Awareness of danger signs during pregnancy, labour, child birth and during the first seven days of life attending antenatal care at KAMSRC

Background: The main objective of this study was to assess the awareness of danger signs during pregnancy, labour, child birth and during the first seven days of life among the antenatal women attending the OPD of Kamineni Academy of Medical Sciences and Research Centre.Methods: This was a cross sectional observational study. 200 antenatal women were assessed during the two months study period who attended the antenatal care.Results: 73.5% of the respondents knew at least one danger sign during pregnancy, 67.5% respondents knew at least one danger sign during labour and 65% of the respondents knew at least one danger sign of New born.Conclusions: Knowledge of signs of danger in pregnancy, during labour and delivery, and new born was low.

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Quantifying Pregnant Women’s Knowledge of Educational Components of Antenatal Care in Lesotho

Africa Journal of Nursing and Midwifery ◽

10.25159/2520-5293/4317 ◽

2019 ◽

Vol 21 (1) ◽

Author(s):

Tabeta Seeiso ◽

Mamutle M. Todd-Maja

Keyword(s):

Antenatal Care ◽

Maternal Mortality ◽

Pregnant Women ◽

Rural Areas ◽

Geographic Location ◽

Sub Saharan Africa ◽

World Health ◽

Cross Sectional ◽

Danger Signs ◽

In Pregnancy

Antenatal care (ANC) literacy is particularly important for pregnant women who need to make appropriate decisions for care during their pregnancy and childbirth. The link between inadequate health literacy on the educational components of ANC and maternal mortality in sub-Saharan Africa (SSA) is undisputable. Yet, little is known about the ANC literacy of pregnant women in SSA, with most studies inadequately assessing the four critical components of ANC literacy recommended by the World Health Organization, namely danger signs in pregnancy; true signs of labour; nutrition; and preparedness for childbirth. Lesotho, a country with one of the highest maternal mortality rates in SSA, is also underexplored in this research area. This cross-sectional study explored the levels of ANC literacy and the associated factors in 451 purposively sampled women in two districts in Lesotho using a structured questionnaire, making recourse to statistical principles. Overall, 16.4 per cent of the participants had grossly inadequate ANC literacy, while 79.8 per cent had marginal levels of such knowledge. The geographic location and level of education were the most significant predictors of ANC literacy, with the latter variable further subjected to post hoc margins test with the Bonferroni correction. The participants had the lowest scores on knowledge of danger signs in pregnancy and true signs of labour. Adequate ANC literacy is critical to reducing maternal mortality in Lesotho. Improving access to ANC education, particularly in rural areas, is recommended. This study also provides important recommendations critical to informing the national midwifery curriculum.

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The Effect of Counselling Intervention during Antenatal Care on the Knowledge and Attitude about Danger Signs in Pregnancy: A Cross-Sectional Study in Takalar Regency -

Journal of Pharmacy and Nutrition Sciences ◽

10.29169/1927-5951.2020.10.02.2 ◽

2020 ◽

Vol 10 (2) ◽

pp. 51-55

Author(s):

Nurhikmah ◽

Tahir Abdullah ◽

Stang ◽

Suriah ◽

Andi Imam Arundhana ◽

...

Keyword(s):

Health Service ◽

Antenatal Care ◽

Pregnant Women ◽

Community Health ◽

Health Workers ◽

Community Health Service ◽

Cross Sectional ◽

Danger Signs ◽

Knowledge And Attitude ◽

In Pregnancy

Objective: This study was to examine the effects of counselling delivered during antenatal care on the knowledge and attitudes of pregnant women about danger signs in pregnancy.Methods: This was a pre-experimental design using one group pre- and post-test only. This study was conducted in Takalar, specifically within Sanrobone Community Health Service working area. Takalar is located in South Sulawesi Province Indonesia and this area is coastal with the majority of people working as a fisherman. Participants of this study were pregnant women living in the villages which are included in the working area of Sanrobone Community Health Service.Results: The study shows that counselling improved knowledge and attitude of pregnant women about danger signs in pregnancy (p=0.011 and p=0.025, respectively). The number of pregnant women with good knowledge and positive attitude increased after the intervention (43.8% vs 93.8%, 62.5% vs 93.8%, respectively).Conclusions: In can be concluded that intervention by means of counselling can improve the knowledge and attitude of pregnant women about danger signs in pregnancy. Therefore, it is important to implement the counselling program delivered by health workers in Community Health Service in order to mitigate the risk of maternal mortality.

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Knowledge about Obstetric Danger Signs and Associated Factors among Antenatal Care Attendants

International Journal of Public Health Science (IJPHS) ◽

10.11591/.v6i1.6528 ◽

2017 ◽

Vol 6 (1) ◽

pp. 21

Author(s):

Tadele Girum ◽

Mulugeta Shegaze

Keyword(s):

Logistic Regression ◽

Antenatal Care ◽

Associated Factors ◽

Post Partum ◽

P Value ◽

Danger Sign ◽

Health Extension Workers ◽

Cross Sectional ◽

Obstetric Danger Signs ◽

Danger Signs

Knowledge of mothers about obstetric danger sign is the basic influencing factor for utilization of skilled maternal and neonatal cares which reduce maternal and new born mortality and morbidity. Therefore this study intended to assess knowledge about obstetric danger sign and identify associated factors among antenatal care attendants. Institutional based cross- sectional study was conducted from April to June 2015 among 358 randomly selected antenatal care attendants. Epi Info version 7 and SPSS version 20 software were used for data entry and analysis respectively. Logistic regression was run to look for the association between dependent and explanatory variables; and using variables which have p-value ≤ 0.25 binary logistic regression was fitted. Association presented in Odds ratio with 95% confidence interval and significance determined at P-value less than 0.05. Most of the respondents able to name some of the accepted danger signs. Two hundred eight (58%), 182(51%) and, 161(45%) of mother were knowledgeable for obstetric danger sign which could occur during pregnancy, at child birth and post-partum period respectively. The most mentioned dander signs were bleeding, retained placenta and prolonged labor. The factors that associated with Knowledge of obstetric danger signs were urban residence (AOR=2.6; 95% CI: 1.8, 4.2), being literate (AOR=2.54; 95% CI: 1.14, 5.76), multiparity (AOR 1.5; 95% CI: 1.14, 2.3) and being informed (AOR=3; 95% CI: 1.6, 6.4). The study showed that attendant’s knowledge was low. This could be averted through strategies designed to address women’s through health extension workers and health professionals.

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Knowledge about Obstetric Danger Signs and Associated Factors among Antenatal Care Attendants

International Journal of Public Health Science (IJPHS) ◽

10.11591/ijphs.v6i1.6528 ◽

2017 ◽

Vol 6 (1) ◽

pp. 21

Author(s):

Mulugeta Shegaze

Keyword(s):

Logistic Regression ◽

Antenatal Care ◽

Associated Factors ◽

Post Partum ◽

P Value ◽

Danger Sign ◽

Health Extension Workers ◽

Cross Sectional ◽

Obstetric Danger Signs ◽

Danger Signs

Knowledge of mothers about obstetric danger sign is the basic influencing factor for utilization of skilled maternal and neonatal cares which reduce maternal and new born mortality and morbidity. Therefore this study intended to assess knowledge about obstetric danger sign and identify associated factors among antenatal care attendants. Institutional based cross- sectional study was conducted from April to June 2015 among 358 randomly selected antenatal care attendants. Epi Info version 7 and SPSS version 20 software were used for data entry and analysis respectively. Logistic regression was run to look for the association between dependent and explanatory variables; and using variables which have p-value ≤ 0.25 binary logistic regression was fitted. Association presented in Odds ratio with 95% confidence interval and significance determined at P-value less than 0.05. Most of the respondents able to name some of the accepted danger signs. Two hundred eight (58%), 182(51%) and, 161(45%) of mother were knowledgeable for obstetric danger sign which could occur during pregnancy, at child birth and post-partum period respectively. The most mentioned dander signs were bleeding, retained placenta and prolonged labor. The factors that associated with Knowledge of obstetric danger signs were urban residence (AOR=2.6; 95% CI: 1.8, 4.2), being literate (AOR=2.54; 95% CI: 1.14, 5.76), multiparity (AOR 1.5; 95% CI: 1.14, 2.3) and being informed (AOR=3; 95% CI: 1.6, 6.4). The study showed that attendant’s knowledge was low. This could be averted through strategies designed to address women’s through health extension workers and health professionals.

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Coverage of intermittent preventive treatment of malaria in pregnancy in four sub-Saharan countries: findings from household surveys

International Journal of Epidemiology ◽

10.1093/ije/dyaa233 ◽

2020 ◽

Author(s):

Clara Pons-Duran ◽

Mireia Llach ◽

Charfudin Sacoor ◽

Sergi Sanz ◽

Eusebio Macete ◽

...

Keyword(s):

Antenatal Care ◽

Intermittent Preventive Treatment ◽

Preventive Treatment ◽

Malaria Prevention ◽

Reproductive Age ◽

Cluster Sampling ◽

Household Surveys ◽

Cross Sectional ◽

Sub Saharan ◽

In Pregnancy

Abstract Background Intermittent preventive treatment in pregnancy (IPTp) with sulphadoxine-pyrimethamine (SP) is a key malaria prevention strategy in areas with moderate to high transmission. As part of the TIPTOP (Transforming IPT for Optimal Pregnancy) project, baseline information about IPTp coverage was collected in eight districts from four sub-Saharan countries: Democratic Republic of Congo (DRC), Madagascar, Mozambique and Nigeria. Methods Cross-sectional household surveys were conducted using a multistage cluster sampling design to estimate the coverage of IPTp and antenatal care attendance. Eligible participants were women of reproductive age who had ended a pregnancy in the 12 months preceding the interview and who had resided in the selected household during at least the past 4 months of pregnancy. Coverage was calculated using percentages and 95% confidence intervals. Results A total of 3911 women were interviewed from March to October 2018. Coverage of at least three doses of IPTp (IPTp3+) was 22% and 24% in DRC project districts; 23% and 12% in Madagascar districts; 11% and 16% in Nigeria local government areas; and 63% and 34% in Mozambique districts. In DRC, Madagascar and Nigeria, more than two-thirds of women attending at least four antenatal care visits during pregnancy received less than three doses of IPTp. Conclusions The IPTp3+ uptake in the survey districts was far from the universal coverage. However, one of the study districts in Mozambique showed a much higher coverage of IPTp3+ than the other areas, which was also higher than the 2018 average national coverage of 41%. The reasons for the high IPTp3+ coverage in this Mozambican district are unclear and require further study.

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FACTORS AFFECTING UTILIZATION OF ANTENATAL CARE SERVICES IN SANA'A CITY, YEMEN

Malaysian Journal of Public Health Medicine ◽

10.37268/mjphm/vol.17/no.3/art.230 ◽

2017 ◽

Vol 17 (3) ◽

pp. 1-14

Author(s):

Seham Othman ◽

Taha Almahbashi ◽

Alabed Ali A. Alabed

Keyword(s):

Antenatal Care ◽

Signs And Symptoms ◽

First Trimester ◽

Health Problems ◽

Reproductive Age ◽

Cross Sectional ◽

Factors Affecting ◽

Danger Signs ◽

Care Services ◽

Mother Education

Antenatal care is a vital part of primary healthcare that is known to improve maternal and newborn outcomes. The aim of this study was to identify the factors affecting utilization of antenatal care services for women in reproductive age in Yemen. This cross-sectional community-based study was conducted in six districts of Sana’a City, Yemen. Data were collected from 460 mothers who gave birth in the past six months via face-to-face interviews at home between September to December 2010. Only 54% of mothers were found to have made four or more antenatal care visits. Almost two third of participants made their first visit during their first trimester due to presence of health problems and did not follow up when they became healthy during pregnancy. Reasons for not receiving antenatal care services due to absence of health problems, high cost of antenatal care services, long waiting time, and poor staff attitude. Sixty percent of participants were unaware of the danger symptoms of common health problems in pregnancy. The significant factors affecting utilization of antenatal services were mother education, residence place, age at first pregnancy, gravida, parity, occurrence of pregnancy without planning, and number of live children (P<0.05). The factors affecting the number of visits were mother education, place of residence, and husband work were (P<0.05). Future healthcare activities should focus on improving women’s awareness of the importance of antenatal care even in the absence of noticeable health problems and lack of education about the common danger signs and symptoms of pregnancy.

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Effects of Novel Coronavirus 2019 Infection on Antenatal Hematological Parameters in Pregnant Women

10.53350/pjmhs2115113279 ◽

2021 ◽

Vol 15 (11) ◽

pp. 3279-3284

Author(s):

Monika . ◽

Israt Saba Mari ◽

Monika Maheshwari ◽

Shahida Shaikh ◽

Qararo Shah Syed ◽

...

Keyword(s):

Antenatal Care ◽

Pregnant Women ◽

Urban Areas ◽

Research Evaluation ◽

Hematological Parameters ◽

Haematological Parameters ◽

Maternal Complications ◽

Cross Sectional ◽

Group I ◽

In Pregnancy

Background: Disturbance of haematological parameters is prevalent in pregnancy globally leading to a range of feto-maternal complications. Covid-19 infection has potential to enhance the severity of and complications impending due to anaemia in pregnancy. Objective: To determine the effects of Covid-19 infection on haematological parameters during antenatal care among pregnant women in rural Sindh. Study Design: Cross sectional study. Setting: Shaikh Zaid Institute, Chandka Medical College, Larkana. Duration: From March 1, 2021, and May 31, 2021. Materials and Method: A sample of 110 pregnant women, of 18-50 years of age, presenting in first through third trimester with single alive pregnancy, were included in the study after taking a valid written consent. The Research Evaluation Committee of SMBBMU- Larkana granted approval. Women having any haemoglobinopathy were excluded. Covid-19 test conducted through rt-PCR method. A standard questionnaire was used to collect data of two groups. Analysis was performed through SPSS Version-23. Descriptive and inferential statistics were calculated. Results: Mean ± SD age was 30.3 ± 6.99 (Range: 19 to 45) years. Both groups were identical in age. Mean ± SD gestational age was 28.12 ± 4.66 weeks (Range: 20-38). Covid-19 positive women had lower mean Hb (9.7 ± 2.11) than the covid-19 negative (10.54 ± 2.51; P = 0.158). Other haematological parameters like MCV, serum ferritin, TIBC, TLC & platelets were statistically different between groups. Women of eldest group i-e; in 41-50 years, from urban areas, second trimester (gest. age 13-24 weeks), and nulliparous had been affected more from covid-19 (P = 0.271, 0.748, 0.290 & 0.053). Frequency and severity of anaemia was more among Covid-19 positive women. Conclusion: Covid‐19 demands maternal healthcare to be extra vigilant to the haematological parameters of pregnant women during antenatal care till delivery. Keywords: Antenatal care, pregnancy, anaemia, haemoglobin, Covid‐19.

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Knowledge of pregnant women on danger signs related to pregnancy and child birth

10.30574/ijbpsa.2021.1.2.0033 ◽

2021 ◽

Vol 1 (2) ◽

pp. 116-122

Author(s):

Mst. Salma Khatun ◽

Laskhy Rani Roy ◽

Mst. Raziatul Humayra ◽

Ashees Kumar Saha ◽

Rowshan Ara

Keyword(s):

Pregnant Women ◽

Health Workers ◽

Cross Sectional Study ◽

Vital Role ◽

Good Knowledge ◽

Cross Sectional ◽

Poor Knowledge ◽

Child Birth ◽

Danger Signs ◽

Adequate Knowledge

Adequate knowledge regarding danger signs during pregnancy, child birth and postpartum period plays a vital role in safeguarding mothers as well as child health. This cross sectional study was conducted by purposively selected 262 pregnant women in two hospitals in Bogura district from 1st January to 31st December, 2018 with the aim to assess the knowledge of pregnant women on danger signs related to pregnancy and child birth. Data were collected with a semi-structured questionnaire through face-to-face interview. The mean age of the respondent’s was SD = 23.37 ± 4.47 years. Most of the respondents 61.4%, (n=161) knew about danger signs during pregnancy from health workers and 65.6 % (n=172) had poor knowledge regarding danger signs during pregnancy whereas 34.4% (n=90) respondents had good knowledge. Most of the respondents 61.5%, (n=161) understood danger signs during child birth and 68.7 % (n=180) had poor knowledge regarding danger signs during child birth. Among the respondents 40.5% (n=106) understood dang.er signs after child birth and only 12.2% (n=32) respondents had good knowledge regarding danger signs after child birth. Significant association was found between age of the respondents and level of knowledge regarding danger signs during pregnancy (p=0.0001). Health education on danger signs related to pregnancy and child birth should be imparted to all pregnant women to increase their knowledge regarding this issue.

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Determinants of utilization of antenatal care services in rural area of Bangladesh

Bangladesh Medical Journal ◽

10.3329/bmj.v44i2.27240 ◽

2016 ◽

Vol 44 (2) ◽

pp. 67-71 ◽

Cited By ~ 3

Author(s):

Shayela Farah ◽

Mohoshina Karim

Keyword(s):

Antenatal Care ◽

Care Service ◽

Behavioural Change ◽

Educational Status ◽

Pregnancy Complication ◽

Safe Motherhood ◽

Family Welfare ◽

Cross Sectional ◽

Danger Signs ◽

Care Services

Appropriate ante-natal care services promote safe motherhood and delivery with improved maternal and neonatal outcome. This population based cross sectional descriptive study was carried out to determine the utilization of antenatal care (ANC) services in a rural community of Bangladesh. Out of the 112 women studied, 63.4% mothers were found to receive antenatal care. Among them one third (32.4%) took it more than 4 occasions, 34(47.8%) pregnant women received antenatal care from government hospitals, 19(27%) from family welfare centre, 6(8.5%) from satellite clinics and around 12(17%) received from private hospitals. Around 71% mothers received ANC service from doctor while 17% mothers received from trained professionals. Seventy four percent mothers received tetanus (TT) injections. Only one fourth (25.3%) mothers had not received it. On an average, 90% mothers received iron tablets during their pregnancy. Regarding have danger signs during pregnancy, it was found that, 58.9% mothers were not aware about the have danger signs and 29.5% respondents knew about all the danger signs. Association between educational status and treatment seeking behaviour for pregnancy complication was found to be statistically significant (p<0.05). However, association between educational status and place of treatment for pregnancy complication was also found significant (p<0.01). Intensive awareness programme, behavioural change interventions and regular pregnancy monitoring may promote antenatal care service utilization in rural Bangladesh.Bangladesh Med J. 2015 May; 44 (2): 67-71

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Effect of Place of Birth on Knowledge of Neonatal Danger Signs and Associated Factors among Mother's in Meicha District, Northwest Ethiopia: A Community-based Comparative Cross-Sectional Study

10.21203/rs.2.19041/v1 ◽

2019 ◽

Author(s):

Teferi Gebru Gebremeskel ◽

Adino Tesfahun Tsegaye ◽

Alehegn Bishaw Geremew ◽

Teklit Grum

Keyword(s):

Associated Factors ◽

Cross Sectional Study ◽

Northwest Ethiopia ◽

Sectional Study ◽

Danger Sign ◽

Community Based ◽

Cross Sectional ◽

Health Institution ◽

Danger Signs ◽

Health Institutions

Abstract Background: Danger signs in the neonatal period are non-specific and could be a manifestation of almost any newborn disease. Early recognition of these signs by mothers is a pre-request for increasing neonatal care-seeking behavior. There four this study aimed to assess knowledge of neonatal danger signs and associated factors among mothers who gave birth at home and health institutions in Meicha District, Northwest Ethiopia. Methods: A community based comparative cross-sectional study was conducted among Home and Health institutions delivered mothers two months before the survey. A simple random sampling method was used to select the participants. Data was collected by face to face interviews of mothers. Binary logistic regression analysis was used to identify associated factors. The odds ratio with 95% CI was computed to assess the strength of the associations. Result: A total of 650 (325 health institution delivered and 325 home delivered) mothers were interviewed. Among this, 50.7% (AOR=2.19, 95%, CI (1.594-3.003)) of the mother were knowledge of neonatal danger sign in the district. Mother knowledge of neonatal danger sign was higher among mothers who give birth health institution (60.1%) than home (41.1%). Age of the mother (AOR:3.99, 95% CI:(1.45-11.03)), age of new born (AOR:0.53, 95% CI:(0.36-0.78)), parity (AOR:1.27, 95% CI:(1.37-5.31)), postnatal care attendance (AOR=2.42,95% CI: (1.47, 3.96)), distance of health center (AOR:0.46,95% CI:(0.27,0.78)) were significantly associated with overall mother’s knowledge of neonatal danger sign. Whereas, residence (AOR: 3.09, 95% CI:(1.44, 6.64)) and occupational status of husband (AOR:0.23, 95% CI:(0.201,0.67)) were significantly associated with health institution delivered mother. Age of new born (AOR: 0.50, 95% CI:(0.28,0.896)), parity(AOR: 0.29, 95% CI:(0.113,0.74)), antenatal care (AOR: 12.04, 95% CI: (5.9,24.65)) and postnatal care attendance (AOR:0.27,95% CI:(0.138,0.51)) was significantly associated with home delivered mother. Conclusion: The overall mother’s knowledge of neonatal danger signs was low. However, health institutions delivered mother more knowledge about danger signs than home-delivered mothers. Therefore, it is better if the district Health Office should investigate the implementation of educational programs in the community and strengthen the health extension program.

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