Abstract:
Background:
Antenatal care (ANC) is defined as a type of preventative care recommended for pregnant women. It facilitates health workers doctors, midwives and the other obstetric technicians to detect prevent and treat pregnancy complications during pregnancy. The main role of pre- antenatal care in reduces the rate of mortality and morbidity has been evidenced. According to Fagbamigbe et al (2015) an analytical review for World Health Statistics revealed that between 2006 and 2013, the antenatal was indirectly associated with maternal mortality ratio (MMR) globally. The study was show that the low antenatal clinic care coverage highly associated with very high MMR. (1) Furthermore, WHO (2016) report claimed that due to the pregnancy and childbirth-related complications in 2015 around 303 000 women and adolescent girls died .moreover, approximately 99% of maternal deaths occur in women with low income and poor country. Accordingly, the statistic come from Saudi Arabia was represent 12% of maternal mortality rate in from 2008 to 2015 .In addition the complication for women and child during and after pregnancy were noticeable. In the same report for 2014_2015, the percentage of abnormal delivery was 23.4%, while 20.9% from Saudi women delivered by caesarean section. Equally important, the infant mortality rate /1000 live birth were formed 7.4% in 2014, while the still birth recorded 12.9% still birth /1000 a live birth. (8) However, most of the cases can be prevented by understanding the barrier that affecting health service access. WHO (2015) reported that to achieve success in decreasing maternal and fetal mortality range from making improvements at the provider and health system level to implementing interventions aimed at reducing social and structural barriers.
Aims: The main aims of this research were to explore and understand the reasons behind missing appointment and not attending ANC among Saudi women.
Methods: Descriptive qualitative study was used in-depth interviews for 21 Saudi Women and 9 health care providers, was conducted at three tertiary hospitals in Riyadh.
Results: the factors influencing missing or not attending antenatal clinic, Identified maternal culture, and social factors and deficit in health care system that gathered to play an integral role that form physical and psychological barrier to Saudi women in accessing to antenatal clinic.
Conclusion
In these socially and culturally and health deficit diverse sites, the findings suggest that physical support and appropriate supplies side factors have an important influence on ANC attendance. These factors must be addressed to encourage timely ANC visits: interventions could focus on ANC delivery in health facilities, for example, by addressing healthcare staff’s attitudes towards pregnant women.
Studies of collaboration to improve maternal, infant, family, and maternity staff wellbein
