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July 15, 2025Open Access

Longitudinal antenatal care quality and postpartum health: findings from a prospective cohort study in Ethiopia, India, Kenya and South Africa

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Authors

CACatherine ArsenaultMCMonica ChaudhryAMAnagaw Derseh Mebratie

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Overview

Prospective cohort study finds lower quality antenatal care linked to increased intrapartum complications and poor postpartum health.

Key Points

  • Quality of antenatal care varies significantly across Ethiopia, Kenya, India, and South Africa, averaging from 46% to 79%.
  • Only 0.6% of women received all recommended antenatal care interventions during their pregnancies.
  • Longitudinal antenatal care quality declines in Ethiopia and Kenya as pregnancy progresses, raising concerns for maternal health.
  • Higher longitudinal ANC quality is associated with lower odds of both intrapartum complications (44% lower) and poor postpartum health (55% lower).

Cite This Study

Arsenault et al. (2025) studied this question.

synapsesocial.com/papers/689a02b6e6551bb0af8cc521https://doi.org/10.1101/2025.07.11.25331356
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Antenatal care quality and detection of risk among pregnant women: An observational study in Ethiopia, India, Kenya, and South Africa2024 · 30 citations
  2. 2Quality of first antenatal care visits and perinatal outcomes: Evidence from a cohort study in Ethiopia, Kenya, South Africa, and India2026
  3. 3Quality of antenatal care in 13 sub-Saharan African countries in the SDG era: evidence from Demographic and Health Surveys2024 · 16 citations
  4. 4Quality of Antenatal Care Service in Public Health Facilities in Southern Ethiopia: Retrospective Study2026
  5. 5Individual and community-level determinants of quality antenatal care in six South Asian countries2024 · 4 citations