Table 3 Adequacy of prenatal care based on maternal and neonatal complications and use of obstetric, neonatal and postnatal care by level of antenatal care (ANC) attendance, Lubumbashi, DRC, 2010–11
Characteristics | No ANC (n = 1910) % | ANC Visits | |||
|---|---|---|---|---|---|
Low (n = 912) % | Moderate (n = 748 % | High (n = 734) % | p | ||
Maternal complications | 15.2 | 5.9 | 6.6 | 11.6 | <0.001 |
Fever | 2.1 | 0.5 | 0.8 | 0.8 | <0.001 |
Premature rupture of membranes | 0.6 | 0.8 | 1.1 | 1.1 | <0.001 |
Severe anemia | 0.4 | 0.6 | 1.1 | 1.1 | <0.001 |
Dystocia (prolonged labor) | 4.3 | 1.2 | 1.6 | 3.3 | <0.001 |
Eclampsia | 1.8 | 1.1 | 0.8 | 0.5 | <0.001 |
Placenta abruptio | 0.1 | 0.1 | 0.1 | 0.3 | <0.001 |
Placenta Prævia | 0.0 | 1.0 | 0.6 | 2.5 | <0.001 |
Uterine rupture | 0.2 | 0.6 | 0.5 | 2.0 | <0.001 |
Postpartum hemorrhage | 5.4 | 0.0 | 0.0 | 0.0 | a |
Neonatal Complications | 26.5 | 16.9 | 13.9 | 20.6 | <0.001 |
Respiratory distress (Apgar < 7) | 17.2 | 11.9 | 11.1 | 15.1 | |
Low birth weight | 9.3 | 5.0 | 2.8 | 5.5 | |
Obstetrical care | <0.001 | ||||
EC-LR | 84.8 | 94.1 | 93.5 | 88.4 | |
EmOC | 9.9 | 2.7 | 2.1 | 6.3 | |
EC-HR | 5.6 | 3.2 | 4.4 | 5.3 | |
Neonatal Care | <0.001 | ||||
EC-LR | 73.5 | 88.1 | 86.1 | 79.4 | |
EmNC | 15.2 | 6.7 | 4.9 | 10.5 | |
EC-HR | 11.3 | 10.2 | 9.0 | 10.1 | |
Postnatal consultationb | 6.9 | 3.4 | 5.2 | 5.9 | 0.003 |