Socio-demographic determinants of full antenatal care services utilization among pregnant women delivering at a tertiary care hospital in Haryana

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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Study of morphological types of anemia in pregnant women with low socioeconomic status attending antenatal care at rural tertiary care hospital

Tropical Journal of Pathology and Microbiology ◽

10.17511/jopm.2020.i03.07 ◽

2020 ◽

Vol 6 (3) ◽

pp. 253-260

Author(s):

Jayraj Devidas Patil ◽

◽

Dr. Mangala Rajesh Nagare ◽

Keyword(s):

Socioeconomic Status ◽

Antenatal Care ◽

Pregnant Women ◽

Low Socioeconomic Status ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Care Hospital ◽

Low Socioeconomic

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Study of utilization of antenatal care services and its determinants among pregnant women admitted in a tertiary care hospital in Mangaluru, Karnataka, India

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20202014 ◽

2020 ◽

Vol 7 (5) ◽

pp. 1960

Author(s):

Hemant Kumar ◽

Iybu V. Chacko ◽

Seema Mane ◽

Narayanan N. Govindan ◽

Sneha Prasanth

Keyword(s):

Health Care ◽

Antenatal Care ◽

Pregnant Women ◽

Tertiary Care ◽

Care Facility ◽

Health Care Facility ◽

Care Hospital ◽

Quality Health Care ◽

Care Services ◽

Pregnant Mothers

Background: Globally only 64% of women receive antenatal (prenatal) care four or more times throughout their pregnancy. National family health survey (NFHS) -4, brings out that in India, 21% of pregnant women utilized full ANC, ranging from 2.3-65.9% across the states. Quality health care during pregnancy and childbirth can prevent many pregnancy related deaths. The objective of the present study was to examine utilization of antenatal care services among the study subjects and find out its determinants, including out of pocket expenditure incurred on management of the pregnancies.Methods: The study was conducted in a tertiary care teaching hospital among full term pregnant mothers and those who had recently delivered. Purposive sampling method was used and sample size of 368 was calculated.Results: The study brought out that 100% women had their registration, 75.5% of them within 12 weeks of pregnancy. Majority of the women (69.5%) preferred private health care facility clinic for antenatal check-up. However, the utilization of various government schemes in place for the benefit of pregnant mothers were underutilized (26.6%).The study also revealed that 16.0% of the families suffered catastrophic expenditure as the cost of treatment on antenatal care and treatment went beyond household budget and they had to borrow money for the treatment.Conclusions: A significant association was found between number of antenatal visits and increasing age, higher socio-economic status, higher educational status, Hindu religion, place of residence (urban), nuclear type of family and early registration.

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Knowledge, attitude and practice of antenatal care among pregnant women attending antenatal clinic in a tertiary care hospital of Mathura, Uttar Pradesh, India

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20202072 ◽

2020 ◽

Vol 9 (6) ◽

pp. 2269

Author(s):

Parul Garg ◽

Divya .

Keyword(s):

Antenatal Care ◽

Pregnant Women ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Uttar Pradesh ◽

Monitoring And Evaluation ◽

Antenatal Clinic ◽

Care Hospital ◽

Attitude And Practice ◽

Knowledge Attitude And Practice

Background: The objective of this study was to assess the knowledge, attitude and practice of antenatal care among pregnant women attending antenatal clinic in a tertiary care hospital and also to identify factors that are associated with non-usage of antenatal care.Methods: The study was conducted on 150 pregnant women attending antenatal clinic in department of obstetrics and gynecology of K. D. Medical College and associated hospital of Mathura from September 2019 to December 2019. After obtaining consent, randomly selected pregnant women were given a pre-designed, structured questionnaire on socio-demographic variables, knowledge, attitude and practice towards antenatal care.Results: In the present study, out of 150 respondents, 62.7% had knowledge and awareness regarding antenatal care. There was inadequate knowledge about frequency of antenatal visits with 59.3% subjects wanting to deliver in the hospital.Conclusions: To improve effective utilization of ANC services, we need to bring behaviour changes, improve communication and quality of service delivery, along with effective monitoring and evaluation. Awareness should be developed in the community about the importance of registration for ANC, educating women about the detection of complications during pregnancy, importance of TT injection, IFA tablets and extra nutrition.

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