OJOG  Vol.3 No.6 , August 2013
The effect of urine pregnancy testing on timing of accessing antenatal care and abortion services in Western Nigeria
ABSTRACT

Objective: Effective confirmation of pregnancy is a basic component of reproductive health services. It is a determinant for accessing antenatal care (ANC) if the pregnancy is wanted and abortion services if the pregnancy is unwanted. This study examined the effect of urine pregnancy testing in the timing of presentation for pregnancy care. Method: A cross-sectional study was conducted among 320 women presenting for antenatal care and 300 women presenting for abortion at private sector clinics in Western Nigeria. Results: The median age at first presentation was 20 weeks for ANC clients and 8 weeks for abortion clients. Obtaining urine pregnancy test of one’s accord was associated with a decrease in the gestational age at presentation of 3.7 weeks and 1.5 weeks for antenatal and abortion clients, respectively, independent of all other factors. Conclusion: Bearing in mind that the clinical benefit and public health impact of early presentation for antenatal and abortion services are unequivocal, strategies aimed at decreasing gestational age at presentation for pregnancy care should be given priority. “Fast-track” urine pregnancy testing services should be promoted in the private and public clinics in Nigeria.


Cite this paper
Lamina, M. (2013) The effect of urine pregnancy testing on timing of accessing antenatal care and abortion services in Western Nigeria. Open Journal of Obstetrics and Gynecology, 3, 486-492. doi: 10.4236/ojog.2013.36089.
References
[1]   [1] Bastian, L.A. and Piscitelli, J.T. (1997) Is this patient pregnant? Can you reliably rule in or out early pregnancy by clinical examination? The Journal of the American Medical Association, 278, 586-591. doi:10.1001/jama.1997.03550070078042

[2]   World Health Organisation (2006) Making pregnancy safer: Strategic approach to improving maternal and newborn survival and health. Geneva.

[3]   World Health Organisation (2004) Safe abortion: Technical and policy guidance for health systems. Geneva.

[4]   Stanback, J., Raymond, E. and Janowitz, B. (2002) Hormonal pregnancy test redux. Contraception, 66, 295-296. doi:10.1016/S0010-7824(02)00363-3

[5]   Wilcox, A., Bairs, D.D., Dunson, D., McChesney, R. and Weinberg, C. (2001) Natural limits of pregnancy testing in relation to the expected menstrual period. The Journal of the American Medical Association, 286, 1759-1761. doi:10.1001/jama.286.14.1759

[6]   Lamina, M.A. (2004) Gestational age at first antenatal attendance in Sagamu, Western Nigeria. Nigerian Journal of Clinical Practice, 7, 1-3.

[7]   Myer, L. and Harrison, A. (2003) Why do women seek antenatal care late? Perspectives from rural South Africa. Journal of Midwifery and Women’s Health, 48, 268-272. doi:10.1016/S1526-9523(02)00421-X

[8]   Jeffery, B.S., Tsuari, M., Pistorius, L.R., Makin, J. and Pattison, R.C. (2000) The impact of a pregnancy confirmation clinic on the commencement of antenatal care. South African Medical Journal, 90, 1563-1566.

[9]   Morroni, C. and Moodley, J. (2006) The role of urine pregnancy testing in facilitating access to antenatal care and abortion services in South Africa: A cross-sectional study. BMC Pregnancy and Childbirth, 6, 28. doi:10.1186/1471-2393-6-26

[10]   Burnhill, M.S. (1986) Reducing the risks of pregnancy termination. In: Landy, U. and Ratnam, S.S., Eds., Prevention and Treatment of Contraceptive Failure, Plenum, New York, 141-147. doi:10.1007/978-1-4684-5248-8_21

 
 
Top