What is the place of the new WHO antenatal care model in a teaching hospital setting?

2008 ◽  
Vol 38 (1) ◽  
pp. 21-24 ◽  
Author(s):  
B A Ekele ◽  
C E Shehu ◽  
Y Ahmed ◽  
M Fache
Keyword(s):  
Birth Weight ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Teaching Hospital ◽  
New World ◽  
Hospital Setting ◽  
Basic Component ◽  
World Health ◽  
Care Model ◽  
Health Organization

The basic component of the new World Health Organization (WHO) antenatal care model prescribes reduced number of clinic visits and limited investigations for low-risk pregnant women. The objectives of this study were to determine the proportion of pregnant women seeking antenatal care in a Nigerian teaching hospital who qualify for the basic component and to document difficulties that may arise with the classifying form. In December 2004, 234 pregnant women who had initiated antenatal care were enrolled for the study. Using the classifying form, 157 (67%) were eligible for the basic component, 41 (18%) for special care, but 36 (15%) women could not be classified. Those that did not know the birth weight of their last babies accounted for most (89%) of the unclassified group. The WHO antenatal care model was the most appropriate and relevant method for our hospital where a large percentage (67%) of prenatal women were eligible for the basic component. However, we consider that the classifying form should be adapted to accommodate all pregnant women.

Advocating the new WHO antenatal care model in a free maternity care setting in a developing country

2008 ◽  
Vol 38 (1) ◽  
pp. 24-27 ◽  
Author(s):  
O U J Umeora ◽  
I Sunday-Adeoye ◽  
G O Ugwu
Keyword(s):  
Antenatal Care ◽  
Maternity Care ◽  
Care Setting ◽  
Basic Component ◽  
World Health ◽  
Care Model ◽  
Risk Status ◽  
The World ◽  
Statistical Program ◽  
Health Organization

In a free maternity care setting the number of antenatal clients can be overwhelming for the obstetric staff. Using the World Health Organization (WHO) classifying form, most of the women can be triaged for the basic component of the new WHO antenatal care model. Our aim was to evaluate the risk status of pregnant women in a tertiary health institution providing free maternity care in Nigeria. We interviewed 1022 randomly selected clients using the WHO classifying form at our booking clinic overa 12-month period. The analysis was performed using the epi info statistical program. Seven hundred and sixty-five clients (74.9%) were found eligible for the basic component of the new antenatal care model. The associated risk in pregnancy increased with increasing parity. The basic component of the new WHO antenatal care model can safely be implemented in centres such as ours.

scholarly journals Awareness and satisfaction with antenatal care services among pregnant women in Lagos state, Nigeria

2021 ◽  
Vol 5 ◽  
pp. 21-27
Author(s):  
Iyabo Yewande Ademuyiwa ◽  
Rosaline O. Opeke ◽  
Adekunbi Abosesde Farotimi ◽  
Adeolu Ejidokun ◽  
Atinuke O. Olowe ◽  
...  
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Sampling Technique ◽  
World Health ◽  
Care Services ◽  
Validated Questionnaire ◽  
Lagos State ◽  
Ethical Approval ◽  
Health Organization ◽  
High Level

Objectives: Despite the growing interest and efforts by government to make popular use of antenatal care (ANC) services in Nigeria as recommended by the World Health Organization, high level of infant and maternal mortality remains a major public health challenge facing the country. Dissatisfaction toward ANC services among pregnant women may be attributed to low level of awareness. This study assessed the level of awareness and satisfaction of ANC services among pregnant women in Lagos state, Nigeria. Material and Methods: The study adopted a survey research design. A multistage sampling technique was utilized to recruit participants for this study. A validated questionnaire was used for data collection and data were analyzed using both descriptive and inferential statistics. Ethical approval was obtained from Babcock University Health Research Ethics Committee with approval no: BUHREC543/17. Approval was also obtained from health service commission and in the six general hospitals used for the study. Informed consent was taken and respondents were reassured of the privacy and confidentiality of the information obtained. Results: The results showed that most of the respondents (85.6%) were in their reproductive years, that is, ages 23–37. The results showed that the level of awareness had a significant influence on pregnant women’s satisfaction with the services (β = 0.460, F(1,1313) = 351.499, R2 = 0.211, P < 0.05). The level of awareness of ANC services was high (M = 4.31, SD = 1.01) on a scale of 5. Conclusion: The study concluded that awareness of ANC services positively impacts pregnant women’s satisfaction with the services in Lagos state. Efforts should be made to improve the level of awareness of pregnant mothers to achieve greater satisfaction with ANC services in Lagos state.

scholarly journals First and second trimester ultrasound in pregnancy: A systematic review and metasynthesis of the views and experiences of pregnant women, partners, and health workers

PLoS ONE ◽  
2021 ◽  
Vol 16 (12) ◽  
pp. e0261096
Author(s):  
Gill Moncrieff ◽  
Kenneth Finlayson ◽  
Sarah Cordey ◽  
Rebekah McCrimmon ◽  
Catherine Harris ◽  
...  
Keyword(s):  
Systematic Review ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Health Workers ◽  
World Health ◽  
Provider Attitudes ◽  
Visual Technology ◽  
Positive Attitudes ◽  
Women Partners ◽  
Health Organization

Background The World Health Organization (WHO) recommends one ultrasound scan before 24 weeks gestation as part of routine antenatal care (WHO 2016). We explored influences on provision and uptake through views and experiences of pregnant women, partners, and health workers. Methods We undertook a systematic review (PROSPERO CRD42021230926). We derived summaries of findings and overarching themes using metasynthesis methods. We searched MEDLINE, CINAHL, PsycINFO, SocIndex, LILACS, and AIM (Nov 25th 2020) for qualitative studies reporting views and experiences of routine ultrasound provision to 24 weeks gestation, with no language or date restriction. After quality assessment, data were logged and analysed in Excel. We assessed confidence in the findings using Grade-CERQual. Findings From 7076 hits, we included 80 papers (1994–2020, 23 countries, 16 LICs/MICs, over 1500 participants). We identified 17 review findings, (moderate or high confidence: 14/17), and four themes: sociocultural influences and expectations; the power of visual technology; joy and devastation: consequences of ultrasound findings; the significance of relationship in the ultrasound encounter. Providing or receiving ultrasound was positive for most, reportedly increasing parental-fetal engagement. However, abnormal findings were often shocking. Some reported changing future reproductive decisions after equivocal results, even when the eventual diagnosis was positive. Attitudes and behaviours of sonographers influenced service user experience. Ultrasound providers expressed concern about making mistakes, recognising their need for education, training, and adequate time with women. Ultrasound sex determination influenced female feticide in some contexts, in others, termination was not socially acceptable. Overuse was noted to reduce clinical antenatal skills as well as the use and uptake of other forms of antenatal care. These factors influenced utility and equity of ultrasound in some settings. Conclusion Though antenatal ultrasound was largely seen as positive, long-term adverse psychological and reproductive consequences were reported for some. Gender inequity may be reinforced by female feticide following ultrasound in some contexts. Provider attitudes and behaviours, time to engage fully with service users, social norms, access to follow up, and the potential for overuse all need to be considered.

scholarly journals Factors associated with changes in adequate antenatal care visits among pregnant women aged 15-49 years in Tanzania from 2004 to 2016

2022 ◽  
Vol 22 (1) ◽  
Author(s):  
Elizabeth Kasagama ◽  
Jim Todd ◽  
Jenny Renju
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Decomposition Analysis ◽  
Secondary Data ◽  
Health Interventions ◽  
World Health ◽  
Continuous Variables ◽  
Factors Associated ◽  
Health Organization ◽  
Maternal And Newborn

Abstract Background Antenatal care (ANC) is crucial for the health of the mother and unborn child as it delivers highly effective health interventions that can prevent maternal and newborn morbidity and mortality. In 2002, the World Health Organization (WHO) recommended a minimum of four ANC visits for a pregnant woman with a positive pregnancy during the entire gestational period. Tanzania has sub-optimal adequate (four or more) ANC visits, and the trend has been fluctuating over time. An understanding of the factors that have been contributing to the fluctuating trend over years is pivotal in increasing the proportions of pregnant women attaining adequate ANC visits in Tanzania. Methods The study used secondary data from Tanzania Demographic Health Survey (TDHS) from 2004 to 2016. The study included 17976 women aged 15-49 years. Data were analyzed using Stata version 14. Categorical and continuous variables were summarized using descriptive statistics and weighted proportions. A Poisson regression analysis was done to determine factors associated with adequate ANC visits. To determine factors associated with changes in adequate ANC visits among pregnant women in Tanzania from 2004 to 2016, multivariable Poisson decomposition analysis was done. Results The overall proportion of women who had adequate ANC visits in 2004/05, 2010 and 2015/16 was 62, 43 and 51% respectively. The increase in the proportion of women attaining adequate ANC from 2010 to 2015/16 was mainly, 66.2% due to changes in population structure, thus an improvement in health behavior. While 33.8% was due to changes in the mother’s characteristics. Early initiation of first ANC visit had contributed 51% of the overall changes in adequate ANC attendance in TDHS 2015/16 survey. Conclusion Early ANC initiation has greatly contributed to the increased proportion of pregnant women who attain four or more ANC visits overtime. Interventions on initiating the first ANC visit within the first twelve weeks of pregnancy should be a priority to increase proportion of women with adequate ANC visit.

scholarly journals The performance of various anthropometric assessment methods for predicting low birth weight in pregnant women

2009 ◽  
Vol 9 (2) ◽  
pp. 197-206 ◽  
Author(s):  
Patricia de Carvalho Padilha ◽  
Elizabeth Accioly ◽  
Glória Valéria da Veiga ◽  
Tereza Cristina Bessa ◽  
Beatriz Della Libera ◽  
...  
Keyword(s):  
Weight Gain ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Nutritional Status ◽  
Pregnant Women ◽  
Maternity Hospital ◽  
World Health ◽  
Institute Of Medicine ◽  
Ministry Of Health ◽  
Health Organization

OBJECTIVES: to assess the performance of various anthropometric methods for the evaulation of the nutritional status of pregnant women as a means of predicting low birth weight (LBW). METHODS: a descriptive cross-cutting study carried out among 433 pregnant women (>20 years) attending a Public Maternity Hospital in Rio de Janeiro, Brazil. The adequacy of the weight gain at the end of the pregnancy was evaluated in accordance with the proposals of the Institute of Medicine and the Brazilian Ministry of Health. The sensitivity, specificity and accuracy of the adequacy of weight gain at the end of the pregnancy or nutritional state of mother as a predictor of low birth weight were calculated. RESULTS: the sensitivity of the various methods varied from 63.1% to 68.4% and the specificity from 71.2% to 75.1%. The adapted Institute of Medicine proposal drawn up by the Brazilian Ministry of Health, according to the classification of the pre-delivery nutritional status of the mother according to the World Health Organization cutoff points showed itself to be the most accurate (74.5%), this being the most adequate method for nutritional triage for reason of its association with low birth weight (OR=4.10; 95%CI=1.53-10.92). CONCLUSIONS: the best proposals for this population are those of the Institute of Medicine and the Brazilian Ministry of Health. Further studies aiming to ascertain the most appropriate methods of anthropometric evaluation for different populations should be encouraged.

scholarly journals A correlative study between maternal hemoglobin concentration during third trimester and fetal birth weight of babies born at Kathmandu Medical College and Teaching Hospital

2020 ◽  
Vol 10 (2) ◽  
pp. 1756-1759
Author(s):  
Anup Shrestha ◽  
Sabina Shrestha
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Teaching Hospital ◽  
Third Trimester ◽  
Maternal Anemia ◽  
Medical College ◽  
The Third ◽  
Low Birth Weight Babies

Background: Anemia is one of the commonest health problems faced by pregnant women in both developing and developed countries. Maternal anemia is a potential risk factor for fatal outcomes like low birth weight and preterm delivery. This study intended at comparing the birth weight of the babies who were born to mothers with and without anemia during the third trimesters. Materials and methods: This study is a descriptive, cross-sectional study conducted at Kathmandu Medical College, Teaching Hospital from July 2019 to June 2020. The third-trimester hemoglobin of mothers was recorded along with the birth weight of their respective babies. Mothers with regular antenatal care visits at this hospital were included and the known causes for anemia like renal disorders, twin pregnancies, and others were excluded from the study. The third-trimester hemoglobin level of all pregnant females was correlated with the birth weight of the babies. Results: Out of a total of 2417 pregnant women, 317 (13%) had anemia. The overall prevalence of low birth weight was 12%. Out of 317 anemic mothers, 99 (31%) delivered low birth weight babies. Among those 99 low birth weight babies, 30 (30%) were preterm and 69 (70%) were term babies with the prevalence of low birth weight in anemic mothers being 31%. The correlation between maternal hemoglobin and birth weight was found to be statistically significant. Conclusions: Despite regular antenatal care, maternal anemia still prevails, affecting neonatal birth weight. There was a statistically significant correlation between maternal hemoglobin and birth weight (p-value <0.0001).

scholarly journals Hubungan Kadar Hemoglobin Ibu Hamil Trimester III Dengan Berat Bayi Lahir di Kota Pariaman

2013 ◽  
Vol 2 (1) ◽  
pp. 34
Author(s):  
Anggi Setiawan ◽  
Nur Indrawaty Lipoeto ◽  
Amirah Zatil Izzah
Keyword(s):  
Birth Weight ◽  
Pregnant Women ◽  
World Health Organization ◽  
Hemoglobin Level ◽  
World Health ◽  
Third Trimester ◽  
Cross Sectional ◽  
The Third ◽  
Health Organization ◽  
Pregnancy And Birth

AbstrakPendahuluan: Kadar hemoglobin merupakan indikator biokimia untuk mengetahui status gizi ibu hamil. World Health Organization (WHO) merekomendasikan kadar hemoglobin ibu hamil ideal adalah ≥ 11 gr/dl dan tidak dibawah 10,5 gr/dl pada trimester II kehamilan. Tinggi rendahnya kadar hemoglobin selama kehamilan mempunyai pengaruh terhadap berat bayi lahir karena dapat mengakibatkan gangguan pertumbuhan janin di dalam kandungan. Penelitian ini bertujuan untuk mengetahui hubungan kadar hemoglobin ibu hamil trimester III dengan berat bayi lahir di kota Pariaman. Metode penelitian: design penelitian ini adalah penelitian analitik dengan pendekatan Cross Sectional Study. Penelitian dilakukan di kota Pariaman dengan menggunakan data ibu melahirkan bulan Januari-Juni 2011 dan pengambilan sampel dengan cara consecutive sampling serta data dianalisis dengan uji korelasi Pearson dimana p < 0,05. Hasil penelitian: ditemukan rata-rata kadar hemoglobin ibu hamil trimester III adalah 11,16 (SD 0,82) gr/dl dan ditemukan ibu hamil yang mengalami anemia sebesar 31,25%. Rata-rata berat bayi lahir pada penelitian adalah 3.103 (SD 405) gram dan ditemukan bayi yang mempunyai berat lahir rendah sebesar 3,1%. Kesimpulan: penelitian ini tidak ditemukan adanya hubungan kadar hemoglobin ibu hamil trimester III dengan berat bayi lahir di kota Pariaman (p > 0,05)Kata kunci: Kadar hemoglobin, berat bayi lahir, ibu hamilAbstractIntroduction : Hemoglobin level is biochemical indicator to determine the nutrition status of pregnant women. World Health Organization (WHO) recommends that ideal level of hemoglobin for pregnant women is ≥ 11 g/dl and not below 10,5 g/dl on the second trimester of pregnancy. Increasing and decreasing of hemoglobin levels during pregnancy influences birth weight because it can cause intrauterine growth disruption. This research is purposed to identify the relation between pregnant woment hemoglobin level on the third trimester of pregnancy and birth weight in Pariaman city. Methods : This research uses analytic research which is using cross sectional design. This research is held on Pariaman city and used pregnant woment data taken from January until June 2011. The results: Research found that an average of pregnant woment hemoglobin level on the third trimester pregnancy is 11,16 (SD 0,82) g/dl and the percentage of pregnant women with anemia (Hb < 11 gr/dl) is 31,25%. The average of birth weight is 3.103 (SD 405) grams and 3,1% of total infant have low birth weight. The results of bivariate analysis by using Pearson correlation test is not found the relation between pregnant woment hemoglobin level on the third trimester of pregnancy and birth weight p = 0,856 (p > 0,05).Conclusion: The future research had better has more number of samples and other factors which affect birth weight can be eliminated.Keywords:Hemoglobin level, birth weight, pregnant woment

scholarly journals DRUG UTILIZATION STUDY IN POST-OPERATIVE PATIENTS IN THE SURGERY WARD OF A TERTIARY CARE TEACHING HOSPITAL IN SOUTH INDIA

2018 ◽  
Vol 11 (12) ◽  
pp. 124
Author(s):  
Mohammad Arshad ◽  
Raghunandan M ◽  
Vasant R Chavan ◽  
Mohd Fayazuddin
Keyword(s):  
Drug Utilization ◽  
Teaching Hospital ◽  
General Pattern ◽  
Tertiary Care ◽  
Hospital Setting ◽  
Essential Medicines ◽  
World Health ◽  
Care Hospital ◽  
Case Record ◽  
Health Organization

Objectives: Pharmacotherapy with multiple agents before, during, and after surgery is marked in the present day indoor hospital setting. The main objective of our research is to evaluate the prescribing and drug utilization patterns using the World Health Organization (WHO) indicators in post-operative patients in the surgery ward of Raichur Institute of Medical Sciences (RIMS) teaching hospital - Raichur, which will help us to use the medicines rationally and decrease the adverse effects in surgical patients.Methods: A retrospective study was done on post-operative patients of surgery ward in RIMS teaching hospital - Raichur. A total of 574 patients prescriptions/case record forms were collected over a period of 15 months from January 2015 to March 2016 from the medical record section of the hospital for analysis and rationalization. We analyzed the data using the various drug use indicators given by the WHO.Results: The average number of drugs per encounter was 7.04. Ranitidine, analgesics, antibiotics, and intravenous fluids accounted for majority of the drugs prescribed. Appendicectomy (34.84%) was most commonly performed surgical procedure. Percentage of encounters in which an antibiotic prescribed was 99.8%. Percentage of encounters with an injection prescribed was 100%. Percentage of drugs prescribed by generic name was 43.93%. Percentage of drugs prescribed from National List of Essential Medicines 2015 was 99.3%.Conclusion: Our study gave us an in general pattern about the use of drugs in post-operative patients in the surgical ward of a tertiary care hospital. Widespread polypharmacy, particularly in case of the antibiotics, lack of generic prescribing are some concerns that need to be addressed to conform to rational drug therapy. However, prescribing according to the national essential list of medicines is good in our study.

GAMBARAN PENGETAHUAN IBU HAMIL TENTANG STANDAR PELAYANAN ANTENATAL CARE DI PUSKESMAS BILALANG KOTAMOBAGU

2021 ◽  
Vol 13 (1) ◽  
pp. 1-7
Author(s):  
St. Rahmawati Hamzah
Keyword(s):  
Public Health ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Health Center ◽  
Sampling Technique ◽  
World Health ◽  
Maternal Deaths ◽  
Public Health Center ◽  
Pregnancy And Childbirth ◽  
Health Organization

Background. According to the World Health Organization, it is estimated that every day there are around 830 maternal deaths caused by complications of pregnancy and childbirth. A total of 550 deaths in Africa and 180 deaths occurred in the Asian region, this confirms that many maternal deaths occur in developing countries. Knowledge of pregnant women about Antenatal Care is very important because it will help reduce maternal and infant mortality rates. Objective. The purpose of this study was to describe the knowledge of pregnant women about the standard of Antenatal Care (ANC) services at the Bilalang Public Health Center in Kotamobagu City. Method. This type of research is a descriptive survey with a sample size of 50 respondents. The sampling technique used was accidental sampling. The data were collected using a questionnaire through direct interviews, then the data were analyzed using descriptive percentages. Results. The results showed that the description of the knowledge of pregnant women about Antenatal Care (ANC) services at the Bilalang Public Health Center there were 50% pregnant women who had sufficient knowledge, there were 30% pregnant women in Kotamobagu City who had less knowledge and there were 20% pregnant women who had good knowledge. Conclusion. Based on the results of the study it can be concluded that most of the knowledge of pregnant women about Antenatal Care (ANC) services at the Bilalang Public Health Center in Kotamobagu City is in sufficient category.

scholarly journals Prevalence and Determinants of Readiness of Health Facilities for Quality Antenatal Care Services in Bangladesh

2021 ◽  
Author(s):  
Shahnaz Nilima ◽  
Kanchan Kumar Sen ◽  
Fatima Tuz Zahura ◽  
Wasimul Bari
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Multinomial Logistic Regression ◽  
Healthcare Providers ◽  
Health Facilities ◽  
Public Hospitals ◽  
World Health ◽  
Chi Square ◽  
The Government ◽  
Health Organization

Abstract BackgroundThe quality antenatal care (ANC) services can reduce the risk of the pregnancy complications, and hence reduce the maternal and child morbidity and mortality. To ensure the quality ANC services to the pregnant women, it is essential that healthcare providers should be fully prepared with six tracer indicators recommended by World Health Organization. In this study, the prevalence of readiness by selected covariates has been examined. Potential factors responsible for the readiness have also been identified.MethodsUsing data from nationally representative Bangladesh Health Facility Survey (BHFS), 2017, the readiness indices of health facilities providing ANC services have been measured based on the six tracer indicators of the service. The chi-square test has been applied to check the association of selected covariates with the readiness index, and to obtain the adjusted associations of covariates, we have carried out a multinomial logistic regression model. ResultsOnly 4.26% of the facilities is found to provide quality ANC services to the pregnant women. Rural facilities have lower readiness to provide quality services compared to urban facilities [RRR: 0.13, 95% CI: 0.06-0.31; p<0.001]. Community clinics and private hospitals are less likely to have medium or high readiness compared to public hospitals or clinics. The health facilities having specialist or MBBS doctors are more likely to be considered as ready for quality ANC services compared to others facilities. Regional difference exists in readiness for providing the service.ConclusionA huge gap has been found in the facilities of Bangladesh to prove quality ANC services. This is a high time to reduce this gap in achieving sustainable development goals related with maternity and neonatal mortality. The present study recommends that the government of Bangladesh should take necessary initiatives to fully prepared healthcare providers so that quality ANC services can be equally provided to each pregnant woman.

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