Antenatal counselling- is it adequate? A cross-sectional study from Chandigarh tricity, India
Keywords:Antenatal, Counselling, Chandigarh, India
Background: Antenatal care (ANC) provides an important opportunity to improve maternal understanding about pregnancy, childbirth, and care of the newborn. Adequate and quality ANC can help ensure a favourable pregnancy outcome, but the coverage of ANC in India remains inadequate. The present study was conducted with an objective to assess ante natal counselling services at health centers in Chandigarh Tricity.
Methods: The cross-sectional study was conducted in the Chandigarh Tricity during April 2012 to September 2013. Stratified multistage sampling technique was used to select health centers in tricity. A total of 345 pregnant women in second and third Trimester were interviewed with the help of pre-designed, structured and pre-tested questionnaire after taking their written informed consent. It was supplemented by observation of ante natal sessions. Data was entered and analyzed using SPSS version 19.
Results: Nearly one-fourth (28.1%) participants received counselling regarding diet and rest. Only 26 (07.5%) participants were explained about danger signs during pregnancy. Significant difference was found between counseling given regarding ‘diet and rest’ with respect to city (p=0.03) and health centers (p=0.00). Significant difference was found between counselling for ‘family planning’ with respect to city (p=0.01) and health centers (p=0.00).
Conclusions: Findings from our study indicate low level of counselling on various components of ANC. Thus, strategies under National Health Mission to improve quality of antenatal communication as well as maternal understanding should be strengthened.
Park K. Preventive medicine in Obstetric, Pediatrics and Geriatrics. In: Park’s Text book of Preventive and Social Medicine. 22th ed. Jabalpur: Bhanot publishers; 2013: 480.
Banerjee B. Maternal care rendered at an urban health centre of a metropolitan city. Ind J Commun Med. 2006;31(3):183-4.
Poula G, Stephenson R. Understanding users’ perspectives of barriers to maternal health care use in Maharashtra. Indian J Biosocial Sciences. 2001;33:339-59.
Anya SE, Hydara A, Jaiteh LE. Antenatal care in The Gambia: missed opportunity for information, education and communication. BMC Pregnancy Childbirth. 2008;8:9-10.
Senaratha U, Fernandoa DN, Vimpanib G, Rodrigoc I. Factors associated with maternal knowledge of newborn care among hospital-delivered mothers in Sri Lanka. Trans R Soc Trop Med Hyg. 2007;101(8):823-30.
Telfer ML, Rowley JT, Walraven GE. Experiences of mothers with antenatal, delivery and postpartum care in rural Gambia. Afr J Reprod Health. 2002;6:74-83.
Beck R, Daughtridge R, Sloane P. Physician-patient communication in the primary care office: a systematic review. J Am Board Fam Pract. 2002;15(1):25-38.
Rea MF, dos Santos RG, Sanchez-Moreno CC. Quality of infant feeding counselling for HIV+ mothers in Brazil: challenges and achievements. Acta Paediatrica. 2007;96:94-9.
Delva W, Mutunga L, Quaghebeur A, Temmerman M. Quality and quantity of antenatal HIV counseling in a PMTCT programme in Mombasa, Kenya. Aids Care. 2006;18(3):189-93.
Chopra M, Doherty T, Jackson D, Ashworth A. Preventing HIV transmission to children: quality of counseling of mothers in South Africa. Acta Paediatr. 2005;94(3):357-63.
Patel A, Kumar P, Godara N, Desai VK. Infant Deaths- Data disparity and use of ante, intra and post- natal services utilization: An experience from Tribal areas of Gujarat. Indian J Community Med. 2013;38(3):152-6.
Dasgupta U, Naskar S, Haldar A, Mallik S. Antenatal care service utilization and social correlates of beneficiaries: an experience from a teaching hospital of a metropolitan city. Indian J Matern Child Health. 2012;14(2):1-9.
Dhandapany G, Bethou A, Arunagirinathan A, Ananthakrishnan S. Antenatal counseling on breastfeeding – is it adequate? A descriptive study from Pondicherry, India. Int Breastfeed J. 2008;3:5.
Panja TK, Mukhopadhyay DK, Sinha N, et al. Are institutional deliveries promoted by Janani Suraksha Yojna in a district of West Bengal, India? Indian J Public Health. 2012;56(1):69-72.
Puwar BT, Patel VD, Sheth JK. Utilization of services by postnatal women in the rural area of Gandhinagar district, Gujarat. Indian J Matern Child Health. 2013;15(3):1-10.
Bhanderi DJ, Mukherjee SM, Gohel MK, Christian DS. An evaluation of the utilization of reproductive and child health services provided by government of the rural community of Anand District, Gujarat. Indian J Public Health. 2009;53(4):250-2.