Impact of Antenatal Care on Birth Preparedness and Knowledge of Obstetrics Danger Signs in Married Indian Women Attending a Tertiary Care Hospital

2018 ◽  
Vol 6 (1) ◽  
pp. 54-58
Author(s):  
Sumitra Bachani ◽  
◽  
Supriya Dankher ◽  
Swati Shivhare ◽  
Neha Pruthi ◽  
...  
Keyword(s):  
Antenatal Care ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Birth Preparedness ◽  
Care Hospital ◽  
Indian Women ◽  
Danger Signs

scholarly journals Assessment of Birth Preparedness and Complication Readiness among Postnatal Mothers in Tertiary Care Hospital, West Bengal

2021 ◽  
Author(s):  
Bratadipa Sau ◽  
Santanu Ghosh ◽  
Amrita Samanta
Keyword(s):  
West Bengal ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
P Value ◽  
Birth Preparedness ◽  
Care Hospital ◽  
Complication Readiness ◽  
Normal Birth ◽  
Danger Signs ◽  
Postnatal Mothers

Introduction: Maternal mortality still remains a major public health challenge in India. Delays in seeking, reaching and obtaining to appropriate intranatal care are the crucial factors determining maternal mortality. Birth Preparedness and Complication Readiness (BPACR) is the process of planning for normal birth and anticipating the actions needed in case of an emergency. It is a logical process of addressing delays in delivery. Aim: To assess BPACR status of postnatal mothers using BPACR index and to determine association between socio demographic and other variables and BPACR status among them. Materials and Methods: The cross-sectional, observational study was conducted on 200 post-natal mothers of Indoor Patient Department (IPD), Department of Gynaecology and Obstetrics, in a tertiary care hospital in West Bengal. Socio demographic information and information on antenatal history, decision makers during pregnancy, type and distance of nearest health facility, knowledge of danger signs, identification of the skilled birth attendant, mode of transport, arrangement for money and other variables were collected by interviewing the patients with a predesigned, pretested, semi structured schedule and by reviewing records. BPACR is the process of planning for normal birth and anticipated actions needed during an emergency. To assess BPACR status among postnatal women, BPACR index is measured which consists of a set of indicators. Data were analysed using Statistical Package for the Social Sciences (SPSS) version 20.0. Proportion and chi-square test were used wherever applicable. The p-value of less The p-value of less than 0.05 was taken as statistically significant. Results: The final BPACR index was 61.07. All participants identified skilled birth attendants for delivery. Almost all were aware of Janani Suraksha Yojana (JSY). Among 200 women, about 90% of them had knowledge about transportation services provided by the government. Only 63.5% of the mothers (127/200) availed Antenatal Care (ANC) by skilled provider. About 38.5% (77/200) of study participants identified the mode of transportation, and 38% (76/200) of them saved money for delivery expenses. No participant could identify more than eight danger signs of pregnancy. Overall, 75% (150/200) of participants were well prepared. On bivariate analysis, good preparedness have been found to be significantly associated (p-value <0.05) with age group, type of decision maker during pregnancy and presence of the husband accompanying their wives in any of the ANC visits. Conclusion: Majority of the population were well prepared, but awareness on danger signs was very low. Women empowerment in terms of behavior change communication at family, community and tertiary care level to be carried out through formal and informal approaches are the needs of the hour.

scholarly journals A study on knowledge and practices of antenatal care among pregnant women attending antenatal clinic at a Tertiary Care Hospital of Pune, Maharashtra

2016 ◽  
Vol 9 (3) ◽  
pp. 354 ◽  
Author(s):  
BarunBhai Patel ◽  
Pranaya Gurmeet ◽  
DatttreyaRamkrishna Sinalkar ◽  
KapilH Pandya ◽  
Ajoy Mahen ◽  
...  
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Antenatal Clinic ◽  
Care Hospital

scholarly journals A study on demographic and obstetric profile, its relation with present antenatal practices and prevalence of anaemia in pregnant women attending tertiary care hospital

2021 ◽  
Vol 8 (5) ◽  
pp. 2233
Author(s):  
Nitin A. Lodha
Keyword(s):  
Maternal Health ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Maternal Health Services ◽  
Study Data ◽  
Care Hospital ◽  
Chi Square ◽  
Cross Sectional

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.

scholarly journals A study on knowledge, attitude and practices regarding antenatal care among pregnant women attending antenatal clinic at a tertiary care hospital

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.

scholarly journals Maternal and fetal characteristics and causes of stillbirth in a tertiary care hospital of Nepal: secondary analysis of registry-based surveillance data

BMJ Open ◽  
2021 ◽  
Vol 11 (8) ◽  
pp. e045012
Author(s):  
Basant Sharma ◽  
Suraj Bhattarai ◽  
Sabita Shrestha ◽  
Rakshya Joshi ◽  
Renuka Tamrakar ◽  
...  
Keyword(s):  
Antenatal Care ◽  
Outcome Measures ◽  
Fetal Death ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Secondary Analysis ◽  
Surveillance Data ◽  
Secondary Outcome ◽  
Care Hospital ◽  
Maternal Hypertension

ObjectivesStillbirth is one of the vital indicators of quality care. This study aimed to determine maternal-fetal characteristics and causes of stillbirth in Nepal.DesignSecondary analysis of single-centred registry-based surveillance data.SettingThe study was conducted at the Department of Obstetrics and Gynecology, Chitwan Medical College Teaching Hospital, a tertiary care hospital located in Bharatpur, Nepal.ParticipantsAll deliveries of intrauterine fetal death, at or beyond 22 weeks’ period of gestation and/or birth weight of 500 g or more, conducted between 16 July 2017 and 15 July 2019 were included in the study.Main outcome measuresThe primary outcome measure of this study was stillbirth, and the secondary outcome measures were maternal and fetal characteristics and cause of stillbirth.ResultsOut of 5282 institutional deliveries conducted over 2 years, 79 (1.5%) were stillbirths, which gives the stillbirth rate of 15 per 1000 births. Of them, the majority (75; 94.9%) were vaginal delivery and only four (5.1%) were caesarean section (p<0.0001). The proportion of the macerated type of stillbirth was more than that of the fresh type (58.2% vs 41.8%; p=0.13). Only half of the mothers who experienced stillbirth had received antenatal care. While the cause of fetal death was unknown in one-third of cases (31.6%; 25/79), among likely causes, the most common was maternal hypertension (29.1%), followed by intrauterine infection (8.9%) and fetal malpresentation (7.6%). Four out of 79 stillbirths (5%) had a birth defect.ConclusionHigh rate of stillbirths in Nepal could be due to the lack of quality antenatal care. The country’s health systems should be strengthened so that pregnancy-related risks such as maternal hypertension and infections are identified early on. Upgrading mothers’ hygiene and health awareness is equally crucial in reducing fetal deaths in low-resource settings.

scholarly journals Effect of maternal education on antenatal care utilization, maternal and perinatal outcome in a tertiary care hospital

2018 ◽  
Vol 8 (1) ◽  
pp. 247
Author(s):  
Isha Chopra ◽  
Sunil K. Juneja ◽  
Sarit Sharma
Keyword(s):  
Birth Weight ◽  
Antenatal Care ◽  
Perinatal Outcome ◽  
Maternal Education ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Utilization ◽  
Care Hospital ◽  
Low Birth Weight Babies ◽  
Antenatal Care Utilization

Background: Antenatal Care (ANC) utilization facility is available but poorly utilized because of many factors which play indirect role in inadequate utilization of antenatal care facility: low social status of women in the society, less opportunity for basic education, less ability to make decisions. Therefore, the present study is an attempt to study the effect of maternal education on antenatal care utilization, maternal and perinatal outcome in a tertiary care hospital.Methods: A prospective study was carried out on 525 cases delivered during period of one year at Dayanand Medical College and Hospital, Ludhiana, Punjab, India; a tertiary care hospital catering both urban and rural population. All cases were categorized into two groups: booked and unbooked. The age, parity and education of each patient in booked and unbooked cases was noted. Further, its impact on antenatal care utilization, maternal and perinatal outcome was studied.Results: On studying education pattern, among illiterate subjects 50% were booked and 50% were unbooked; For graduate and above were 80.6% and 19.4%respectively. Among mothers who were illiterate 90.9% had low birth weight babies and 13.6% had stillborn. Among those graduates and above 38.7% had low birth weight babies,1.5 % stillborn and 1.2% neonatal deaths.Conclusions: The educational status of the women came out as a significantly important variable and predictor of perinatal outcome. Hence, whole hearted efforts should be directed in educating women population and also improving health care facilities in rural areas to provide early referral to higher centers.

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