ArticlePloS one2025
Association of quality antenatal care and completion of eight or more antenatal care visits with skilled delivery care utilization among pregnant women in Bangladesh: A nationwide population-based study.
Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Effect of Enhanced Nutrition and Infection Management Intervention Packages on Antenatal Quality of Care Indicators in Rural Amhara, Ethiopia.medRxiv : the preprint server for health sciences · 2026Article
- Exploration of facilitators and barriers to the implementation of the eight-contact antenatal care model in healthcare facilities in Nigeria.Maternal health, neonatology and perinatology · 2026Article
- Prevalence and associated factors of skilled birth attendants in Bangladesh: A combined statistical and machine learning analysis.PloS one · 2026Article
- Machine learning meets maternal health: Uncovering spatial blind spots in antenatal care quality in Bangladesh.PloS one · 2025Article
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9 authors.
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Abstract
introductionProvision of quality antenatal care (QANC) services and delivery care by skilled health professionals can effectively reduce and manage complications throughout pregnancy and childbirth, leading to better maternal and neonatal health outcomes. The WHO recently updated its recommendation to at least eight antenatal care (ANC) visits. However, little is known about how QANC services and completion of eight or more ANC visits interact with skilled delivery care utilization.
methodsThis study utilized data from Bangladesh Demographic and Health Survey 2017-18, including 4,457 pregnant women aged 15-49 years who had given birth three years preceding the survey. Descriptive statistics were employed to analyze the study population's characteristics and the proportion of skilled birth attendance (SBA) and facility delivery (FD) in Bangladesh. Multilevel mixed-effects logistic regression analyses were used to determine the strength of association of QANC services and completion of eight or more ANC visits with skilled delivery care utilization.
resultsOnly one in five women received good QANC services, and one in eight completed eight or more ANC visits. The overall proportions of SBA and FD were 56.74% [95% CI: 55.27-58.20] and 53.85% [52.37-55.32] respectively. Women with eight or more ANC visits had significantly higher odds of utilizing SBA (OR: 2.11 [1.60-2.77]) and FD (OR: 2.19 [1.68-2.85]) compared to those with only 1-3 ANC visits. Likewise, good QANC services were associated with higher odds of SBA (OR: 1.72 [1.38-2.15]) and FD (OR: 1.56 [1.26-1.93]).
conclusionThis study highlights the significant positive association of QANC services and adherence to the WHO-recommended eight or more ANC visits with increased skilled delivery care utilization in Bangladesh. Strengthening policies and programs to enhance the quality and frequency of ANC services can promote skilled delivery care, ensuring safe motherhood and childbirth.
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