scholarly journals Utilization pattern of antenatal health care services among married women of reproductive age group in the rural area of Surendranagar district, Gujarat, India: a community based cross sectional study

Author(s):  
Nishant Bhimani ◽  
Pushti Vachhani ◽  
Girija Kartha
2020 ◽  
Vol 9 (1) ◽  
pp. CM01-CM03
Author(s):  
Arvind Kumar Vimal ◽  
Pankaj Kumar

Background: ANC services is important to ensure safe motherhood. The present study was conducted to assess the utilization of ANC services in rural area.Subjects and Methods:The present study was community based cross-sectional in nature conducted upon 180 currently married women having children of less than one year of age and living in the area covered by rural training center of the institute. Sociodemographic profile and details of utilization of ANC services were noted.Results:Most of the respondents belonged to the age group of 20-30 years. 37.2% of them were illiterate and 58.9% lived in nuclear family. 53.9% had institutional delivery and 42.2% had more than two children. 42.8% of mothers registered their pregnancy before 12 weeks. Only 17.2% mothers had four or more ANC visits. 87.2% of them were fully immunized against tetanus but only 11.1% consumed 100 or more IFA tablets. Lack of awareness was responsible in 28.2%, lack of transport in 16.8%, unwillingness in 34.2% and other reasons in 20.8% cases among the mothers not utilizing ANC services properly.Conclusion: Utilization of ANC services is poor in this area.


Author(s):  
Nishant R. Bhimani ◽  
Pushti V. Vachhani ◽  
Girija P. Kartha

Background: Intra natal care means care taken during delivery. This consists of taking care of not only the mother but also the newborn at the time of child-birth. Appropriate delivery care is crucial for both maternal and perinatal health. Increasing skilled attendance at birth is a central goal of the safe motherhood and child survival mission. Postpartum care aimed at complication-free puerperium and a healthy baby. There is a high risk of mortality for both the mother and her baby in the immediate period around birth. High quality intranatal and postnatal care is the important way to reduce the maternal morbidity and mortality. Utilization of intranatal and postnatal services is poor in the rural areas, which ultimately lead to increased maternal & child morbidity and mortality.Methods: The study was carried out among married women of reproductive age group. Pre-designed and pretested Performa was used to obtain the information from participants. It was community based cross - sectional study. All the collected data were analysed by applying appropriate statistical tests. The data were analysed by statistical package for social sciences (SPSS).Results: A total of 353 women were included in the study. Majority (86.97%) of women utilized health facility either government or private for their deliveries. Significant difference was observed between literacy status as well as socio economic class and utilization of institutional facility for the place of delivery. More than half women i.e. nearly 56% had not availed postnatal care services.Conclusions: Percentage of institutional deliveries as well as deliveries attended by skilled birth attendant was quite better. The most common reason for not availing the intra natal and postnatal services was found to be lack of knowledge regarding importance of these services on the outcome of delivery.


Author(s):  
Suhasini Kanyadi ◽  
Rajesh Kulkarni

Background: Sex ratio in India, has always remained unfavorable to females. Changes in the sex ratio, reflects the underlying socioeconomic, cultural patterns of a society. A number of factors influence the relative benefits and costs of sons and daughters and ultimately the parent’s gender preferences. Objective was to study the factors that determine gender preferences among women of reproductive age group and to formulate preventive measure against gender bias.Methods: A cross-sectional study was conducted by interviewing married women of reproductive age group (15-49 years) attending general OPD and antenatal clinics in urban field practice (n=400) areas of Belagavi. All married women with at least one child were included in the study.Results: Son preference was seen among 137 (34.25%) women participants. Socio-economic factors like religion, literacy status, occupation, socio-economic status were significantly associated (p<0.001) with gender preference. Awareness about PCPNDT act (p<0.0001), self-deprived image (p<0.001) and the gender of previous child (p<0.000001) which was highly significant were the other factors that determined the gender preference among women. Old age dependency and growth of family were the main reasons given by women for existence of son preference and no dowry and security of girls were the two important preventive measures as opined by women for prevention of female feticide.Conclusions: This study clearly infers that son preference is prevalent among women of Belagavi and there is an intricate association of many factors which determine this gender preference. Efforts to address patriarchal gender norms, strengthening the existing laws against dowry, PCPNDT Act, educational and occupational opportunities for females are the dire needs if girls are to be perceived as important and desired in our society.


Biomedicine ◽  
2020 ◽  
Vol 39 (2) ◽  
pp. 298-304
Author(s):  
Timsi Jain ◽  
Yogesh Mohan ◽  
A Sanchana ◽  
K Aanandita ◽  
R Aanchal

Introduction and Aim: Adequate birth spacing has proved to be an important factor in reducing both Maternal and Childhood mortality and morbidity. According to NFHS 4 data currently in India only 2/3rd of the births are having spacing of more than 2 years. Therefore this study was planned to find out the awareness and practice of birth spacing among Married women residing in asemiurban area near Chennai. Methods: Cross-sectional study was conducted among 115 married women of Reproductive age group. Pretested and predesigned semi structured Questionnaire was used to collect data on Awareness and practice regarding birth spacing. Data was analysed using proportions. Results: 96.5% women considered birth spacing as a good practice, 71.3% women had knowledge regarding birth spacing methods. 31.6% women practiced spacing after their first child. IUCDs was the most preferred method adopted. Lack of awareness regarding contraceptives followed by fear of complications was the major reason for not adopting spacing methods. Conclusion: Attitude regarding spacing was found to be good but knowledge and practice were less. It is high time that New contraceptives like injectable DMPA, POP and Centchroman be introduced in all the health facilities and people should be made aware of all the available methods.  


Author(s):  
A. H. Salgar ◽  
A. N. Bhargavi ◽  
G. Nagaiah

Background: Contraceptive practice in India is known to be very heavily skewed towards terminal methods which mean that contraception in India is practiced primarily for birth limitation rather than birth planning. The objective of the study was to study contraceptive practice among married women of reproductive age in rural area.Methods: The study was a cross sectional study among married women with reproductive age group in rural areas of Sangareddy district carried out in Department of Community Medicine, MNR Medical College, Sangareddy, during November 2015 to February 2016. A total sample size of 113 women who are married in age group of 15-45 years and presumed to be sexually active were included in study. The data were collected using structured questionnaire and in-depth interview guide in local language. The collected data were analyzed with proper statistical methods using MS excel 2010.Results: Out of 113 women majority of women were in age group 20-29 years (52.21%). The utilization of contraceptive method was present in 52.21% women with oral contraceptive pills (23.89%) as a choice of method in majority of women.Conclusions: Hence, we conclude that still there is need to create awareness regarding importance of contraception among rural women.


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Tania Dehesh ◽  
Elaheh Salarpour ◽  
Neda Malekmohammadi ◽  
Sepideh Arjomand Kermani

Abstract Background Optimal pregnancy spacing is an important incidence in reproductive women’s health. Short or long pregnancy spacing leads to the greatest health, social and economic problems such as increase in maternal and infant mortality and morbidity, and adverse pregnancy outcomes. The aim of this study is to assess the mean of pregnancy spacing and associated factors of pregnancy spacing among women of reproductive age group with recurrent event analysis. Methods The fertility history of 1350 women aged 15–49 years was collected in this cross-sectional study. The women were selected through multistage random sampling method from a list of clinics in 2018. Some predictors were collected from their records and others were collected by face-to-face interview. The recurrent event survival analysis was used to explore the effect of predictors on pregnancy spacing. The R software program was used for analysis. Results There were nine predictors that had significant effect on pregnancy spacing. These predictors included the age of mother at marriage, mother’s BMI, contraception use, breast feeding duration of the previous child, the education level of husband, the sex preference of the mother, presence of abortion or stillbirth in the preceding pregnancies, income sufficiency, and mother’s awareness of optimum pregnancy interval. The most influential predictors; contraception use (HR = 2.34, 95%CI = 1.23 to 2.76, P < 0.001) and income sufficiency (HR = 2.046, 95%CI = 1.61 to 3.02, P = 0.018) lead to longer and son preference of mother (HR = 2.231, 95%CI = 1.24 to 2.81, P = 0.023) lead to shorter pregnancy spacing. Conclusion The up to date contraception tool should be at hand for couples to manage their pregnancy intervals. The unfavorable economic situation of a family leads to long pregnancy spacing. Despite the relative equality of the status of girls and boys in today’s societies, the desire to have a son child is still an important factor in shorter pregnancy spacing. The benefit of optimal pregnancy spacing should be more announced.


Author(s):  
Radha Ramaiah ◽  
Srividya Jayarama

Background: Cervical cancer is the third most common cancer among women and the fourth leading cause of cancer deaths in females worldwide. The objectives of the study were to assess the level of knowledge, attitude and practice related to cervical cancer and its screening among women of reproductive age group in a rural area of Karnataka and to find the association between socio-demographic characters and knowledge, attitude and practice related to cervical cancer.Methods: A community based cross sectional study was conducted among 200 married women of reproductive age group residing in Javarnahalli, a rural field practice area of AIMS, Karnataka. Data was collected using predesigned, pretested structured questionnaire. The questionnaire consisted of four parts to gather information regarding socio-demographic characteristics of participants, knowledge, attitude and practice regarding cervical cancer and its screening. Institutional ethical committee approval and informed consent from study participants were taken.Results: 64% study participants were not aware of the early symptoms of cervical cancer. Around 34.5% had heard of cervical cancer screening. 76.2% women were willing to screened if offered free of cost. But only 9.5% women had ever been screened for cervical cancer.Conclusions: Strategic communication targeting eligible women, universal availability of screening facilities in public health facilities may increase the uptake of cervical screening. 


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