Prenatal ultrasound utilization and associated factors among pregnant women attending antenatal care in south Wollo zone public hospitals, north east, Ethiopia, 2023

BackgroundPrenatal ultrasound (US) is essential in antenatal care worldwide and offers significant benefits for maternal and neonatal health. It should be a standard procedure in low- income countries. However, its utilization remains poor in nations such as Ethiopia.ObjectiveThis study aimed to ass...

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Main Authors: Belay Susu, Kibir Temesgen, Sindu Ayalew, Selam Yibeltal, Tadele Emagneneh, Adem Yesuf, Chalie Mulugeta
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-04-01
Series:Frontiers in Digital Health
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Online Access:https://www.frontiersin.org/articles/10.3389/fdgth.2025.1547547/full
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author Belay Susu
Kibir Temesgen
Sindu Ayalew
Selam Yibeltal
Tadele Emagneneh
Adem Yesuf
Chalie Mulugeta
author_facet Belay Susu
Kibir Temesgen
Sindu Ayalew
Selam Yibeltal
Tadele Emagneneh
Adem Yesuf
Chalie Mulugeta
author_sort Belay Susu
collection DOAJ
description BackgroundPrenatal ultrasound (US) is essential in antenatal care worldwide and offers significant benefits for maternal and neonatal health. It should be a standard procedure in low- income countries. However, its utilization remains poor in nations such as Ethiopia.ObjectiveThis study aimed to assess the use of prenatal ultrasound and associated factors among pregnant women who attended antenatal care in South Wollo Zone Public Hospitals, Northeast Ethiopia, in 2023.MethodAn institution-based cross-sectional study was conducted among 590 pregnant women from December 30, 2022, to February 28, 2023, in selected South Wollo Zone Public Hospitals. The data were coded, cleaned, and entered into Epi-Data version 4.6 and subsequently exported to SPSS version 26 for analysis. The strength of the association between the dependent and independent variables was presented as odds ratios (ORs) at a 95% confidence interval (95% CI), with a P-value of less than 0.05 according to multivariable logistic regression.ResultsThe prevalence of prenatal ultrasound utilization was 62.8% [95% CI: 58.7%–66.8%]. The significant factors associated with utilization included urban residency (AOR = 4.82, 95% CI: 2.99–8.03), mothers’ knowledge (AOR = 7.36, 95% CI: 4.06–13.32), educational status above primary (AOR = 2.10, 95% CI: 1.09–4.05), medical illness (AOR = 3.03, 95% CI: 1.64–5.59), government employment (AOR = 4.05, 95% CI: 1.70–9.64), and private employment (AOR = 2.34, 95% CI: 1.58–7.05).ConclusionThe proportion of patients who underwent prenatal ultrasound was lower than the WHO recommendation. The factors most significantly associated with ultrasound utilization were women's knowledge, urban residency, educational status, medical illness, and occupation. Therefore, the author recommended for health care providers educating mothers on the purposes of obstetric ultrasound and including a prenatal ultrasound screening as part of antenatal care is needed.
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spelling doaj-art-ded5bbfdb3444f01b6b3cd25d4368df62025-08-20T03:53:41ZengFrontiers Media S.A.Frontiers in Digital Health2673-253X2025-04-01710.3389/fdgth.2025.15475471547547Prenatal ultrasound utilization and associated factors among pregnant women attending antenatal care in south Wollo zone public hospitals, north east, Ethiopia, 2023Belay Susu0Kibir Temesgen1Sindu Ayalew2Selam Yibeltal3Tadele Emagneneh4Adem Yesuf5Chalie Mulugeta6Department of Midwifery, College of Health Sciences, Woldia University, Woldia, EthiopiaCollege of Medicine and Health Sciences, School of Nursing and Midwifery, Wollo University, Dessie, EthiopiaCollege of Medicine and Health Sciences, School of Nursing and Midwifery, Wollo University, Dessie, EthiopiaDepartment of Midwifery, School of Nursing and Midwifery, College of Medicine and Health Sciences, Wollo University, Dessie, EthiopiaDepartment of Midwifery, College of Health Sciences, Woldia University, Woldia, EthiopiaDepartment of Midwifery, College of Health Sciences, Woldia University, Woldia, EthiopiaDepartment of Midwifery, College of Health Sciences, Woldia University, Woldia, EthiopiaBackgroundPrenatal ultrasound (US) is essential in antenatal care worldwide and offers significant benefits for maternal and neonatal health. It should be a standard procedure in low- income countries. However, its utilization remains poor in nations such as Ethiopia.ObjectiveThis study aimed to assess the use of prenatal ultrasound and associated factors among pregnant women who attended antenatal care in South Wollo Zone Public Hospitals, Northeast Ethiopia, in 2023.MethodAn institution-based cross-sectional study was conducted among 590 pregnant women from December 30, 2022, to February 28, 2023, in selected South Wollo Zone Public Hospitals. The data were coded, cleaned, and entered into Epi-Data version 4.6 and subsequently exported to SPSS version 26 for analysis. The strength of the association between the dependent and independent variables was presented as odds ratios (ORs) at a 95% confidence interval (95% CI), with a P-value of less than 0.05 according to multivariable logistic regression.ResultsThe prevalence of prenatal ultrasound utilization was 62.8% [95% CI: 58.7%–66.8%]. The significant factors associated with utilization included urban residency (AOR = 4.82, 95% CI: 2.99–8.03), mothers’ knowledge (AOR = 7.36, 95% CI: 4.06–13.32), educational status above primary (AOR = 2.10, 95% CI: 1.09–4.05), medical illness (AOR = 3.03, 95% CI: 1.64–5.59), government employment (AOR = 4.05, 95% CI: 1.70–9.64), and private employment (AOR = 2.34, 95% CI: 1.58–7.05).ConclusionThe proportion of patients who underwent prenatal ultrasound was lower than the WHO recommendation. The factors most significantly associated with ultrasound utilization were women's knowledge, urban residency, educational status, medical illness, and occupation. Therefore, the author recommended for health care providers educating mothers on the purposes of obstetric ultrasound and including a prenatal ultrasound screening as part of antenatal care is needed.https://www.frontiersin.org/articles/10.3389/fdgth.2025.1547547/fullantenatal careobstetric ultrasoundprenatalpregnant womenutilization
spellingShingle Belay Susu
Kibir Temesgen
Sindu Ayalew
Selam Yibeltal
Tadele Emagneneh
Adem Yesuf
Chalie Mulugeta
Prenatal ultrasound utilization and associated factors among pregnant women attending antenatal care in south Wollo zone public hospitals, north east, Ethiopia, 2023
Frontiers in Digital Health
antenatal care
obstetric ultrasound
prenatal
pregnant women
utilization
title Prenatal ultrasound utilization and associated factors among pregnant women attending antenatal care in south Wollo zone public hospitals, north east, Ethiopia, 2023
title_full Prenatal ultrasound utilization and associated factors among pregnant women attending antenatal care in south Wollo zone public hospitals, north east, Ethiopia, 2023
title_fullStr Prenatal ultrasound utilization and associated factors among pregnant women attending antenatal care in south Wollo zone public hospitals, north east, Ethiopia, 2023
title_full_unstemmed Prenatal ultrasound utilization and associated factors among pregnant women attending antenatal care in south Wollo zone public hospitals, north east, Ethiopia, 2023
title_short Prenatal ultrasound utilization and associated factors among pregnant women attending antenatal care in south Wollo zone public hospitals, north east, Ethiopia, 2023
title_sort prenatal ultrasound utilization and associated factors among pregnant women attending antenatal care in south wollo zone public hospitals north east ethiopia 2023
topic antenatal care
obstetric ultrasound
prenatal
pregnant women
utilization
url https://www.frontiersin.org/articles/10.3389/fdgth.2025.1547547/full
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