Birth Preparedness among Women and Factors Associated with Antenatal Care

2018 ◽  
Vol 20 (3) ◽  
pp. 378-400
Author(s):  
Ashalata Pati ◽  
Ranjit Kumar Dehury ◽  
Parthsarathi Dehury
Keyword(s):  
Antenatal Care ◽  
Maternal Mortality ◽  
Simple Random Sampling ◽  
Cross Sectional Study ◽  
Personal Hygiene ◽  
Birth Preparedness ◽  
Cross Sectional ◽  
Factors Associated ◽  
Process Indicators ◽  
Development Goals

Reducing maternal mortality is the fifth goal among the millennium development goals and subsequent sustainable development goals. Complete antenatal care (ANC) and institutional delivery are two process indicators advised in all interventions related to reduction of maternal mortality. A study is conducted to know the ANC profile of the women and factors associated with it and their birth preparedness for delivery in a rural tribal area of Vikramgad taluka in the Indian state of Maharashtra.  A community-level descriptive cross-sectional study was conducted among the women those who recently experienced delivery of baby. Simple random sampling method was used to select the respondents.  The result of the study shows women follow specific practices related to diet, personal hygiene, physical activity and rest with neonatal feeding and care practices in the month following delivery, to keep themselves and their baby healthy. The significant factors found to be associated with ANC visits were the age of the women ( p = 0.001), education ( p = 0.03), husband’s education ( p = 0.002), monthly household income ( p = 0.11) and distance of site of ANC from home in time measured in minutes ( p = 0.047).

scholarly journals Utilization of antenatal care services in tribal area of Madhya Pradesh: a community based cross sectional study

2019 ◽  
Vol 6 (6) ◽  
pp. 2465
Author(s):  
Arvind Sharma ◽  
Pritesh Singh Thakur ◽  
Rajesh Tiwari ◽  
Richa Sharma
Keyword(s):  
Antenatal Care ◽  
Maternal Mortality ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
Factors Associated ◽  
Care Services ◽  
Tribal Area ◽  
Full Utilization

Background: As part of the Sustainable Development Goal 3, the target is to reduce the global maternal mortality ratio to less than 70 per 100 000 live births globally by 2030. Antenatal care (ANC) is an important determinant of maternal mortality and ANC visit is an important component of maternal health care. This study was carried out to assess the utilization of antenatal care services and to understand the factors associated with utilization of antenatal care services in tribal area of Madhya Pradesh.Methods: Community based cross-sectional study carried in tribal dominated district of Madhya Pradesh. A total of 210 mothers who delivered in last one year were selected for study by cluster sampling technique and mothers were interviewed using structured questionnaire after obtaining informed consent.Results: Present study 94.8% antenatal mothers registered and received at least one antenatal check-up and 51.4% mother were registered during first trimester while only 43.4% mothers received four or more ANC visits. Completely utilization of ANC services was found in 39.5% mother. Education of the mother, occupation of mother, income, education of the husband, knowledge of mother about the needs of antenatal care and early ANC registration were found to be significant factors associated with full utilization of ANC services.Conclusions: This study revealed that education of mother and knowledge of mother about the needs of ANC were important contributing factors associated with full utilization of ANC services in tribal area. The education is related with the economic status, awareness of mother about utilization health services, empowerment and decisions making capacity of mothers.

Sociodemographic factors associated with postnatal maternal complications in public hospitals in Nairobi City County, Kenya

2021 ◽  
Vol 15 (1) ◽  
pp. 1-7
Author(s):  
Raheli Misiko Mukhwana ◽  
Margaret N Keraka ◽  
Meshack Onyambu
Keyword(s):  
Antenatal Care ◽  
Mode Of Delivery ◽  
Cost Effective ◽  
Sociodemographic Factors ◽  
Cross Sectional Study ◽  
Public Hospitals ◽  
Maternal Complications ◽  
Cross Sectional ◽  
Factors Associated ◽  
Focused Antenatal Care

Introduction/Aims Focused antenatal care provides individualised counselling, targeted assessment and safe, cost effective, evidence-based intervention. It has been implemented in developing countries as a strategy to improve maternal health. This study aimed to investigate sociodemographic factors associated with maternal complications in selected public county hospitals in Nairobi City County, Kenya. Methods This was a cross-sectional study using a sample of 397 postnatal women who were given a questionnaire, with sections on their sociodemographic and health characteristics. Data analysis was done using the Chi Square test to determine the association between study variables, with P<0.05 considered statistically significant. Results The study found that 30% of respondents reported a maternal complication during their current delivery outcome. Sociodemographic factors significantly associated with maternal complications were age (P=0.002), occupation (P=0.001) and income (P=0.011). The health factors associated with occurrence of maternal complications were number of deliveries (P=0.001) and mode of delivery (P=0.001). Conclusions A number of factors were found to be significantly associated with maternal outcomes, including age and occupation. Further studies to determine why young women do not use focused antenatal care are necessary, as this would help reduce the incidence of birth-associated complications.

scholarly journals Stillbirths - Determining the associated factors and causes according to relevant condition at death: an experience from Pokhara, Nepal

2018 ◽  
Vol 6 (2) ◽  
pp. 58-65
Author(s):  
Junu Shrestha ◽  
Rami Shrestha ◽  
Sonam Gurung
Keyword(s):  
Birth Weight ◽  
Antenatal Care ◽  
Amniotic Fluid ◽  
Gestational Age ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Intrauterine Growth ◽  
Factors Associated ◽  
Relevant Condition ◽  
Cord Prolapse

Background: Stillbirth contributes significantly to perinatal mortality. This study was conducted with aim to determine various factors associated with it and to define the causes of stillbirth according to relevant condition at birth.Materials and Methods :This is prospective cross-sectional study conducted in the Department of Obstetrics and Gynaecology of Manipal Teaching Hospital from July 2015 to June 2017. All cases of stillbirth occurring during antenatal or intrapartum period after 28 weeks of gestation or fetus weighing 1000 grams or more were included. Detailed demographic parameters were noted. After delivery, fetus, placenta, umbilical cord and amniotic fluid were noted in detail. Data was entered in SPSS version 16 and analysis done.Results: The stillbirth rate was 22 per 1000 births. Low educational level of women, lack of antenatal care, multiparous status, gestational age less than 34 weeks, low birth weight and male gender of fetus were found to be significantly associated with stillbirths. The cause of fetal death could be identified according to relevant condition at death in 84% of cases. Only in 16%, the cause of stillbirth was not identified. Intrauterine growth restriction was the commonest cause of stillbirth (22%), followed by congenital anomalies (15%) and hypertensive disorders of pregnancy (14%). Other causes were abruptio (7%), intrapartum asphyxia (7%) and rupture uterus (5%). Other minor causes were anemia, diabetes, cord prolapse and amniotic fluid abnormalities.Conclusion :Low level of education, lack of quality antenatal care, multiparity, low gestational age and birth weight and male sex of fetus were factors associated with stillbirth. The cause of stillbirth was identified in most of the cases and largely was due to intrauterine growth restriction.Journal of Nobel Medical CollegeVolume 6, Number 2, Issue 11, July-December 2017, 58-65

Determinant of Practice of Birth Preparedness and Complication Readiness Plan Among Pregnant Women at Debretabor, North west Ethiopia: A Community Based Cross Sectional Study.

2020 ◽  
Author(s):  
Berhan Tsegaye Negash
Keyword(s):  
Pregnant Women ◽  
Sampling Technique ◽  
Simple Random Sampling ◽  
Cross Sectional Study ◽  
Birth Preparedness ◽  
Cross Sectional ◽  
Complication Readiness ◽  
Preparedness Plan ◽  
Education Status ◽  
Partner Involvement

Abstract Background: Nearly all of maternal deaths in the world occurred in sub-Saharan African countries. As Ethiopian demographic health survey report, there were 412 maternal deaths per 100,000 live births in 2016. Delays in decision to seek and receive care are the main causes of these deaths. Birth preparedness and complication readiness plan has been globally endorsed pivotal strategy to decrease these delays. Therefore, this study was aimed to assess the level of practice and factors associated with practice of birth preparedness plan among pregnant women. Methods: Community based cross-sectional study was done among 356 pregnant women selected by simple random sampling technique from July 1-30/2017 in Debretabor town. We selected samples by simple random sampling technique. Data were collected using interview administered questionnaire. Then, we coded, cleaned and entered data through Epidata version 3.1. Finally, exported and analyzed by SPSS. Logistic regression analysis was done to identify association between explanatory variables and practice of birth preparedness and complication plan. An adjusted odds ratio with 95% confidence interval and p-value less than 0.05 was computed to determine the level of significance in multi-variable logistic regression model.Results: Prevalence of birth preparedness and complication readiness plan was 73.9% in this study. primary education status (AOR=3.2,95%CI,1.3-7.8) and secondary educational status (AOR=4.1,95%CI,1.6-10.3), Primigravida (AOR=4.7,95%CI,1.9-11.3), partner involvement in birth preparedness and complication readiness plan (AOR=3.4,95%CI,1.9-6.1), initiating antenatal care in first trimester and media exposure (AOR=1.9,95%CI,1.0-3.3) were significantly associated factors with birth preparedness and complication readiness plan in this study. Conclusions: Level of practice of birth preparedness and complication readiness plan was high in the current study. Higher education status, early ante-natal care initiation, partner involvement in birth preparedness and exposure to media were the factors associated with practice of birth preparedness and complication readiness. Therefore, emphasize on continues education through media, design educational curriculum which should include birth preparedness plan, increase partner participation in birth preparedness and complication readiness plan. Furthermore, early initiation of antenatal care is mandatory.

scholarly journals A study of the factors affecting the receding age of onset of menarche in young girls

2018 ◽  
Vol 7 (7) ◽  
pp. 2813
Author(s):  
Noor Dharmarha ◽  
Anuradha Konda
Keyword(s):  
Age Of Onset ◽  
Strong Association ◽  
Simple Random Sampling ◽  
Cross Sectional Study ◽  
Age At Menarche ◽  
P Value ◽  
Cross Sectional ◽  
Factors Associated ◽  
Urban Indian ◽  
Age Of Menarche

Background: Present study highlights that the worldwide trend of declining age at menarche is also seen in urban Indian girls. The aim of the study was to evaluate the age of menarche and to find out the factors associated with the timing of menarche.Methods: The study was an observational cross sectional study. 258 healthy, menstruating, adolescent girls aged 10-16 years, were selected by simple random sampling. Pre-designed structured questionnaires were distributed after taking informed consent. Anthropometric measurements were taken using standard techniques. The average age of menarche was calculated. The association of the age at menarche with the proposed factors was analyzed using chi square test and Pearson’s correlation coefficient. “P value” less than 0.05 was considered as significant.Results: The mean age at menarche was found to be 12.23±1.09 years. The study found a strong association between the respondent’s age at menarche and her sister’s age at menarche (p=0.002). The study also found a strong association between age at menarche and the socioeconomic status (p=0.021). This study however found no association of menarcheal age with factors like birth weight, type of diet, frequency of milk intake, body mass index, waist hip ratio, amount of exercise, unstable environment at home and psychosocial stress.Conclusions: The worldwide trend of declining age at menarche is also seen in urban Indian girls. This trend underlines the importance of investigating the factors associated with it and studying the future implications of a lower age at menarche.

scholarly journals Prevalence of Acute Symptoms among Workers in Printing Factories

2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
Somsiri Decharat
Keyword(s):  
Cross Sectional Study ◽  
Personal Hygiene ◽  
Chest Tightness ◽  
Drinking Alcohol ◽  
Factory Workers ◽  
Cross Sectional ◽  
Factors Associated ◽  
Southern Thailand ◽  
Allergic Skin ◽  
Allergic Skin Reaction

Objective.To identify socioeconomic situation factors and behavioral factors associated with the prevalence of acute symptoms among 150 printing workers in 16 printing factories in Southern Thailand.Materials and Methods.A cross-sectional study was conducted by interviewing 150 printing workers in 16 printing factories in Southern Thailand.Results.Acute symptoms comprised dizziness, drowsiness, eye irritation, light-headedness, rhinitis, shortness of breath, cough, chest tightness, nausea/vomiting, exacerbation of asthma, allergic skin reaction, and visual disorder. The prevalence of symptoms was consistently higher among workers in the printing process than among other workers. Smoking cigarettes and drinking alcohol were not associated with an increased prevalence of acute symptoms among these printing-factory workers.Conclusion.The significant associations were found between personal protective equipment and personal hygiene and prevalence of acute symptoms in printing workers.

scholarly journals Factors associated with health facility delivery in Kitui County: a cross sectional study

F1000Research ◽  
2020 ◽  
Vol 9 ◽  
pp. 522
Author(s):  
Mathew Munyamaara Mutiiria ◽  
Gabriel Gatimu Mbugua ◽  
Doris Marwanga
Keyword(s):  
Multivariate Analysis ◽  
Maternal Mortality ◽  
Health Facility ◽  
Cross Sectional Study ◽  
Facility Delivery ◽  
P Value ◽  
Sectional Study ◽  
Health Facility Delivery ◽  
Cross Sectional ◽  
Factors Associated

Background: High maternal mortality rate is a major public health concern in developing countries.  Skilled birth delivery is central to reducing maternal mortality, yet health facility delivery remains low in Kitui County, Kenya. Our study estimated prevalence of unskilled delivery and identified factors associated with health facility delivery in Kitui County. Methods: A cross-sectional study was conducted December 2017-February 2018. 245 women from five administrative wards were interviewed. A structured questionnaire was used to collect data. Variables that had p value ≤0.05 in bivariate analysis were included in multivariable regression model to assess for confounders. Variables with a p value of ≤0.05 in multivariate analysis were considered statistically significant at 95% CI.  Results: We interviewed 245 (240 analyzed) women from the five wards; the majority were 16-25 years age group (45.5%; 110/240).  Mean age was 27±6.6 years. Prevalence of health facility delivery was 50.4%. Distance from a health facility, number of children in a household, occupation of the respondent’s partner, number of antenatal clinic (ANC) visits and means of transport were significant factors for not delivering in a health facility. On multivariate analysis, women who lived >5km from health facility were less likely to deliver in a health facility (AOR =0.36; 95% CI 0.15- 0.86). Women who attended ≥ 4 ANC visits were 4 times more likely to deliver in a health facility (95% CI 2.01-8.79). Conclusions: More than half of the respondents delivered in a health facility. A long distance from the health facility is a hindrance to accessing ANC services. Inadequate ANC visits was associated with home delivery. Improving accessibility of health care services and health education on family planning would increase delivery at a health facility. We recommend Kitui County introduce five satellite clinics/ambulatory services for expectant women to access ANC and maternal services.

scholarly journals Factors associated with level of birth preparedness among pregnant mothers at Kerugoya county referral hospital

2017 ◽  
Vol 4 (11) ◽  
pp. 3998
Author(s):  
Olive W. Karimi ◽  
Mary W. Murigi ◽  
Anne Pertet ◽  
Careena O. Odawa
Keyword(s):  
Antenatal Care ◽  
Statistical Significance ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Reproductive Age ◽  
Birth Preparedness ◽  
Maternal Child Health ◽  
Chi Square ◽  
Cross Sectional ◽  
Awareness Campaigns

Background: Birth preparedness is the advance preparation made by an expectant mother which ensures access to skilled care. In Africa, the risk of pregnancy related deaths is 300 times more than in the developed world. In Kenya, out of 10 expectant mothers who access antenatal care services only 4 deliver in a health facility.Methods: This was a descriptive cross sectional study conducted at outpatient Maternal Child Health and Family Planning Clinic at Kerugoya County Hospital. The study utilized convenience sampling technique to determine the study population. The research instruments were an In-depth interview guide and semi-structured questionnaires. Data was managed using SPSS and analysis done using descriptive statistics and Chi-square tests. Statistical significance was set at p<0.05.Results: A sample of 202 women participated in the study. 47.5% of the participants were adequately prepared for birth. Having a higher level of education was significantly associated with birth preparedness (p=0.021). The number of children per woman had a significant influence on level of birth preparedness with women who had no children less likely to be prepared for birth compared to those with one or more children (p=0.002). Clients who attended Antenatal Care (ANC) at least 3 times were prepared for birth compared to those who visited either once or twice (p=0.027).Conclusions: Overall, women of reproductive age lack birth preparedness. There is therefore need to enhance birth preparedness awareness campaigns at ANC visits targeting women in their third trimester. 

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