title: Previous early antenatal service utilization improves timely booking: cross-sectional study at university of Gondar hospital, northwest Ethiopia.
abstract: BACKGROUND
  Early booking of antenatal care (ANC) is regarded as a cornerstone of maternal and neonatal health care. However, existing evidence from developing countries indicate that lots of pregnant woman begin ANC booking lately. Objective. It was aimed to assess timing of ANC booking and associated factors among pregnant women attending ANC clinic at University of Gondar Hospital, 2013.
  
  
  METHODS
  An institution based cross-sectional study design was used to collect data with a face-to-face interview technique. Bivariate and multivariate analysis was used to identify associated factors for early ANC visit using SPSS version 20.
  
  
  RESULTS
  From total women (N = 369) interviewed, 47.4% were timely booked. Mothers with younger age (AOR = 3.83, 95% CI: 1.89, 10.53), formal education (AOR = 1.06, 95% CI: 1.03, -7.61), previous early ANC visit (AOR = 2.39, 95% CI: 2.23, 9.86), and perceived ANC visit per pregnancy of four and greater were significantly associated with early ANC visit.
  
  
  CONCLUSIONS
  Although late booking is a problem in this study, previous early utilization of ANC visit favors current timely booking. This indicates that the importance of early booking was appropriately addressed from previous visits. Counseling of timely booking during ANC visit should be strengthened. Moreover, empowering through education is also recommended.
authors.affiliation: Department of Medical Anesthesiology, College of Medicine and Health Sciences, University of Gondar, Kebele 16, P.O. Box 196, Gondar, Ethiopia.
authors.forename: Tadesse
authors.identifier: 0000-0003-2578-4203
authors.initials: T
authors.lastname: Belayneh
authors.affiliation: Department of Gynecology and Obstetrics, College of Medicine and Health Sciences, University of Gondar, P.O. Box 196, Gondar, Ethiopia.
authors.forename: Mulat
authors.initials: M
authors.lastname: Adefris
authors.affiliation: Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, P.O. Box 196, Gondar, Ethiopia.
authors.forename: Gashaw
authors.initials: G
authors.lastname: Andargie
mesh_terms: D000022:Abortion, Spontaneous; D000293:Adolescent; D000328:Adult; D000367:Age Factors; D003430:Cross-Sectional Studies; D061345:Early Medical Intervention / Q000706:statistics & numerical data*; D004522:Educational Status; D005002:Ethiopia; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006785:Hospitals, University; D006801:Humans; D016015:Logistic Models; D015999:Multivariate Analysis; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data*; D011247:Pregnancy; D011261:Pregnancy Trimester, First; D011295:Prenatal Care / Q000706:statistics & numerical data*; D013997:Time Factors; D055815:Young Adult
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