Original Research

Late registration for antenatal care by pregnant women with previous history of caesarean section

Mareko Ramotsababa, Vincent Setlhare
African Journal of Primary Health Care & Family Medicine | Vol 13, No 1 | a2776 | DOI: https://doi.org/10.4102/phcfm.v13i1.2776 | © 2021 Vincent Setlhare, Mareko Ramotsababa | This work is licensed under CC Attribution 4.0
Submitted: 26 September 2020 | Published: 26 May 2021

About the author(s)

Mareko Ramotsababa, Ministry of Health and Wellness, Government of Botswana, Gaborone, Botswana
Vincent Setlhare, Department of Family Medicine and Public Health Medicine, Faculty of Medicine, University of Botswana, Gaborone, Botswana


Background: Despite good access to antenatal care (ANC) services for most women, and regular training of healthcare workers in obstetrics and gynaecology, many pregnant women with a previous history of caesarean section (C/S) still presented late for ANC services at Letsholathebe II Memorial Hospital (LIIMH) in Maun, Botswana. This may increase morbidity and mortality in women with previous C/S delivery and neonates. Knowing why women with previous C/S present late for ANC may help in the formulation of interventions that decrease morbidity and mortality amongst these women and neonates.

Aim: The aim of this study was to explore the reasons why pregnant women with a previous history of C/S registered late for ANC, at LIIMH.

Setting: This study was performed at LIIMH, a district hospital situated in Maun, Botswana.

Methods: This was a descriptive qualitative study. Consenting pregnant women with previous C/S who presented at LIIMH after the 20 weeks of pregnancy were interviewed until data saturation. The data was analysed for themes.

Results: The reasons for late registration at LIIMH include lack of information, misconception on the appropriate booking time and venue, dissatisfaction with the quality of ANC clinic services, use of alternative ANC providers, delayed referral, and pregnancy experience.

Conclusion: Lack of knowledge of ANC delivery venue, using alternative ANC providers, and dissatisfaction with ANC clinic services, contributed to late registration. Pregnant women with previous history of C/S should be informed about ANC, delivery plans, and the assistance of alternative ANC providers should be explored.


previous caesarean section; maternal risk; late registration for antenatal care; late presentation for antenatal care


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