BACKGROUND First-trimester pregnancy stage is the fastest developmental period of the fetus, in which all organs become well developed and need special care. Yet, many women make their first antenatal visit with the pregnancy already compromised due to fetomaternal complications. This study aimed to fill this dearth using the 2016 national representative data set to augment early antenatal care visits in Ethiopia. METHODS A cross-sectional study design using the 2016 Ethiopia Demographic and Health Survey (EDHS) data set. Kaplan-Meir estimate was used to explain the median survival time of the timing of the first ANC visit. Multivariate Cox-proportional hazard regression analysis was performed to identify the factors related to the timing of the first ANC visit. Adjusted hazard ratios (AHR) with a 95% Confidence interval (CI) plus a p-value of < 0.05 were considered to declare a statistically significant association. RESULTS Data for 4666 study participants who had ANC follow-up history during pregnancy were included in the study and analyzed. The overall median survival time in this study was seven months. The timing of the first ANC visit was shorter by 2.5 times (AHR: 2.5; 95% CI: 2.34-3.68), 4.3 times (AHR: 4.3; 95% CI: 2.2-7.66), 4.8 times (AHR: 4.8, 95% CI: 4.56-10.8) among women who attended primary, secondary, and higher education as compared with non-educated one. Similarly, women who were residing in urban areas had 3.6 times (AHR: 3.6; 95% CI: 2.7-4.32) shorter timing of first ANC visit than rural residents. Furthermore, the timing of the first visit among the richest women was 3.2 times (AHR: 3.2; 95% CI: 2.5-9.65) shorter than the poorest women. CONCLUSION The median survival time of the first ANC visit was seven months. The timing of the first ANC was longer among younger, poorer women, those who had no access to media, who considered distances as a big challenge to reach a health facility and, those with no education. Therefore, health care providers and community health workers should provide health education to create community awareness regarding the timing of the first ANC visit.

中文翻译：

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埃塞俄比亚妇女首次产前检查的存活时间及其预测因素。

背景技术孕早期是胎儿发育最快的时期，各器官发育良好，需要特别呵护。然而，许多妇女进行第一次产前检查时，由于胎儿母亲的并发症而怀孕已经受到影响。本研究旨在利用 2016 年全国代表性数据集来填补这一不足，以增加埃塞俄比亚的早期产前保健访问。方法 使用 2016 年埃塞俄比亚人口与健康调查 (EDHS) 数据集的横断面研究设计。Kaplan-Meir 估计值用于解释第一次 ANC 就诊时间的中位生存时间。进行多变量 Cox 比例风险回归分析以确定与第一次 ANC 就诊时间相关的因素。调整后的风险比 (AHR) 与 95% 置信区间 (CI) 加上 < 0.05 的 p 值被认为是具有统计学意义的关联。结果 本研究纳入并分析了 4666 名在怀孕期间有 ANC 随访史的研究参与者的数据。该研究中的总体中位生存时间为七个月。第一次 ANC 就诊的时间缩短了 2.5 倍（AHR：2.5；95% CI：2.34-3.68）、4.3 倍（AHR：4.3；95% CI：2.2-7.66）、4.8 倍（AHR：4.8、95 % CI：4.56-10.8）在接受过小学、中学和高等教育的女性中与未受过教育的女性相比。同样，居住在城市地区的女性首次访问非国大的时间比农村居民短 3.6 倍（AHR：3.6；95% CI：2.7-4.32）。此外，最富有的女性首次访问的时间为 3。比最贫穷的女性矮 2 倍（AHR：3.2；95% CI：2.5-9.65）。结论第一次 ANC 就诊的中位生存时间为 7 个月。在较年轻、较贫穷的女性、无法接触媒体的女性、认为距离是到达医疗机构的一大挑战的女性以及未受过教育的女性中，第一次非国大的时间更长。因此，卫生保健提供者和社区卫生工作者应提供健康教育，以提高社区对首次 ANC 就诊时间的认识。