Evidence map›Paper›PMID 42192551›Full record

ArticleArchives of public health = Archives belges de sante publique2026

Correlates of self-reported pregnancy complications: a cross-sectional study in two districts in Northern Ghana.

Martin Ayanore, Isaiah Agorinya, Robert Kokou Dowou, Samuel Mayeden, Gilbert Abotisem Abiiro, Peter Adatara, Stella Lartey, Joseph Kangmennaang, Elijah Bisung, Kingsley Osei and 25 more

Abstract read
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In one paragraph

Article in Archives of public health = Archives belges de sante publique, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

35 authors.

Martin AyanoreDepartment of Health Policy, Planning and Management, University of Health and Allied Sciences, Ho, Ghana.
Isaiah AgorinyaDepartment of Epidemiology and Biostatistics, University of Health and Allied Sciences, Ho, Ghana.
Robert Kokou DowouDepartment of Epidemiology and Biostatistics, University of Health and Allied Sciences, Ho, Ghana. 2017rdowou@uhas.edu.gh.
Samuel MayedenHeidelberg Institute of Global Health, Medical Faculty, Heidelberg University, Heidelberg, Germany.
Gilbert Abotisem AbiiroDepartment of Health Services, Policy, Planning, Management and Economics, School of Public Health, University for Development Studies, Tamale, Ghana.
Peter AdataraSchool of Nursing and Midwifery, University of Health and Allied Sciences, Ho, Ghana.
Stella LarteyDepartment of Public Health Sciences, College of Behavioral, Social, and Health Sciences, Clemson University, Clemson, USA.
Joseph KangmennaangSchool of Kinesiology and Health Studies, Queen's University, Kingston, Canada.
Elijah BisungSchool of Kinesiology and Health Studies, Queen's University, Kingston, Canada.
Kingsley OseiCODEBASEGH, 5 South Ridge Road, Roman Ridge, Accra, Ghana.
Bervelyn Asantewaah AddoDepartment of Nutrition Sciences and Food Studies, Syracuse University, Syracuse, New York, USA.
Francis AdaneSchool of Graduate Studies, University of Health and Allied Sciences, Ho, Ghana.
Wisdom AxameDepartment of Epidemiology and Biostatistics, University of Health and Allied Sciences, Ho, Ghana.
Priscilla Aku Nuna DotseDepartment of Population and Behavioural Sciences, Fred N. Binka School of Public Health, University of Health and Allied Sciences, Hohoe, Ghana.
Wisdom AduahSchool of Graduate Studies, University of Health and Allied Sciences, Ho, Ghana.
Felix TorkuSchool of Graduate Studies, University of Health and Allied Sciences, Ho, Ghana.
Josephat Ana-Imwine NyuzaghlUpper West Regional Health Directorate & Regional Innovation Desk Team Members, Upper West, Wa, Ghana.
Prosper Mwinyella LanaUpper West Regional Health Directorate & Regional Innovation Desk Team Members, Upper West, Wa, Ghana.
Linus BaatiemaUpper West Regional Health Directorate & Regional Innovation Desk Team Members, Upper West, Wa, Ghana.
Gladys CheyuoUpper West Regional Health Directorate & Regional Innovation Desk Team Members, Upper West, Wa, Ghana.
Mensah Kwesi AcheampongUpper West Regional Health Directorate & Regional Innovation Desk Team Members, Upper West, Wa, Ghana.
Dennis AlloteyUpper West Regional Health Directorate & Regional Innovation Desk Team Members, Upper West, Wa, Ghana.
Cecilia KakaribaWa West District Health Directorate, Upper West Region, Wa, Ghana.
Godfred Kwabena SarpongNortheast Regional Health Directorate & Regional Innovation Desk Team Members, Northeast, Ghana.
Edward SagoeNortheast Regional Health Directorate & Regional Innovation Desk Team Members, Northeast, Ghana.
Richard DzehaNortheast Regional Health Directorate & Regional Innovation Desk Team Members, Northeast, Ghana.
Jakut James MoyomNortheast Regional Health Directorate & Regional Innovation Desk Team Members, Northeast, Ghana.
Felix AnabaNortheast Regional Health Directorate & Regional Innovation Desk Team Members, Northeast, Ghana.
Simon Peter ZantoliNortheast Regional Health Directorate & Regional Innovation Desk Team Members, Northeast, Ghana.
Kennedy MiahMamprugu Moagduri District Health Directorate, Northeast Region, Ghana.
Mabel NarhGhana Health Service Headquarters & National Innovation Desk Members, Accra, Ghana.
Winifred Addo-CobbiahGhana Health Service Headquarters & National Innovation Desk Members, Accra, Ghana.
Michael SottieGhana Health Service Headquarters & National Innovation Desk Members, Accra, Ghana.
Samuel K Boakye-BoatengMonitoring &evaluation (PPME), Ghana Health Service, Accra, Ghana.
John Koku Awoonor-WilliamsMinistry of Health, Accra, Ghana.

Funding

Country Innovation Platform (CIP) Ghana Pilot partnership with funding from Grand Challenges Canada GCC-2408-67628
6 · The paper itself

Abstract

backgroundMaternal health remains a critical indicator of health system performance globally, yet its outcomes remain suboptimal in low-resource settings. In Ghana, pregnancy complications contribute to over 12% of maternal deaths among women aged 15-49 years and are a key driver of maternal morbidity. This study examined the health system and socio-demographic correlates of self-reported pregnancy complications in two rural districts in Ghana.

methodsA cross-sectional quantitative study was conducted among 274 women aged 15-49 years in the Wa West and Mamprugu Moagduri districts of Ghana. Data were collected via structured interviewer-administered questionnaires and analysed using STATA 17. Binary logistic regression was applied, with statistical significance set at p < 0.05 and 95% confidence intervals to determine associated factors of self-reported pregnancy complications.

resultsOverall, 38.7% of the respondents reported experiencing at least one pregnancy complication during their last birth. Stillbirth (63.2%) and miscarriage (26.4%) were the most reported pregnancy complications. Sub-district variations showed sharp differences within and across districts on pregnancy-related complications. Statistically significant socio-demographic correlates of pregnancy complications included being married (AoR = 0.16; 95% CI: 0.04-0.65), primiparous (AoR = 4.26; 95% CI:1.14-15.89), multiparity (AoR = 9.94; 95% CI: 2.80-35.3), higher income (AoR = 2.84; 95% CI: 1.49-5.41) and limited decision-making autonomy (AoR = 1.82; 95% CI: 1.37-3.99). Early antenatal care (ANC) initiation (AoR = 2.86; 95% CI: 1.08-7.54), and long distance to health facility (AoR = 2.12; 95% CI: 1.13-3.99) were associated with higher pregnancy complications, but facility-based pregnancy confirmation (AoR = 0.26, 95% CI: 0.12-0.59) was associated with lower reports of pregnancy complications.

conclusionThe high burden of self-reported pregnancy complications underscores systemic gaps in service delivery, workforce distribution, and governance. Geographic disparities reflect systemic inequities in resource allocation and supervision. Strengthening ANC outreach, empowering women through gender-responsive governance, and leveraging digital health innovations for early detection and referral coordination are essential to improving maternal outcomes and Ghana's progress toward SDG 3.1.

trial registrationNot applicable.

Indexed as

ComplicationsGhanaPregnancyReproductive-AgeSelf-reportedWomen’s Health

Identifiers

PMID42192551
PMCPMC13450230

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.