scholarly journals Utilization of Antenatal care services in present pregnancy among the women attending in a Teaching Hospital for delivery

2016 ◽  
Vol 11 (1) ◽  
pp. 26-29
Author(s):  
Meena Thapa ◽  
S Yadav ◽  
K Bhujel

Aims: To study attendance of antenatal care services during present pregnancy by pregnant women coming for delivery in a teaching hospital of Kathmandu and to analyze the   impact of educational status, age group, gravida (number of pregnancy) and occupation of the women on antenatal care service utilization.Methods: Uncomplicated, term pregnant women who came for delivery in labour or for induction of labour or elective cesarean section were interviewed using semi-structured questionnaire.Results: Six hundred and four pregnant women were studied. Antenatal care coverage in studied population was found to be 94.8% with adequate (four) antenatal care visits in 83.4%. Women belonged to 20 to 30 years of age group and higher education status had higher rate of antenatal care attendance where as women who belonged to labor class (daily earner) had significantly lower rate of adequate antenatal care attendance. Number of pregnancy (gravida) of the women did not show association with rate of antenatal care attendance.Conclusions: Over all antenatal care attendance in this study is very high. Women of 20 to 30 years of age and higher education status had positive effect on antenatal care attendance, where as women who were daily earner or labour had higher rate of failure to attend antenatal care visits.

2018 ◽  
Vol 14 (1) ◽  
pp. 7-13 ◽  
Author(s):  
Russell Kabir ◽  
Anwarul Azim Majumder ◽  
SM Yasir Arafat ◽  
Rocky Khan Chodwhury ◽  
Shireen Sultana ◽  
...  

Background and Objectives:Sub Saharan Africa region is considered as one of the deprived regions of this world and women from this part of the world are suffering from intimate partner violence. This study was undertaken to assess the impact of intimate partner violence on utilization of antenatal care services among the ever married women.Materials and Methods:This is a descriptive cross-sectional study design. The data used in this research was extracted from the Tanzania Demographic Health Survey 2015-16. A total of 13, 266 women were interviewed.Results:The mean age of the respondents is 28.69 years. About 74% women visited antenatal care services more than 4 times. Logistic regression results indicate that the middle-aged adult women (35-49 years age group) were identified having lower odds (Odds ratio: 0.807, 95% CI: 0.693-0.940, P<0.001) than women in younger age group. Women who did not complete their secondary education were less likelihood to experience IPV (Odds ratio: 0.705, 95% CI: 0.540-0.922, P<0.010).Conclusion:Intimate partner violence is one main challenge to women’s health and wellbeing during pregnancy period. Proper implementation and community based interventions to support pregnant women to seek antenatal care services and to raise awareness regarding intimate partner violence are advocated. 


Author(s):  
Nyasiro S Gibore ◽  
Agatha F Ngowi ◽  
Mariam J Munyogwa ◽  
Mwanaisha M Ali

Abstract Background Anemia is a major cause of morbidity and mortality of pregnant women and increases the risks of fetal and neonatal morbidity and mortality. Approximately 50% of all anemia is estimated to be caused by low dietary intake of iron, poor absorption of dietary iron, or blood loss. The objective of the present study was to determine the prevalence and assess the dietary habits associated with anemia among pregnant women receiving antenatal care in Unguja Island, Tanzania. A cross-sectional study was conducted to select 338 pregnant women at Kivunge, Mwembeladu and Mnazimmoja hospitals from March to June, 2018. Hemoglobin concentration was measured using a HemoCue photometer on capillary blood. Sociodemographic data and dietary habits were collected using a structured questionnaire. The data were analysed using the SPSS version 21.0. Multivariate logistic regression analysis was carried out to determine the predictors of anemia among pregnant women. The overall prevalence of anemia was 80.8%. Of these 68.64% had mild anemia, 11.24% had moderate anemia and 0.89% had severe anemia. Anemia was significantly associated with inadequate dietary diversity (Adjusted Odds Ratio (AOR) = 1.16, 95%CI = 0.57–2.36, p &lt; 0.05), drinking tea or coffee with meal (AOR = 0.06, 95%CI = 0.03–0.13, p &lt; 0.001), consuming less than three meals per day (AOR = 2.92, 95%CI = 1.60–5.84, p &lt; 0.001), higher education level (AOR = 3.4, 95%CI = 1.6–7.2, p &lt; 0.0001), birth interval of less than two years (AOR = 3.6, 95%CI = 1.1–11.9, p &lt; 0.05) and multigravida (AOR = 1.2, 95% = 0.3–4.4, p &lt; 0.0001). The prevalence of anemia in this study demonstrates a severe public health problem among pregnant women. Inadequate dietary diversity coupled with inadequate daily meal intake and consumption of tea or coffee were the dietary habits predictors of anemia among pregnant women. Other predictors of anemia were higher education level, multigravida and birth interval of less than two years. Nutrition policy interventions are needed in order to complement antenatal care services by providing important information on healthy eating habits during pregnancy.


2018 ◽  
Vol 12 (1) ◽  
pp. 36-39 ◽  
Author(s):  
Meena Thapa ◽  
Junu Bajracharya

Aims:  To study preference of gender of fetuses in present pregnancy, wish of number of children in the family, and knowledge of pre-natal sex selection by the pregnant women, and to study the impact of education level of women on preference of fetal gender and the desire of women to know the gender of fetuses.Methods:  It was a descriptive study done in Obstetrics and Gynaecology Department of Kathmandu Medical College. All primigravidae, who did not know the gender of their fetuses and willing to participate in the study were enrolled in the study. The pregnant women were interviewed regarding demographic profile of the women, choice of gender of fetuses, number of children they want to have and knowledge regarding prenatal sex selection, using semi structured questionnaire.Results: Two hundred women were studied. Two third of them were educated minimum of 12th Class. Most of the pregnant women (81%) did not show preference of gender of their fetuses, only 13% of them wanted to have son in this pregnancy.  About 61% of them want to have two children in their family. Regarding prenatal sex selection, only 44% knew about it. More than half (56%) of the women showed interest in knowing the gender of fetuses in present pregnancy.  The education status of women did not have an effect on the choice of either gender or wish to know the gender of unborn fetuses by primigravidae.Conclusions:  Most of the primigravidae had no choice of gender of fetuses. Two children in the family was regarded as ideal by most of the women


2018 ◽  
Vol 14 (1) ◽  
Author(s):  
S M Yasir Arafat

<p><strong>Background and Objectives:</strong> Sub Saharan Africa region is considered as one of the deprived regions of this world and women from this part of the world are suffering from intimate partner violence. This study was undertaken to assess the impact of intimate partner violence on utilization of antenatal care services among the ever married women.</p><p><strong>Materials and Methods:</strong> This is a descriptive cross-sectional study design. The data used in this research was extracted from the Tanzania Demographic Health Survey 2015-16. A total of 13, 266 women were interviewed.</p><p><strong>Results:</strong> The mean age of the respondents is 28.69 years. About 74% women visited antenatal care services more than 4 times. Logistic regression results indicate that the middle-aged adult women (35-49 years age group) were identified having lower odds (Odds ratio: 0.807, 95% CI: 0.693-0.940, P&lt;0.001) than women in younger age group. Women who did not complete their secondary education were less likelihood to experience IPV (Odds ratio: 0.705, 95% CI: 0.540-0.922, P&lt;0.010).</p><p><strong>Conclusion:</strong> IPV is one main challenge to women’s health and wellbeing during pregnancy period. Proper implementation and community based interventions to support pregnant women to seek antenatal care services and to raise awareness regarding intimate partner violence are advocated.</p>


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Samuel Oduse ◽  
Temesgen Zewotir ◽  
Delia North

Abstract Background Sub-Saharan Africa, as opposed to other regions, has the highest under-five mortality rates yet makes the least improvement in reducing under-five mortality. Despite the decline, Ethiopia is among the top ten countries contributing the most to global under-five mortalities. This article examines the impact of the number of antenatal care and the timing of first antenatal care on child health outcomes. We specifically investigated if the utilization of antenatal care services positively affects the reduction of under-five mortality. Methods We employ a difference-in-differences design with propensity score matching to identify direct causal effects of antenatal care on under-five mortality based on the Ethiopian Demographic Health Survey data of 2011 and 2016. Our sample includes 22 295 women between the ages of 14–49 who had antenatal care visits at different times before delivery. Results The study revealed 1 481 cases of reported under-five mortality. 99.0% of that under-five mortality cases are women who had less than eight antenatal care visits, while only 1% of that is by women who had eight or more antenatal care visits. Antenatal care visit decreases the likelihood of under-five mortality in Ethiopia by 45.2% (CI = 19.2–71.3%, P-value < 0.001) while the timing of first antenatal care within the first trimester decreases the likelihood of under-five mortality by 10% (CI = 5.7–15.6%, P-value < 0.001). Conclusions To achieve a significant reduction in the under-five mortality rate, Intervention programs that encourages more antenatal care visits should be considered. This will improve child survival and help in attaining Sustainable Development Goal targets.


2020 ◽  
Vol 13 (1) ◽  
pp. 569-575
Author(s):  
Lucia Drigo ◽  
Masane Luvhengo ◽  
Rachel T. Lebese ◽  
Lufuno Makhado

Background: Pregnant woman’s personal experience of antenatal care services can either be positive or negative; however, knowledge and experience appear to be of paramount importance in shaping their attitudes towards any healthcare-related services. This implies that women's experience of antenatal care services may affect their decision for seeking antenatal care in their present pregnancy, which can lead them to delay seeking care. Purpose: This study sought to explore the attitudes of pregnant women towards antenatal care services provided in primary health care facilities of Mbombela Municipality, Mpumalanga Province, South Africa. Methods: A qualitative exploratory descriptive study design was used for this study. Purposive sampling technique was used to sample pregnant women who fail to attend antenatal services as expected. Data were collected through face to face unstructured in-depth interview. A total of eighteen pregnant women participated in the study until data saturation. Data were analysed using Tech’s method of analysis. Results: Results revealed the following theme and sub-themes: Attitudes of pregnant women related to individual perceptions, perceived barriers to utilizing antenatal care services,’ attitudes of healthcare providers, long waiting times in healthcare facilities, lack privacy and confidentiality in healthcare facilities and attitudes of pregnant women related to attendance of antenatal services. Conclusion: Attitudes of pregnant women about antenatal care are shaped by their knowledge and previous encounters with the health care services that they had previously received. It is therefore important to provide women-friendly services. It is recommended that health education regarding the importance of antenatal care services must be given to all women daily in the waiting areas of each primary health care facilities, thus, the healthcare providers should promote the active participation of pregnant women during the health education sessions and provide opportunities to ask questions.


Author(s):  
Otovwe Agofure ◽  
Stella Odjimogho ◽  
Oghenenioborue R. A. Okandeji-Barry ◽  
Imomotimi Glasgow

Background: Gestational diabetes mellitus is a condition in which women without previously diagnosed diabetes exhibit high blood glucose levels during pregnancy. Gestational diabetes which prevalence is on the increase in Nigeria may have negative consequences on the health of the foetus or mother. This study was designed to determine the prevalence of gestational diabetes mellitus and its complications among pregnant women attending antenatal services in Diette Koki memorial hospital Opolo Bayelsa State from 2014-2016.Methods: This was a retrospective study carried out at the Diette Koki Memorial Hospital Opolo in Bayelsa State. The study population comprised pregnant women that attended antenatal care services within the period of January 2014-December 2016. A designed proforma was used to collect the data from the hospital record department.Results: The results of the study showed that the prevalence of gestational diabetes in the year 2014 was 0.023% or 2.33 per 10,000 pregnancies while the prevalence for 2015 was 0.026% or 2.59% per 10000 pregnancies. Furthermore, other complications recorded were hypertension, pre-eclampsia and eclampsia. Similarly, there was a significant correlation between prevalence of gestational diabetes and other complications (r=0.898, p=0.022).Conclusions: In conclusion, prevalence of gestational diabetes was recorded among pregnant women of Diette Koki memorial hospital Opobo Bayelsa State. Therefore, prompt screening and preventive measures should be enforced by health care professionals to prevent maternal and foetal morbidity and mortality.


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