Knowledge of obstetric danger signs among pregnant women attending antenatal clinic at rural health training centre of a medical college in Hyderabad

Background: One of the major causes for the death of women is due to maternal mortality. Around 529,000 women die annually from maternal causes (World Health Organization (WHO) estimate) Majority of these deaths occur in the less developed countries. An Indian woman dies from complication related to pregnancy and child birth for every 7 minutes. For every woman who dies =30 more women suffer injuries, infection and disability. In Sub-Saharan Africa, where one of every 16 women dies of pregnancy related causes during her lifetime, compared with only 1 in 2,800 women in developed regions. Raising awareness of women about obstetric danger signs would improve early detection of problems and helps in seeking timely obstetric care.Methods: A cross sectional study was conducted among pregnant women who attended antenatal clinics between May 2014–August 2014 at field practice areas of RHTC, KAMSRC. A total 274 pregnant women had given consent and participated in the study. Data was collected by interview in local language and a predesigned and pretested questionnaire was used which include socio demographic profile, parity, ANC visits, gravid, knowledge regarding danger signs during pregnancy, post-partum period. Socio-economic status was assessed according to Modified Kuppuswamy’s classification (as per June 2015 CPI).Results: About 35.7%, pregnant women have good awareness 21.2%, average and 43% have poor knowledge about danger signs of pregnancy. Pregnant women in the age group of >30 years, educational status and occupational status of pregnant women and their husbands and pregnant mothers who had regular antenatal check-ups had significant associations with the awareness of obstetric danger.Conclusions: Our study concludes that there is need of creating awareness and increasing the knowledge of women about obstetric danger signs.

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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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Knowledge and understanding of obstetric danger signs among pregnant women attending the antenatal clinic at the National Referral Hospital in Thimphu, Bhutan: a cross-sectional study

BMC Pregnancy and Childbirth ◽

10.1186/s12884-021-03580-4 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Saran Tenzin Tamang ◽

Thinley Dorji ◽

Sonam Yoezer ◽

Thinley Phuntsho ◽

Phurb Dorji

Keyword(s):

Pregnant Women ◽

Knowledge Score ◽

Antenatal Clinic ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Obstetric Danger Signs ◽

Danger Signs ◽

Obstetric Emergencies ◽

Level Of Knowledge

Abstract Background The third Sustainable Development Goal for 2030 development agenda aims to reduce maternal and newborn deaths. Pregnant women’s understanding of danger signs is an important factor in seeking timely care during emergencies. We assessed knowledge of obstetric danger signs using both recall and understanding of appropriate action required during obstetric emergencies. Methods This was a cross-sectional study among pregnant women attending antenatal clinic at Bhutan’s largest hospital in Thimphu. Recall was assessed against seven obstetric danger signs outlined in the Mother and Child Health Handbook (7 points). Understanding of danger signs was tested using 13 multiple choice questions (13 points). Knowledge was scored out of 20 points and reported as ‘good’ (≥80%), ‘satisfactory’ (60–79%) and ‘poor’ (< 60%). Correlation between participant characteristics and knowledge score as well as number of danger signs recalled was tested using Pearson’s correlation coefficient. Association between knowledge score and participant characteristics was tested using t-tests (and Kruskal-Wallis test) for numeric variables. Socio-demographic and clinical characteristics associated with the level of knowledge ('good’ versus ‘satisfactory’ and ‘poor’ combined) were assessed with odds ratios using a log-binomial regression model. All results with p < 0.05 were considered significant. Results Four hundred and twenty-two women responded to the survey (response rate = 96.0%). Mean (±SD) knowledge score was 12 (±2.5). Twenty women (4.7%) had ‘good’ knowledge, 245 (58.1%) had ‘satisfactory’ knowledge and 157 (37.2%) had ‘poor’ knowledge. The median number of danger signs recalled was 2 (IQR 1, 3) while 68 women (20.3%) could not recall any danger signs. Most women were knowledgeable about pre-labour rupture of membranes (96.0%) while very few women were knowledgeable about spotting during pregnancy (19.9%). Both knowledge score and number of danger signs recalled had significant correlation with the period of gestation. Women with previous surgery on the reproductive tract had higher odds of having ‘good’ level of knowledge. Conclusions Most pregnant women had ‘satisfactory’ knowledge score with poor explicit recall of danger signs. However, women recognized obstetric emergencies and identified the appropriate action warranted.

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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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The Relationship Between The Number of Parities and Pregnancy Age with Maternal Anemia

Journal of Health Science and Prevention ◽

10.29080/jhsp.v2i1.113 ◽

2018 ◽

Vol 2 (1) ◽

pp. 42-47

Author(s):

Irul Hidayati ◽

Esti Novi Andyarini

Keyword(s):

Pregnant Women ◽

Simple Random Sampling ◽

Risk Groups ◽

Developed Countries ◽

World Health ◽

Cross Sectional ◽

Maternal Anemia ◽

Low Degree ◽

Health Organization ◽

The Relationship

According to the World Health Organization, the anemia prevalence was estimated reach 9% in developed countries, while in developing countries reached 43%. The most-at-risk groups were children and women at fertile age, with an estimated prevalence of anemia in infants at 47%, pregnant women by 42%, and in non-pregnant women t ages 15-49 reached 30%. This was an observational analytic research with cross sectional approach. The purpose was to analyzed the relationship between the number of parity and the pregnancy age with the incidence of maternal anemia. The population in this study were 111 pregnant womens who checked their pregnancy to Public Healt Center (PHC) Kintamani 1 at Bangli regency, the province of Bali. The simple random sampling was used in the research with 87 peoples acted as research sample. Using Rank Spearman Correllation test, it was founded that there was a relationship between the number of parity with the incidence of maternal anemia a low relationship, and there was a relationship between gestational age with maternal anemia incidence with a low degree relationship.

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Awareness of obstetric danger signs among pregnant women in the Democratic Republic of Congo: evidence from a nationwide cross-sectional study

BMC Women s Health ◽

10.1186/s12905-021-01234-3 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Dalau Mukadi Nkamba ◽

Gilbert Wembodinga ◽

Pierre Bernard ◽

John Ditekemena ◽

Annie Robert

Keyword(s):

Pregnant Women ◽

Democratic Republic ◽

Democratic Republic Of Congo ◽

Kappa Statistic ◽

Cross Sectional ◽

Republic Of Congo ◽

Obstetric Danger Signs ◽

Mortality And Morbidity ◽

Factors Associated ◽

Danger Signs

Abstract Background Poor awareness of obstetric danger signs is a major contributing factor to delays in seeking obstetric care and hence to high maternal mortality and morbidity worldwide. We conducted the current study to assess the level of agreement on receipt of counseling on obstetric danger signs between direct observations of antenatal care (ANC) consultation and women’s recall in the exit interview. We also identified factors associated with pregnant women’s awareness of obstetric danger signs during pregnancy in the Democratic Republic of Congo (DRC) Methods We used data from the 2017–2018 DRC Service Provision Assessment survey. Agreement between the observation and woman’s recall was measured using Cohen’s kappa statistic and percent agreement. Multivariable Zero-Inflated Poisson (ZIP) regression was used to identify factors associated with the number of danger signs during pregnancy the woman knew. Results On average, women were aware of 1.5 ± 1.34 danger signs in pregnancy (range: 0 to 8). Agreement between observation and woman’s recall was 70.7%, with a positive agreement of 16.9% at the country level but ranging from 2.1% in Bandundu to 39.7% in Sud Kivu. Using multivariable ZIP analysis, the number of obstetric danger signs the women mentioned was significantly higher in multigravida women (Adj.IRR = 1.38; 95% CI: 1.23–1.55), in women attending a private facility (Adj.IRR = 1.15; 95% CI: 1.01–1.31), in women attending a subsequent ANC visit (Adj.IRR = 1.11; 95% CI: 1.01–1.21), and in women counseled on danger signs during the ANC visit (Adj.IRR = 1.19; 95% CI: 1.05–1.35). There was a regional variation in the awareness of danger signs, with the least mentioned signs in the middle and the most in the eastern provinces. Conclusions Our findings indicated poor agreement between directly observed counseling and women’s reports that counseling on obstetric danger signs occurred during the current ANC visit. We found that province of residence, provision of counseling on obstetric danger signs, facility ownership, gravidity and the number of ANC visits were predictors of the awareness of obstetric danger signs among pregnant women. These factors should be considered when developing strategies aim at improving women’s awareness about obstetric danger signs in the DRC

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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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Prevalence and associated factors of anemia among pregnant women in Sana’a, Yemen

Indian Journal of Medical Sciences ◽

10.25259/ijms_5_2020 ◽

2020 ◽

Vol 72 ◽

pp. 185-190

Author(s):

Samah Al-Aini ◽

C. Prathapa Senan ◽

Meram Azzani

Keyword(s):

Pregnant Women ◽

Low Socioeconomic Status ◽

Associated Factors ◽

Developed Countries ◽

Folic Acid Supplementation ◽

Cross Sectional Study ◽

Health Problems ◽

World Health ◽

Cross Sectional ◽

Study Participants

Objectives: According to the World Health Organization estimates, approximately half of the pregnant women suffer from anemia worldwide. Anemia prevalence during pregnancy ranges from 18% in developed countries to 75% in South Asia. This study aimed at determining the prevalence and associated factors of anemia among pregnant women in the second and third trimesters in Sho’ub District of Sana’a City, Yemen. Material and Methods: A cross-sectional study was conducted on 384 pregnant women aged between 15 and 49 years. Convenience sampling method was used to select the study participants. Information on the participants’ sociodemographic characteristics and nutritional and health status was collected using a structured questionnaire through face-to-face interview with participants. The hemoglobin level measurements were assessed using the Sysmex analyzer. Both descriptive and inferential analyses were utilized. Results: The prevalence of anemia among study participants was 25%; of which 70.83% had mild anemia, 28.13% had moderate anemia, and only 1.04% had severe anemia. Risk factors associated with anemia were low family monthly income (odds ratio [OR] = 0.357, 95% confidence interval [CI] = 0.215–0.590; p =0.001), short pregnancy spacing (OR = 3.106, 95% CI = 1.375–7.016; p = 0.06), never consumed liver (OR = 3.004; 95% CI = 1.528-5.790; p =0.001), and presence of health problems (OR = 2.260; 95% CI = 1.342–3.806; p = 0.002). Conclusion: Findings of the study revealed a high prevalence rate of anemia (25%) among pregnant women in Sana’a, Yemen, with low socioeconomic status, short pregnancy intervals, and having other health problems were the associated factors of anemia among the women studied. The findings suggest the need for implementing effective preventive strategies, especially advocacy and monitoring of the iron and folic acid supplementation.

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Knowledge and Understanding of Obstetric Danger Signs Among Pregnant Women Attending the Antenatal Clinic at the National Referral Hospital in Thimphu, Bhutan: A Cross-Sectional Study

10.21203/rs.3.rs-103140/v1 ◽

2020 ◽

Author(s):

Saran Tenzin Tamang ◽

Thinley Dorji ◽

Sonam Yoezer ◽

Thinley Phuntsho ◽

Phurb Dorji

Keyword(s):

Pregnant Women ◽

Knowledge Score ◽

Antenatal Clinic ◽

Cross Sectional Study ◽

Cross Sectional ◽

Obstetric Danger Signs ◽

Danger Signs ◽

Mother And Child Health ◽

Mother And Child ◽

Obstetric Emergencies

Abstract Background: The third Sustainable Development Goal aims to reduce maternal and newborn deaths. Pregnant women’s understanding of danger signs is an important factor in seeking timely care during emergencies. We assessed knowledge of obstetric danger signs using both recall and understanding of appropriate action required during obstetric emergencies.Methods: This was a cross-sectional study among pregnant women attending antenatal clinic at Bhutan’s largest hospital in Thimphu. Recall was assessed against seven obstetric danger signs outlined in the Mother and Child Health Handbook (7 points). Understanding of danger signs was tested using 13 multiple choice questions (13 points). Knowledge was scored out of 20 points and reported as “good” (≥80%), “satisfactory” (60 – 79%) and “poor” (<60%). Association between knowledge score and participant characteristics were tested using Chi-square, Fisher’s Exact and t-tests. Corresponding non-parametric tests were performed where appropriate. Correlation between participant characteristics and knowledge score as well as number of danger signs recalled was tested using Pearson’s correlation coefficient. Results with p<0.05 were considered significant.Results: Four hundred and twenty-two women responded to the survey (response rate = 96.0%). Mean (±SD) knowledge score was 12 (±2.5). Twenty women (4.7%) had “good knowledge”, 245 (58.1%) had “satisfactory knowledge” and 157 (37.2%) had “poor knowledge”. The median number of danger signs recalled was 2 (IQR 1, 3) while 68 (20.3%) women could not recall any danger signs. Women were most knowledgeable about pre-labour rupture of membranes (96.0%) and least knowledgeable about spotting during pregnancy (19.9%). Knowledge level was significantly associated with reading Mother and Child Health Handbook, mother’s education level, husband’s education level, number of antenatal care visits, gestational age and past surgery on reproductive tract. Both knowledge score and number of danger signs recalled significantly correlated with the period of gestation. Conclusions: Most pregnant women had satisfactory knowledge score but recognized the appropriate actions warranted during obstetric emergencies. The MCH Handbook has played a significant role in improving knowledge and understanding of danger signs.

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The Relationship Maternal Activity In Taking Pregnant Women Classes With Reduced Risk Of Childbirth At The Pintu Padang Health Center

Pancasakti Journal Of Public Health Science And Research ◽

10.47650/pjphsr.v1i2.265 ◽

2021 ◽

Vol 1 (2) ◽

pp. 138-142

Author(s):

Miftahul Jannah ◽

Erlina Wanti Harahap ◽

Razia Begum Suroyo

Keyword(s):

Pregnant Women ◽

World Health Organization ◽

Health Center ◽

Post Partum ◽

World Health ◽

Chi Square ◽

Cross Sectional ◽

Health Organization ◽

The Relationship ◽

Reduced Risk

Berdasarkan data World Health Organization (WHO) tahun 2017, di dunia diperkirakan setiap menit wanita meninggal karena komplikasi yang terkait dengan kehamilan dan persalinan. Tujuan penelitian ini untuk mengetahui hubungan keaktifan ibu dalam mengikuti kelas ibu hamil dengan penurunan risiko persalinan di Puskesmas. Desain penelitian adalah penelitian survey analitik dengan pendekatan cross sectional. Populasi dalam penelitian ini adalah 54 ibu post partum pada bulan September-Oktober. Teknik pengambilan sampel menggunakan total sampling yaitu seluruh populasi dijadikan sampel sebanyak 54 responden. Analisis data menggunakan analisis univariat dan bivariat menggunakan uji chi-square. Hasil penelitian didapatkan bahwa terdapat hubungan Keaktifan ibu dalam mengikuti kelas ibu hamil dengan penurunan risiko persalinan di Puskesmas Pintu Padang tahun 2020 (p = 0,000 < 0,05). Disarankan agar tenaga kesehatan di Puskesmas untuk meningkatkan implementasi program puskesmas untuk memantau dan melakukan promosi kesehatan mengenai kelas ibu hamil.

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Knowledge about obstetric danger signs among pregnant women attending antenatal clinic in a tertiary care hospital of Delhi: a cross sectional study

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20193808 ◽

2019 ◽

Vol 8 (9) ◽

pp. 3738

Author(s):

Ashok Kumar ◽

Geeta Yadav ◽

Vijay Zutshi ◽

Suman Bodat

Keyword(s):

Pregnant Women ◽

Tertiary Care ◽

Cross Sectional Study ◽

P Value ◽

Care Hospital ◽

Sectional Study ◽

Danger Sign ◽

Cross Sectional ◽

Obstetric Danger Signs ◽

Danger Signs

Background: According to UNICEF, globally 800 million women die due to preventable causes related to pregnancy and childbirth; 20% of which occur in India. It is therefore imperative to understand the level of knowledge about danger signs among pregnant women to augment timely redressal of preventive obstetric causes of mortality.Methods: A hospital based, cross sectional study was conducted at the ANC Clinic in Safdarjung Hospital, New Delhi from 2nd July to 27th July 2018. Convenient sampling was used to identify and interview 354 pregnant women, using a semi structured questionnaire. Data was entered and analysed with SPSSv21. Results were presented as frequencies and proportions. Chi square was used to test for association between qualitative variables, and p-value less than 0.05 was considered significant.Results: 48.3%, 35.6%, and 40.1% of pregnant women had knowledge about danger signs during pregnancy, labour and postpartum respectively. Majority of the women had knowledge about abdominal pain (58.4%) and severe fatigue (80.7%) as danger signs of pregnancy, while bleeding (82.5%) was the most common response as danger sign of labour. More than half had knowledge about heavy bleeding (59.9%) as danger sign of postpartum. The women lacked awareness about Convulsions (92.9%) as danger signs of pregnancy and labour, as well as smelly vaginal discharge (79.6%) in postpartum.Conclusions: Knowledge of obstetric danger signs among pregnant women is still lower. It needs further awareness as it can help in early diagnosis and referral of patients thus reducing maternal mortality and morbidity.

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