Knowledge, attitude and preferences of pregnant women towards mode of delivery in a tertiary care center

Background: Whether a mother should be allowed to choose between the modes of delivery is a matter of concern among practicing obstetricians. This study aims to explore the knowledge of the Nepalese women attending a tertiary care center about the benefits and complications of vaginal and caesarean delivery and their attitude and preference for the method of delivery.Methods: The study was a hospital based cross sectional questionnaire survey conducted in Nepal Medical College teaching Hospital, Jorpati from 1stShrawan 2074 to 31st Ashoj 2074. All pregnant women who were 36 weeks or more in gestation attending the clinic during the study period were included in the study. A questionnaire was made of 10 questions for knowledge assessment regarding mode of delivery consisting of the indications, the possible complications and advantages of vaginal and caesarean delivery. Results: A total of 256 pregnant women participated in the study. The knowledge of the mode of delivery, their benefit and complications was medium to good in approximately 90% of the mothers attending the antenatal OPD. Overall attitude for vaginal delivery was positive in 93% of women and negative or neutral in 6.6%.Overall attitude for caesarean delivery was positive in 24% and negative or neutral in 75.8%.Conclusions: Women in our setup agree that vaginal delivery is a natural and acceptable method of delivery and would prefer to have a vaginal delivery. Keywords: Attitude; knowledge; modes of delivery; women.

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Prevalence of asymptomatic bacteriuria and sterile pyuria in pregnant women attending antenatal clinic in a tertiary care center in Karnataka: A pilot study

Clinical Epidemiology and Global Health ◽

10.1016/j.cegh.2012.11.001 ◽

2013 ◽

Vol 1 (1) ◽

pp. 44-49

Author(s):

Avivar Awasthi ◽

Prashanth Adiga ◽

Sugandhi Rao

Keyword(s):

Pilot Study ◽

Pregnant Women ◽

Care Center ◽

Tertiary Care ◽

Asymptomatic Bacteriuria ◽

Antenatal Clinic ◽

Tertiary Care Center ◽

Sterile Pyuria

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Prevalence of pre-gestational diabetes among the antenatal women attending a tertiary care center

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20170466 ◽

2017 ◽

Vol 6 (3) ◽

pp. 797 ◽

Cited By ~ 1

Author(s):

Renji S. R. ◽

Sujatha Thankappan Lekshmi ◽

Nirmala Chellamma

Keyword(s):

Gestational Diabetes ◽

Pregnant Women ◽

Statistical Tests ◽

Care Center ◽

Tertiary Care ◽

First Trimester ◽

Adverse Outcomes ◽

Tertiary Care Center ◽

Family History Of Diabetes ◽

History Of

Background: Number of pregnant women with preexisting diabetes is increasing. Hence the detection and management of diabetes from the beginning of pregnancy itself will help to improve the fetal and maternal outcome. Aim of the study was to determine the prevalence of pre-gestational diabetes among the antenatal women attending a tertiary care center and to study the associated factors.Methods: This was a cross sectional study conducted in SAT hospital, Government Medical College, Trivandrum, Kerala, India for one year. HbA1C was the test used to diagnose diabetes. 400 women attending the OP in their first trimester were selected after informed consent. Socio demographic factors assessed by a structured questionnaire. Blood samples were taken for HbA1C. Diagnosis of diabetes was made at levels of HbA1C ≥6.5%. Statistical tests used were mean, standard deviation, chi-square and odds ratio.Results: Prevalence of pre-gestational diabetes was 3.8%.in our study. Main associations were age more than 25 years, body mass index, family history of diabetes, history of intra uterine death, gestational diabetes in previous pregnancy, candidiasis and thyroid disease.Conclusions: Screening of all pregnant women in first trimester itself for diabetes will help in early detection of pre-gestational diabetes, so that anticipation of adverse outcomes and proper management can be done in such cases.

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Awareness of Periodontal Diseases and its associated Adverse Pregnancy Outcomes among Pregnant Women attending a Tertiary Care Center

Journal of College of Medical Sciences-Nepal ◽

10.3126/jcmsn.v17i3.37231 ◽

2021 ◽

Vol 17 (3) ◽

pp. 213-219

Author(s):

Junima Rajkarnikar ◽

Samriddhi Vaidya ◽

Jemish Acharya

Keyword(s):

Pregnant Women ◽

Pregnancy Outcomes ◽

Dental Treatment ◽

Periodontal Diseases ◽

Care Center ◽

Tertiary Care ◽

Adverse Pregnancy Outcomes ◽

Tertiary Care Center ◽

Gram Negative ◽

Adverse Pregnancy

Introduction: Periodontal diseases are associated with high levels of gram-negative periodontal pathogens that apparently increase abundantly in the presence of pregnancy-associated hormones. Endotoxins from gram-negative bacteria enter the circulation at high levels to stimulate the production of inflammatory mediators, such as prostaglandins and other inflammatory mediators which are potent inducers of labor. The present study was conducted to assess oral health awareness and experience among pregnant women attending a tertiary care hospital. Methods: A cross-sectional study was conducted in 167 pregnant women visiting a tertiary care center using self- administered structured questionnaire consisting of questions related to knowledge and awareness regarding periodontal diseases and its possible associated adverse pregnancy outcomes. Results: Of the total participants, 55.7% said that they did not think gum disease can have adverse pregnancy outcomes. Only 35.9% had, at some point, consulted a dentist for bleeding gums and 36.5% of them had gingival enlargement during pregnancy but 46.1% said that they should wait for the delivery before they could do any dental treatment. Also, 40.1% did not know the safe trimester to undergo dental treatment and only 20.4% said the second trimester was the safest to undergo any dental procedure. Conclusions: The study showed that awareness and knowledge of periodontal health among pregnant women was not satisfactory. Keywords: Awareness; adverse pregnancy; periodontal disease; pregnancy outcomes.

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Self-medication among pregnant women attending antenatal clinic at Tertiary Care Center of Nepal

Janaki Medical College Journal of Medical Science ◽

10.3126/jmcjms.v8i2.33971 ◽

2020 ◽

Vol 8 (2) ◽

pp. 5-10

Author(s):

Ajit Kumar Sah ◽

Anish Giri ◽

Anjan Palikhey ◽

Roshan Kumar Chaurasiya ◽

Sudeep Kumar Yadav

Keyword(s):

Pregnant Women ◽

Care Center ◽

Tertiary Care ◽

Antenatal Clinic ◽

Cross Sectional Study ◽

Reproductive Age ◽

Tertiary Care Center ◽

Self Medication ◽

Cross Sectional ◽

Tract Infections

Background and Objectives: Self-medication can cause significant challenges for the individuals and community, especially in women during pregnancy. The aim of this study was to evaluate the prevalence of self-medication among the pregnant women attending antenatal clinic in a tertiary care center of Nepal. Material and Methods: In this cross-sectional study, a total of 225 pregnant women were evaluated for the prevalence of self-medication during pregnancy. Descriptive statistics and chi-square tests were used for statistical analysis of data. Results: The results showed that the prevalence of self-medication, in pregnant women was 41.3%. The leading illness/ symptoms which led to self-medication among pregnant women attending clinic were to relieve headaches 29 (31.2%), cough 21 (22.6%), vomiting 13 (14%), treat fever 11 (11.8%), urinary tract infections 11 (11.8%) and drugs commonly reported for self-medication were paracetamol (30.10%), cough remedies (19.30%), antiemetics (16.13%), analgesics (10.75%). Conclusion: Prevalence of self-medication among pregnant women is high in Nepal. This is a threat to the safety of the developing foetus and the pregnant woman. Therefore, it seems necessary to provide public trainings for all women of reproductive age and train them about the dangers and side effects of self-medication.

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Prevalence and Outcome of Induction of Labor in a Tertiary Care Center of Kathmandu, Nepal

Nepal Journal of Obstetrics and Gynaecology ◽

10.3126/njog.v14i2.28441 ◽

2019 ◽

Vol 14 (2) ◽

pp. 54-56

Author(s):

Dhan Bahadur Shrestha ◽

Rosy Malla ◽

Reeta Manandhar ◽

Ratna Khatri ◽

Cimona Shrestha ◽

...

Keyword(s):

Care Center ◽

Tertiary Care ◽

Mode Of Delivery ◽

Cross Sectional Study ◽

Induction Of Labor ◽

Maternity Unit ◽

Tertiary Care Center ◽

Maternal Complications ◽

Cross Sectional ◽

Vaginal Deliveries

Aim: To study the prevalence of induction of labor and obstetric and neonatal outcome among delivery cases in the maternity unit of a tertiary care center. Methods: This is a prospective cross-sectional study conducted on pregnant ladies presenting to maternity unit of Shree Birendra Hospital, Chhauni over a period of six months from March to August 2017. All pregnant ladies in labor during the study period were enrolled. Induction of labor, mode of delivery, perinatal outcome (gestational age at delivery, birth weight), and maternal complications if any were recorded. Results: Among 497 deliveries in the study period, induction of labor was performed in 117 (23.5%) cases with post-date pregnancy being the most common indication. Induction was successful with vaginal deliveries in 82(70.1%) cases, while in the rest, IOL failed. Among the induced cases, 17 (14.5%) neonates had poor APGAR at 5 minutes and there was significant association of IOL with low APGAR. There was normal post-natal recovery in 108 (92.3%) induced cases while 9 (7.7%) cases developed some maternal complications. IOL has no significant association with maternal and neonatal complications or perineal injury (p>0.05). Conclusions: The prevalence of induction in this center is slightly higher than other centers. The IOL has significant association with low APGAR at 5 minutes but no significant association with the neonatal and maternal complications.

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