scholarly journals Knowledge on obstetric danger signs among antenatal mothers attending a tertiary level hospital, Nepal

2017 ◽  
Vol 13 (4) ◽  
pp. 383-387
Author(s):  
Binu Thapa ◽  
Krishnaa Manandhar

Background & Objectives: All pregnant women are at risk and can face problems at any time during or following pregnancy and childbirth which can cause death of mothers. Knowledge of key danger signs is essential for motivating women to seek skilled attendance at birth and also to seek referral in case of complications which definitely improves health of the mother and newborns. This study aimed to assess pregnant womens’ knowledge about obstetric danger signs and its associated factors.Materials & Methods: Quantitative approach with a facility based cross-sectional study was conducted among pregnant mothers attending Anti Natal Clinic of Dhulikhel hospital, Nepal. Data was collected from 1st June to 25th June 2017. Sampling technique was non probability, purposive sampling technique. A standardized tool was adopted. Face to face interview technique was used. Data had been processed by SPSS 20 version then analyzed using descriptive as well as inferential statistic.Results: Two third of the respondents (66.0%) had adequate knowledge on obstetric danger signs, while 21.0% of respondents had inadequate knowledge and few respondents (13.0%) had moderate knowledge on that. Age, educational status and gravida were not significantly associated with knowledge on obstetric danger signs but occupation and trimester of pregnancy were found to be associated with the same.Conclusion: A significant proportion of pregnant women do not have adequate knowledge on obstetric danger signs. Therefore, the quality of health information about obstetric danger signs during ANC follow up is to be improved.

2017 ◽  
Vol 13 (4) ◽  
pp. 406-409 ◽  
Author(s):  
Neema Bhandari ◽  
Satya Shrestha ◽  
Srijana Dongol ◽  
Basanti Bal

Background & Objectives: All pregnant women are at risk and can face problems at any time during or following pregnancy and childbirth which can cause death of mothers. Knowledge of key danger signs is essential for motivating women to seek skilled attendance at birth and also to seek referral in case of complications which definitely improves health of the mother and newborns. This study aimed to assess pregnant womens’ knowledge about obstetric danger signs and its associated factors.Materials & Methods: Quantitative approach with a facility based cross-sectional study was conducted among pregnant mothers attending Anti Natal Clinic of Dhulikhel hospital, Nepal. Data was collected from 1st June to 25th June 2017. Sampling technique was non probability, purposive sampling technique. A standardized tool was adopted. Face to face interview technique was used. Data had been processed by SPSS 20 version then analyzed using descriptive as well as inferential statistic.Results: Two third of the respondents (66.0%) had adequate knowledge on obstetric danger signs, while 21.0% of respondents had inadequate knowledge and few respondents (13.0%) had moderate knowledge on that. Age, educational status and gravida were not significantly associated with knowledge on obstetric danger signs but occupation and trimester of pregnancy were found to be associated with the same.Conclusion: A significant proportion of pregnant women do not have adequate knowledge on obstetric danger signs. Therefore, the quality of health information about obstetric danger signs during ANC follow up is to be improved.


2019 ◽  
Vol 5 (3) ◽  
pp. 73-79
Author(s):  
Arif Hussen

Background: Every pregnant woman faces the risk of sudden, unpredictable complication that could end in death or injury to mother or infant. Each year, approximately 287,000 women die from complications related to pregnancy and childbirth in developing countries. Maternal mortality ratio (MMR) in developing regions is 15 times (240/100,000 live births) higher than in developed regions (16/100,000live births)  Objective: The aim of this study was to determine the knowledge about pregnancy danger signs among mothers attending antenatal care in Jugal Hospital, Harari Regional State, Ethiopia.Methods: Institution based cross-sectional study design was conducted. A systematic random sampling technique was used to select study participants from pregnant mothers attending antenatal care during the time of data collection. Data were collected using a structured questionnaire and it was entered in to EPI Data version 3.1 software program and exported to SPSS version 20 software for analysis.Results: A total of 316 pregnant women were included in the study with a response rate of 86%. The study indicated that 44.67% of the respondents had knowledge on danger signs of pregnancy, and there was a significant association with the knowledge on danger signs of pregnancy and the age of the respondent and educational status of the respondent (P 0.05).Conclusion: The study finding shows that poor awareness about danger signs of pregnancy among antenatal care attendants in Jugal hospital, Harari Regional State. There was a significant association between educational status, the age of the mother and knowledge about pregnancy danger signs among mothers attending antenatal care.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Saran Tenzin Tamang ◽  
Thinley Dorji ◽  
Sonam Yoezer ◽  
Thinley Phuntsho ◽  
Phurb Dorji

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.


2021 ◽  
Vol 1 (2) ◽  
pp. 116-122
Author(s):  
Mst. Salma Khatun ◽  
Laskhy Rani Roy ◽  
Mst. Raziatul Humayra ◽  
Ashees Kumar Saha ◽  
Rowshan Ara

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.


2020 ◽  
Author(s):  
Saran Tenzin Tamang ◽  
Thinley Dorji ◽  
Sonam Yoezer ◽  
Thinley Phuntsho ◽  
Phurb Dorji

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.


Author(s):  
Ashok Kumar ◽  
Geeta Yadav ◽  
Vijay Zutshi ◽  
Suman Bodat

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.


Author(s):  
Shikha Thakur ◽  
Komal Lata Nagpal

Aims: Urinary tract infection (UTI) occurs in all age groups, more common in women due to short urethra and its close proximity to anus and vagina. UTI is defined as “microscopic finding of >10 pus cells/high power field (40x) in urine”. The purpose of the study is to find the risk factor associated with pregnancy and the different non-communicable diseases (Anemia, Diabetes and hypertension) of UTI. Study Design: A cross-sectional comparative study. Place and Duration of Study: The study was carried out under the supervision of OPJS University and field study was carried out in Kathmandu, Nepal from March 2019 to October 2019. Methodology: An analytical cross-sectional study was done among UTI pregnant 510 women aged 18 years to 45 years. A convenient sampling technique was used. A structured questionnaire was designed to collect the data. Descriptive statistics along with unadjusted Odds Ratio (95% CI) and a P < 0.05 was considered significant for data analysis. Results: Anemia, diabetes and hypertension among UTI infected pregnant women was 62.7, 32.9 and 30.2 respectively. There were significant associations between educational status, ethnicity, age and occupation of UTI infected pregnant women with anemia, diabetes and hypertension. Similarly, there was a significant association between gestational period, gestational age at the beginning of prenatal care, the gender of the infant, history of delivery and Anemia, diabetes and hypertension. Conclusions: Based on the findings the study concluded that, anemia, diabetes and hypertension remain a prevalent problem of UTI infected pregnant women.


2015 ◽  
Vol 7 (3) ◽  
pp. 171-175 ◽  
Author(s):  
Bhavna Kumare ◽  
Nikita R Vijay ◽  
Dnyanda S Yerlekar

ABSTRACT Due to lack of awareness about the danger signs of pregnancy women fail to seek care in the right time for life-threatening complications of pregnancy and child birth. This cross-sectional study was undertaken to assess the knowledge regarding danger signs among pregnant women. A self structured questionnaire was used in the study. For this, 100 women attending antenatal outpatient department (OPD) were enrolled. Chi-square test has been used to demonstrate the difference between study subject characteristics and level of significance selected for this study (p. 0.05). About 6.38% of subjects having good awareness about danger signs are from age group 20 to 25 years and 10.25% of subjects with good awareness are from 25 to 30 years. In case of 20% of subjects have fair knowledge that means they know about 50 to 75% of obstetric danger signs while 73% of subject has poor knowledge about danger signs. Among which majority, i.e. 46.48% of subjects are from age 20 to 25 years and 93.33% from large family size have poor awareness about danger signs. Majority of subjects having good knowledge about obstetric danger signs have completed their secondary (7.69%) and university (9.52%) education. About 61% of the subjects know about danger signs of pregnancy. Among which major source of knowledge is health personnel (57.37%) and other source of knowledge is mass media (42.63%). In case of 50% of subjects knows about bleeding. Thus, it is the most common obstetrical danger sign that is known by subject population. How to cite this article Vijay NR, Kumare B, Yerlekar DS. Awareness of Obstetric Danger Signs among Pregnant Women in Tertiary Care Teaching Hospital. J South Asian Feder Obst Gynae 2015;7(3):171-175.


2021 ◽  
Author(s):  
Saran Tenzin Tamang ◽  
Thinley Dorji ◽  
Sonam Yoezer ◽  
Thinley Phuntsho ◽  
Phurb Dorji

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 were 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 (OR) 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 (20.3%) women 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.


Author(s):  
John William Felix A. ◽  
Devi R. ◽  
Manobharathi M.

Background: Delay in seeking health care is one of the key factors leading to maternal death, which can be associated with lack of awareness about obstetric danger signs. So, it is essential that pregnant women should be aware about danger signs of obstetric complications so that they can seek timely healthcare. This study aims to assess level of awareness about danger signs of pregnancy among ANC attendant pregnant women and to assess the factors associated with it.Methods: A descriptive cross-sectional study was done among 170 pregnant women. The level of awareness about danger signs were assessed by administering pre tested proforma to the participants. The collected data was entered in Microsoft excel 2010 and the data was compiled analysed usingSPSS version 21.Results: Of the total participants, only 29.3% had good awareness and about 69.3% had fair awareness about danger signs of pregnancy. It was found that increasing maternal age had significant association with awareness about danger signs whereas other factors like type of family, education, residence, order and duration of pregnancy, number of an visits, previous risk pregnancies had no significant association with level of awareness about danger signs.Conclusions: Level of awareness about danger signs among pregnant women was average. Thus, provision of health education, empowering women and improving the quality of health services can be the recommended interventions.


Sign in / Sign up

Export Citation Format

Share Document