Utilization of first trimester obstetric scans among pregnant mothers at Dr. Bata general military hospital, Wakiso district. A cross-sectional study.

Abstract

Background.

First-trimester obstetric ultrasound scanning is a critical component of antenatal care, enabling accurate dating of pregnancy, early detection of complications, and improved maternal and fetal outcomes. This study assessed the utilization of first-trimester obstetric scans and the associated factors among pregnant mothers attending Dr. Bata General Military Hospital, Wakiso District.

 Methodology.

A descriptive cross-sectional study was conducted among 50 pregnant mothers attending antenatal care at Dr. Bata General Military Hospital. Data were collected using structured questionnaires and analyzed using descriptive statistics, including frequencies and percentages.

 Results.

The majority of respondents were aged 20–30 years (62%), had secondary education (48%), were self-employed (58%), and married (68%). Socio-economic factors showed that 56% were sometimes able to manage scan costs, 60% belonged to households with medium economic status, and 64% lived 2–4 km from the hospital. Transport was reported as difficult or very difficult by 60% of respondents. Most respondents (66%) had received information on first-trimester scans, mainly from health workers (67%), and 58% had moderate knowledge of scan purposes. Although 60% demonstrated a positive attitude toward first-trimester scans, 56% reported previous negative scan experiences, and 62% indicated that personal beliefs somewhat influenced their attitudes. Health facility challenges included long or very long waiting times (74%), intermittent availability of ultrasound machines (60%), and reported challenges in accessing scan services by 58% of respondents, despite 56% perceiving staffing as adequate.

 Conclusion.

Utilization of first-trimester obstetric scans was influenced by economic constraints, transport difficulties, knowledge gaps, prior negative experiences, and health facility limitations such as long waiting times and inconsistent equipment availability.

 Recommendations.

Health facilities should strengthen health education on the importance of first-trimester scans, improve service efficiency to reduce waiting times, ensure consistent availability of ultrasound machines, and consider cost-reduction or support mechanisms.