Measuring The Influence Of Patient Counseling At Tertiary Care Hospital In Antenatal Care, South Karnataka, India

Objective: To assess the influence of pharmaceutical care activities on Knowledge, Attitude and Practice (KAP) among type 2 diabetic patients. Methods: A total of about 301 patients with type 2 Diabetes Mellitus were recruited from a tertiary care hospital. Patients were educated about their disease condition, lifestyle modifications and diet regimen to be followed and were given instructions for improving medication adherence. In the initial session, no pharmaceutical care was given, in the second session patient counseling was given verbally and in the last session patient counseling was given both verbally and non-verbally by means of pamphlet distribution. KAP questionnaire and glycemic levels (glycated hemoglobin, fasting blood sugar and post-prandial blood sugar) of participants were obtained at baseline and at follow up. Results: The baseline values of FBS in patients before intervention was found to be 176.5±74.46 mg/dL and it was reduced to 140.7±43.9 mg/dL after 3 mo. Henceforth, there was also an improvement in the PPBS values which was found to be 254±77.3 mg/dL at the baseline and was 212.9±54.2 mg/dL after intervention. The baseline values of HbA1c is 8.144±1.727% and after intervention, value reduced to about 7.173±2.768%. After the intervention, it was found to be that 30%, 16% and 12% reduction in FBS, PPBS and HbA1c values and the P-value (<0.0001) found to be statistically significant. KAP scores also found to be improved after the intervention and statistically significant. The results clearly indicate that through proper guidance and educating the patients by the pharmacist is beneficial in managing the glycemic levels and reduce further complications. Conclusion: The study concluded that the pharmaceutical care by the pharmacist is highly essentially and useful for the patients to manage the glycemic index and prevent further diabetic complications.

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A study on demographic and obstetric profile, its relation with present antenatal practices and prevalence of anaemia in pregnant women attending tertiary care hospital

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20211394 ◽

2021 ◽

Vol 8 (5) ◽

pp. 2233

Author(s):

Nitin A. Lodha

Keyword(s):

Maternal Health ◽

Antenatal Care ◽

Pregnant Women ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Maternal Health Services ◽

Study Data ◽

Care Hospital ◽

Chi Square ◽

Cross Sectional

Background: Antenatal care is the care of a woman during pregnancy. The primary aim of antenatal care is to achieve at the end of pregnancy a healthy mother and a healthy baby. To improve maternal health, barriers which limit access to quality maternal health services must be identified and addressed at all levels of health system. Objectives were to determine demographic and obstetric factors affecting utilization of ANC service and prevalence of anaemia among pregnant women.Methods: This is cross-sectional descriptive study carried out in tertiary care hospital, using structured questionnaire, interviews were conducted with married pregnant women age between 18-45 years, who visited ANC clinic. Total 170 pregnant women visited hospital during a period was included in study. Data was analysed using MS excel and Epi info. Chi –square test was applied.Results: Maximum number of study subjects (42.9%) from age 23-27 years. 66.5% were Hindu, 56.5% study subjects from joint family. 14.7% were illiterate. 45.3% were primigravida, 54.7% were multigravida. 71.1% study subjects were from third trimester of pregnancy. 94.7% were taken at least one dose of Tetanus Toxoids. Iron folic acid tablets were taken by 87.6%. Prevalence of anaemia was 55.8%.Conclusions: Majority of pregnant women came for antenatal check-up, but regularity was not seen in most of cases. The presence study has brought out no significant socio-cultural barrier like women’s literacy, socio economic class and parity of women affecting the utilization of services.

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A study on knowledge, attitude and practices regarding antenatal care among pregnant women attending antenatal clinic at a tertiary care hospital

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20211148 ◽

2021 ◽

Vol 10 (4) ◽

pp. 1621

Author(s):

Rajvir Kaur ◽

Poonam Taneja ◽

Isha Nandal

Keyword(s):

Maternal Health ◽

Antenatal Care ◽

Pregnant Women ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Maternal Mortality Ratio ◽

Antenatal Clinic ◽

Infant Mortality Rate ◽

Safe Motherhood ◽

Care Hospital

Background: The maternal health level of Indian women was noticed to be inferior as compared to other developed countries. Antenatal care is the clinical assessment of both mother and foetus, during the period of pregnancy. Safe motherhood by providing good antenatal care (ANC) is very crucial to reduce maternal mortality ratio and infant mortality rate and to achieve millennium development goals. The objectives of this study aimed to assess the level of knowledge, attitude, and practice on ANC among pregnant women attending the antenatal clinic and their association with several sociodemographic factors.Methods: A cross-sectional study was undertaken among 200 pregnant women in their 3rd trimester attending the OPD in a Tertiary Care Hospital of Gurugram, Haryana. Predesigned questionnaire was used for collecting data by interview after obtaining informed consent.Results: This study revealed that about 55% women had adequate knowledge regarding ANC. It was found that almost all the variables such as age, parity, level of education, occupation and type of family had a significant association with awareness about ANC. 90% women were having a positive attitude towards ANC. Around 70%, women were practicing this adequately.Conclusions: These results can be used to design a Health Intervention Program targeting to upgrade the maternal health practices and ultimately progress the health status of the women.

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Knowledge and practices regarding antenatal care among pregnant females visiting antenatal clinic at tertiary care hospital in Delhi

International Journal of Clinical Obstetrics and Gynaecology ◽

10.33545/gynae.2020.v4.i4a.613 ◽

2020 ◽

Vol 4 (4) ◽

pp. 12-15

Author(s):

Dr. Pragya Jain ◽

Dr. Vaishali Jain

Keyword(s):

Antenatal Care ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Antenatal Clinic ◽

Care Hospital ◽

Pregnant Females

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Maternal and fetal characteristics and causes of stillbirth in a tertiary care hospital of Nepal: secondary analysis of registry-based surveillance data

BMJ Open ◽

10.1136/bmjopen-2020-045012 ◽

2021 ◽

Vol 11 (8) ◽

pp. e045012

Author(s):

Basant Sharma ◽

Suraj Bhattarai ◽

Sabita Shrestha ◽

Rakshya Joshi ◽

Renuka Tamrakar ◽

...

Keyword(s):

Antenatal Care ◽

Outcome Measures ◽

Fetal Death ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Secondary Analysis ◽

Surveillance Data ◽

Secondary Outcome ◽

Care Hospital ◽

Maternal Hypertension

ObjectivesStillbirth is one of the vital indicators of quality care. This study aimed to determine maternal-fetal characteristics and causes of stillbirth in Nepal.DesignSecondary analysis of single-centred registry-based surveillance data.SettingThe study was conducted at the Department of Obstetrics and Gynecology, Chitwan Medical College Teaching Hospital, a tertiary care hospital located in Bharatpur, Nepal.ParticipantsAll deliveries of intrauterine fetal death, at or beyond 22 weeks’ period of gestation and/or birth weight of 500 g or more, conducted between 16 July 2017 and 15 July 2019 were included in the study.Main outcome measuresThe primary outcome measure of this study was stillbirth, and the secondary outcome measures were maternal and fetal characteristics and cause of stillbirth.ResultsOut of 5282 institutional deliveries conducted over 2 years, 79 (1.5%) were stillbirths, which gives the stillbirth rate of 15 per 1000 births. Of them, the majority (75; 94.9%) were vaginal delivery and only four (5.1%) were caesarean section (p<0.0001). The proportion of the macerated type of stillbirth was more than that of the fresh type (58.2% vs 41.8%; p=0.13). Only half of the mothers who experienced stillbirth had received antenatal care. While the cause of fetal death was unknown in one-third of cases (31.6%; 25/79), among likely causes, the most common was maternal hypertension (29.1%), followed by intrauterine infection (8.9%) and fetal malpresentation (7.6%). Four out of 79 stillbirths (5%) had a birth defect.ConclusionHigh rate of stillbirths in Nepal could be due to the lack of quality antenatal care. The country’s health systems should be strengthened so that pregnancy-related risks such as maternal hypertension and infections are identified early on. Upgrading mothers’ hygiene and health awareness is equally crucial in reducing fetal deaths in low-resource settings.

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O051 FACTORS AFFECTING UTILIZATION OF ANTENATAL CARE AMONG WOMEN ATTENDING ANTENATAL CLINIC OF TERTIARY CARE HOSPITAL

International Journal of Gynecology & Obstetrics ◽

10.1016/s0020-7292(12)60481-0 ◽

2012 ◽

Vol 119 ◽

pp. S278-S279

Author(s):

A. Amin ◽

A. Ali

Keyword(s):

Antenatal Care ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Antenatal Clinic ◽

Care Hospital ◽

Factors Affecting

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Effect of maternal education on antenatal care utilization, maternal and perinatal outcome in a tertiary care hospital

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20185433 ◽

2018 ◽

Vol 8 (1) ◽

pp. 247

Author(s):

Isha Chopra ◽

Sunil K. Juneja ◽

Sarit Sharma

Keyword(s):

Birth Weight ◽

Antenatal Care ◽

Perinatal Outcome ◽

Maternal Education ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Care Utilization ◽

Care Hospital ◽

Low Birth Weight Babies ◽

Antenatal Care Utilization

Background: Antenatal Care (ANC) utilization facility is available but poorly utilized because of many factors which play indirect role in inadequate utilization of antenatal care facility: low social status of women in the society, less opportunity for basic education, less ability to make decisions. Therefore, the present study is an attempt to study the effect of maternal education on antenatal care utilization, maternal and perinatal outcome in a tertiary care hospital.Methods: A prospective study was carried out on 525 cases delivered during period of one year at Dayanand Medical College and Hospital, Ludhiana, Punjab, India; a tertiary care hospital catering both urban and rural population. All cases were categorized into two groups: booked and unbooked. The age, parity and education of each patient in booked and unbooked cases was noted. Further, its impact on antenatal care utilization, maternal and perinatal outcome was studied.Results: On studying education pattern, among illiterate subjects 50% were booked and 50% were unbooked; For graduate and above were 80.6% and 19.4%respectively. Among mothers who were illiterate 90.9% had low birth weight babies and 13.6% had stillborn. Among those graduates and above 38.7% had low birth weight babies,1.5 % stillborn and 1.2% neonatal deaths.Conclusions: The educational status of the women came out as a significantly important variable and predictor of perinatal outcome. Hence, whole hearted efforts should be directed in educating women population and also improving health care facilities in rural areas to provide early referral to higher centers.

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Experience of Emergency Peripartum Hysterectomies at a Tertiary Care Hospital in Quetta, Pakistan

ISRN Obstetrics and Gynecology ◽

10.5402/2011/854202 ◽

2011 ◽

Vol 2011 ◽

pp. 1-4 ◽

Cited By ~ 3

Author(s):

Mahrukh Fatima ◽

Pashtoon Murtaza Kasi ◽

Shahnaz Naseer Baloch ◽

Abaseen Khan Afghan

Keyword(s):

Antenatal Care ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Morbidity And Mortality ◽

Care Hospital ◽

Government Hospital ◽

Maternal Deaths ◽

Modifiable Factor ◽

Emergency Peripartum Hysterectomy ◽

The City

Emergency peripartum hysterectomy (EPH) is associated with significant morbidity and mortality worldwide. The purpose of our paper was to determine the incidence, morbidity, and mortality of EPH done at our institution; the largest tertiary care government hospital in the city of Quetta, Pakistan. During the study period there were 12,642 deliveries, out of which 46 women had undergone an EPH, translating into an incidence of ∼4 per 1,000 births. Disturbingly, 82.6% of these patients had received no antenatal care prior to their presentation. There were 4 (8.7%) maternal deaths and 31 (67.4%) perinatal deaths. The commonest indication noted was uterine rupture in 21 (45.7%) cases. Lack of antenatal care is indeed a modifiable factor that needs to be addressed to help reduce maternal and fetal morbidity/mortality not only from emergency hysterectomies but also from all other preventable causes.

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Knowledge Regarding Contraceptive Methods among Married Women Attending Tertiary Care Hospital

Journal of Pharmaceutical Research International ◽

10.9734/jpri/2021/v33i29b31596 ◽

2021 ◽

pp. 119-125

Author(s):

Kaneez Fatima ◽

Sadia Kadir ◽

. Neelam ◽

Kiran Batool ◽

. Kalsoom ◽

...

Keyword(s):

Antenatal Care ◽

Tertiary Care Hospital ◽

Medical Center ◽

Tertiary Care ◽

Education Level ◽

Married Women ◽

P Value ◽

Care Hospital ◽

Contraceptive Methods ◽

Adequate Knowledge

Objective: To determine frequency of adequate knowledge of contraceptive methods among married women attending tertiary care hospital for antenatal care. Study Design: Cross sectional study. Setting: Department of Gynaecology and Obstetrics, Jinnah Postgraduate Medical Center, Karachi. Duration: From June to December 2016. Materials and Methods: Total 118 married women presented for antenatal care were included. Women were evaluated by administering a questionnaire to assess knowledge about contraception methods. Knowledge was labeled as adequate if responders correctly answered >70% of the questions. Descriptive statistics and Stratification were performed. Post-stratification Chi-square test was applied and p-value ≤0.05 was taken as significant. Results: The mean age was 29.25±5.08 years. Mean gestational age was 11.52±4.54 weeks. Mean duration of marriage was 4.50±2.77 years. 61% study subjects were found with adequate knowledge of contraception. Adequate knowledge had a significant correlation with age, duration of marriage, parity, residence, and education level. Conclusion: Around 61% of the married females were observed with adequate knowledge regarding contraceptive procedures. The female knowledge was significantly associated with age, duration of marriage, parity, residence, socio-economic status, and education level.

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