Determinants of the Low Proportion of Pregnant Women Seen for First-Trimester Prenatal Care at KoudougouUrban Medical Center, Burkina-Faso

Introduction: Antenatal care (ANC) contributes to the reduction of maternal and neonatal morbidity and mortality. The study aimed to investigate the determinants of the low proportion of pregnant women seen for first antenatal care in the first trimester of pregnancy at the urban medical center of Koudougou, Burkina Faso. Materials and Methods: This was a cross-sectional study with data collection from June 08 to August 18, 2021. It involved a sample of 302 participants including 280 pregnant women and 22 maternity providers. Semi-structured individual interviews, non-participant observation, and a literature review were used. Results: Pregnant women age 20 and over, knowledge of the date of their last menstrual period, and knowledge of the antenatal care calendar were associated with coming into contact (1) with Antenatal care in the first trimester of pregnancy. In addition, there was a lack of availability of antenatal care services, inadequate reception of clients, and shortages of health products. Conclusion: There is a need to revisit strategies for communicating with women about ANC, reorganizing ANC services, and improving ANC services.

孕妇围产期B族链球菌感染危险因素的Logistic分析

目的探讨孕妇围产期B族链球菌感染的危险因素，为防治B族链球菌感染提供参考依据。方法回顾性分析住院分娩的576例孕妇的临床资料，均于妊娠35～37周进行B族链球菌培养测定，根据有无B族链球菌感染分为感染组和未感染组。比较两组临床资料，并通过多因素Logistic分析导致孕妇围产期B族链球菌感染的危险因素。结果576例孕妇中，47例出现B族链球菌感染（8．16％）；感染组流产史、生殖道感染比例均高于未感染组，差异均有统计学意义（P均〈0．05）；多因素Logistic回归分析结果显示，生殖道感染、流产史为影响B族链球菌感染发生的独立危险因素（P〈0．05）；感染组早产、宫内感染发生率高于未感染组，差异均有统计学意义（P均〈0．05）。结论生殖道感染、流产史为孕妇围产期B族链球菌感染的独立危险因素，应加强女性生殖健康及避孕措施宣教，以减少孕产妇B族链球菌感染的发生。