R. Mlay et al., RECOGNITION OF RISK-FACTORS IN PREGNANCY AMONG WOMEN ATTENDING ANTENATAL CLINIC AT MBAGALA, DAR-ES-SALAAM, East African medical journal, 71(9), 1994, pp. 562-566
A study on the recognition of risk factors in pregnancy by pregnant wo
men attending antenatal clinic (ANC) at Mbagala, Dar es Salaam, Tanzan
ia was done. 203 women with ages ranging from 15-43 years were seen on
their first visit. 32.51% were primigravidas while 67.5% were multipa
rous with parity varying from 2-13 deliveries. 32.5% had received no f
ormal education; 13.4% had 1-6 years education, while 54.2% had 7-12 y
ears of formal education. Most of the women did not know when in the c
ourse of pregnancy they should start ANC: 52% of the women booked and
reported that the best gestational age for booking was in the second t
rimester. There was no definite answer as to why the women came for th
e 1st visit to the ANC at a particular gestational age. 5% of the wome
n felt that a woman could start to have children between age 10-14 yea
rs. 62.1% thought a woman could start to have children between 15-20 y
ears. 10.3% did not know when a woman could start to have children. So
me of the risk factors identified at the clinic included: shortness, a
ge below 19 (11.8%), age 35 and more than 4 deliveries (13.3%) and HB
below 75%, malaria and hookworm (9.9%). It appears that pregnant women
attending Mbagala ANC booked within the second and third trimester. T
heir knowledge regarding risk factors in pregnancy was very low. A com
prehensive antenatal intervention programme should be introduced at Mb
agala ANC to educate women on risk factors in pregnancy. It should be
conducted through client oriented problem and need approach.