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April 15, 2026PLOS Global Public HealthOpen Access

Quality of first antenatal care visits and perinatal outcomes: Evidence from a cohort study in Ethiopia, Kenya, South Africa, and India

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Authors

WYWen-Chien YangSSShalom SabwaAMAnagaw Derseh Mebratie

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Overview

Cohort study assesses the impact of antenatal care quality on fetal loss and low birth weight outcomes, highlighting gaps in care.

Key Points

  • The study aims to evaluate the quality of first antenatal care visits and their relationship to perinatal outcomes.
  • Utilized data from the eCohort study across India, Ethiopia, Kenya, and South Africa.
  • Evaluated perinatal outcomes such as fetal losses and low birth weight newborns.
  • Defined good quality ANC based on receiving six essential care components.
  • Conducted mixed-effect logistic regressions to assess associations between ANC quality and outcomes.
  • Only 5.8% of women received all six ANC components at their first visit, varying by country.
  • Fetal loss rates ranged from 3.7% in Ethiopia to 6.3% in India.
  • Good quality ANC was associated with a 32% to 59% lower risk of fetal loss.
  • No significant links were found between ANC quality and low birth weight.

Cite This Study

Yang et al. (2026) studied this question.

synapsesocial.com/papers/69df2c9ee4eeef8a2a6b1ceehttps://doi.org/10.1371/journal.pgph.0006248
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Also Consider

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  1. 1Longitudinal antenatal care quality and postpartum health: findings from a prospective cohort study in Ethiopia, India, Kenya and South Africa2025
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  5. 5Quality of antenatal care in 13 sub-Saharan African countries in the SDG era: evidence from Demographic and Health Surveys2024 · 16 citations