Correlates of self-reported pregnancy complications: a cross-sectional study in two districts in Northern Ghana.
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Ayanore Martin, Agorinya Isaiah, Dowou Robert Kokou, Mayeden Samuel, Abiiro Gilbert Abotisem, Adatara Peter, Lartey Stella, Kangmennaang Joseph, Bisung Elijah, Osei Kingsley, Addo Bervelyn Asantewaah, Adane Francis, Axame Wisdom, Dotse Priscilla Aku Nuna, Aduah Wisdom, Torku Felix, Nyuzaghl Josephat Ana-Imwine, Lana Prosper Mwinyella, Baatiema Linus, Cheyuo Gladys, Acheampong Mensah Kwesi, Allotey Dennis, Kakariba Cecilia, Sarpong Godfred Kwabena, Sagoe Edward, Dzeha Richard, Moyom Jakut James, Anaba Felix, Zantoli Simon Peter, Miah Kennedy, Narh Mabel, Addo-Cobbiah Winifred, Sottie Michael, Boakye-Boateng Samuel K, Koku Awoonor-Williams John
Аннотация
METHODS: A 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.
RESULTS: Overall, 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.
CONCLUSION: The 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 REGISTRATION: Not applicable.