatal care in The Gambia: Missed opportunity for information, education and communication
Characteristic | Rural pregnant women n/N (%) | Urban pregnant women n/N (%) | Relative Risk Ratio Rural/Urban (95% confidence interval) | p value |
|---|---|---|---|---|
Adequate privacy | 146/202 (72.3) | 141/248 (56.9) | 1.3 (1.1 – 1.5) | 0.001 |
Awareness of danger signs | Â | Â | Â | Â |
Anaemia/pallor/fatigue/breathlessness/dizziness | 69/187 (36.9) | 52/231 (22.5) | 1.6 (1.2 – 2.2) | 0.002 |
Hypertension/headache/swelling/fits | 58/187 (31) | 45/231 (19.5) | 1.6 (1.1 – 2.2) | 0.009 |
Antenatal client... | Â | Â | Â | Â |
Said she spent 3 minutes or less with provider | 136/192 (70.8) | 173/246 (70.3) | 1.0 (0.9–1.1) | 0.84 |
Was told progress of pregnancy | 51/202 (25.2) | 64/250 (25.6) | 1.0 (0.7–1.4) | 0.98 |
Asked the antenatal care provider questions | 32/202 (15.8) | 26/250 (10.4) | 1.5 (0.9–2.5) | 0.11 |
Understood answers given by provider | 28/33 (84.8) | 27/32 (84.4) | 1.0 (0.8–1.2) | 0.77 |
Was asked to return for another visit | 140/200 (70.0) | 172/249 (69.1) | 1.0 (0.9–1.2) | 0.91 |
Had complications in previous pregnancy and was advised to deliver at a health facility in current pregnancy | 7/25 (28.0) | 6/20 (30.0) | 0.9 (0.4–2.3) | 0.85 |
Awareness of danger signs | Â | Â | Â | Â |
Haemorrhage/heavy bleeding | 24/187 (12.8) | 38/231 (16.5) | 0.8 (0.5–1.3) | 0.37 |
Sepsis/foul smelling discharge/postpartum abdominal pain | 5/187 (2.7) | 16/231 (6.9) | 0.4 (0.1–1.0) | 0.08 |
Cessation of fetal movement/baby does not move | 6/187 (3.2) | 7/231 (3.0) | 1.1 (0.4–3.1) | 0.86 |
Light bleeding/spotting | 2/187 (1.1) | 7/231 (3.0) | 0.4 (0.1–1.7) | 0.3 |