{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T19:44:44Z","timestamp":1790106284601,"version":"4.0.1"},"reference-count":78,"publisher":"Innovative Healthcare Institute","issue":"4","license":[{"start":{"date-parts":[[2024,11,1]],"date-time":"2024-11-01T00:00:00Z","timestamp":1730419200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2024,11,1]],"date-time":"2024-11-01T00:00:00Z","timestamp":1730419200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>The prevalence of maternal mortality continues to be a significant health concern across the world. In Ghana, pregnancy-related complications in the previous 5 years account for 12% of all deaths among women 15 to 49 years. More than half of these deaths were avoidable if early assessment had been done. However, assessment of the pooled prevalence of pregnancy-related complications among pregnant women to inform policy is limited. This study sought to determine the factors contributing to pregnancy complications in Ghana.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Using a systematic sampling technique, a facility-based cross-sectional study was conducted among 415 pregnant women who attended antenatal care (ANC) services at Mamprobi Hospital. Bivariate and multiple logistics regression analyses were conducted to test significant factors determining pregnancy complications. The results of regression analysis are reported in odds ratio. Statistical significance was set at\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.05.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The mean age of the participants was 31.6 \u00b1 6.6 years. The incidence of pregnancy complications among the pregnant women was 51.8% (95% CI, 0.47\u20130.56) The incidence of pregnancy complications among the women was significantly determined by age (adjusted odds ratio [AOR], 6.1; CI, 1.19\u201330.76), record of pregnancy complication (AOR, 2.5; CI, 1.35\u20134.49), ANC visit (AOR, 6.1; CI, 2.14\u201317.70), and family history of pregnancy complication (AOR, 3.6; CI, 1.25\u201310.40). Other significant factors included a record of abortion (AOR, 7.8; CI, 4.21\u201314.32), knowledge about obstetric danger signs (AOR, 2.4; CI, 1.21\u20134.88), and experiencing at least one obstetric danger sign during pregnancy (AOR, 6.6; CI, 3.30\u201313.29).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The incidence of pregnancy complications was comparatively high among the women who used ANC services at Mamprobi Hospital. Early initiation of ANC services for pregnant women is an essential tool for addressing some of the challenges of early onset of some pregnancy complications, including anemia in pregnancy and preeclampsia. Midwives and other health workers who engage pregnant women should encourage their clients to initiate ANC visits at an early stage.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.36401\/jqsh-23-28","type":"journal-article","created":{"date-parts":[[2024,4,23]],"date-time":"2024-04-23T06:28:55Z","timestamp":1713853735000},"page":"156-161","source":"Crossref","is-referenced-by-count":4,"title":["Factors Affecting Pregnancy Complications in Ghana"],"prefix":"10.36401","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-4524-3419","authenticated-orcid":true,"given":"Yaw K.","family":"Wiafe","sequence":"first","affiliation":[{"name":"Department of Radiology, Korle-Bu Teaching Hospital, Accra, Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrews","family":"Asamoah","sequence":"additional","affiliation":[{"name":"Ghana Coalition of NGOs in Health, Accra, Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patricia","family":"Akweongo","sequence":"additional","affiliation":[{"name":"Department of Health Policy, Planning and Management, School of Public Health, University of Ghana, Legon, Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9408-2152","authenticated-orcid":true,"given":"Augustine","family":"Kumah","sequence":"additional","affiliation":[{"name":"Nyaho Medical Centre, Accra, Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"22027","reference":[{"key":"i2589-9449-7-4-156-b01","series-title":"Trends in maternal mortality 2000 to 2020: Estimates by WHO, UNICEF, UNFPA, World Bank Group, and UNDESA\/Population Division","year":"2023","unstructured":"Trends in maternal mortality 2000 to 2020: Estimates by WHO, UNICEF, UNFPA, World Bank Group, and UNDESA\/Population Division\n          . 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BMC Pregnancy Childbirth. 2019;19:495."},{"key":"i2589-9449-7-4-156-b13","series-title":"BMC Pregnancy Childbirth","first-page":"388","article-title":"Perinatal outcome of hypertensive disorders in pregnancy at a tertiary hospital in Ghana","volume":"17","author":"Adu-Bonsaffoh","year":"2017","unstructured":"Adu-Bonsaffoh\n              K,\n            \n            \n              Ntumy\n              MY,\n            \n            \n              Obed\n              SA,\n            \n            \n              Seffah\n              JD.\n            \n          \n          Perinatal outcome of hypertensive disorders in pregnancy at a tertiary hospital in Ghana. 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World Med Health Policy. 2019;11(1):83\u201394."},{"key":"i2589-9449-7-4-156-b03","series-title":"Ghana Maternal Health Survey 2017","author":"Ghana Statistical Service (GSS), Ghana Health Service (GHS) I","year":"2018","unstructured":"Ghana Statistical Service (GSS), Ghana Health Service (GHS) I\n          . Ghana Maternal Health Survey 2017. Ghana Statistical Service, Ministry of Health, The DHS Program; 2018."},{"key":"i2589-9449-7-4-156-b04","article-title":"Advanced Information Technology Institute (Kofi Annan Centre of Excellence)","author":"Joint Ministry of Health Partners Business Meeting","year":"2008","unstructured":"Joint Ministry of Health Partners Business Meeting\n          . Advanced Information Technology Institute (Kofi Annan Centre of Excellence), Apr 23, 2008."},{"key":"i2589-9449-7-4-156-b05","series-title":"BMC Res Notes","first-page":"341","article-title":"The implementation of the free maternal health policy in rural Northern Ghana: synthesised results and lessons learnt","volume":"11","author":"Dalinjong","year":"2018","unstructured":"Dalinjong\n              PA,\n            \n            \n              Wang\n              AY,\n            \n            \n              Homer\n              CSE.\n            \n          \n          The implementation of the free maternal health policy in rural Northern Ghana: synthesised results and lessons learnt. BMC Res Notes. 2018;11:341."},{"key":"i2589-9449-7-4-156-b06","series-title":"2020 Performance Review and Annual Report, Mamprobi Hospital Status","year":"2021","unstructured":"2020 Performance Review and Annual Report, Mamprobi Hospital Status\n          . 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BMC Pregnancy Childbirth. 2015;15:203."},{"key":"i2589-9449-7-4-156-b09","series-title":"BMC Pregnancy Childbirth","first-page":"4","article-title":"Knowledge of danger signs during pregnancy and subsequent healthcare seeking actions among women in Urban Tanzania: a cross-sectional study","volume":"18","author":"Mwilike","year":"2018","unstructured":"Mwilike\n              B,\n            \n            \n              Nalwadda\n              G,\n            \n            \n              Kagawa\n              M,\n            \n            et al.\n          Knowledge of danger signs during pregnancy and subsequent healthcare seeking actions among women in Urban Tanzania: a cross-sectional study. 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DOI:10.21203\/rs.3.rs-109200\/v1"},{"key":"i2589-9449-7-4-156-b15","series-title":"BMC Pregnancy Childbirth","first-page":"456","article-title":"Knowledge of preeclampsia and its associated factors among pregnant women: a possible link to reduce related adverse outcomes","volume":"19","author":"Fondjo","year":"2019","unstructured":"Fondjo\n              LA,\n            \n            \n              Boamah\n              VE,\n            \n            \n              Fierti\n              A,\n            \n            et al.\n          Knowledge of preeclampsia and its associated factors among pregnant women: a possible link to reduce related adverse outcomes. 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