Assessment of maternity care services among pregnant women in a coastal area in central Kerala, India
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20174816Keywords:
Maternity care, Antenatal check-ups, KeralaAbstract
Background: Maternal care services are intended to take care about the pregnant during the antenatal, intra natal and post natal periods so as to reduce maternity related health problems. The current study tries to assess maternity care services among pregnant women in a coastal area in central Kerala, India.
Methods: The setting was Mararikkulam south panchayat and the study was cross sectional in nature. The minimum sample size of the study was calculated to be 213. A house to house survey was conducted in all the 23 wards to find out those who had a live or still birth in the last one year (2014-2015) who were our study subjects. The maternity care services were assessed using multiple indicators. In statistical analysis, data was entered in Microsoft excel and was analysed using SPSS 16.0 version
Results: As per the current study the number of pregnancies registered early i.e. within 12 weeks was 72.2%. Only 68% had all the antenatal check-ups while 26.1% had less than 4 antenatal check-ups and 5.9% had no regular antenatal check-ups. 67.7% of the mothers had taken iron and folic acid for the prescribed period of pregnancy. Ultrasound examination was done at least once during the pregnancy in 63.3% of cases and not done in 36.7%. For tetanus prophylaxis 84.5% had appropriate course of TT vaccination. 73.5% of the mothers were well aware of the danger signs of pregnancy and 21.2% were partially aware and 5.3% were unaware of the danger signs.
References
K Park. Park’s Textbook of Preventive and Social Medicine, 20th ed. Jabalpur: Bhanot Publishers; 2011: 447.
Maternal mortality -Fact sheet -Key facts. World health organisation. Available at: http://www.who. int/mediacentre/factsheets/fs348/en/. Accessed on 3 June 2017.
Monitoring the Situation of Children and Women, current status + progress, Maternal mortality fell by almost half between 1990 and 2015,UNICEF report 2015. Available at: https://data.unicef.org/topic/ maternal-health/maternal-mortality/. Accessed on 3 August 2017.
Streatfield PK, Alam N, Compaoré Y, Rossier C, Soura AB, Bonfohet B, et al. Pregnancy-related mortality in Africa and Asia: evidence from INDEPTH Health and Demographic Surveillance System sites. Global Health Action. 2014;7:10.3402/gha.v7.25368.
Women And Today’s Evidence Tomorrow’s Agenda, World health organisation 2009. Available at: http://apps.who.int/iris/bitstream/10665/44168 /1/9789241563857_eng.pdf. Accessed on 3 August 2017.
Special bulletin on maternal mortality in India 2011-13: census India Available at: http://www.censusindia.gov.in/vital_statistics/mmr_bulletin_2011-13.pdf. Accessed on 3 August 2017.
Maternal health, Plannning commission report, Chapter 5. Available at: http://planning-commission.nic.in/aboutus/committee/strgrp/stgp_fmlywel/sgfw_ch5.pdf. Accessed on 5 August 2017.
Official website of local Self Government Department Kerala. Available at: http://lsg.kerala. gov.in/htm/krewsdbmemb.asp?intId=1. Accessed on 5 August 2017.
National Family Health Survey – 4 2015 -16, State Fact Sheet-Kerala, International Institute for Population Sciences, Mumbai. Available at: http://rchiips.org/NFHS/pdf/NFHS4/KL_FactSheet.pdf. Accessed on 4 August 2017.
Narayana Murthy MR, Siddalingappa H, Mishra B. Assessment of utilization of antenatal care services by mothers attending immunization sessions at a primary health centre in Mysore district, Karnataka. Int J Community Med Public Health. 2016;3(9):2561-5.
Patel PB, Rupani MP, Patel SS. Antenatal care registration and predicting factors of late registration among pregnant women MSc Statistics Department of Community Medicine, Surat Municipal Institute of Medical Education and Research (SMIMER), Surat, Gujarat, India. Tropical Doctor. 2013;43:9–12.
Metgud CS, Katti SM, Mallapur MD, Wantamutte AS. Utilization patterns of antenatal services among pregnant women: a longitudinal study in rural area of North Karnataka. Al Ameen J Med Sci. 2009;2(1):58–62.
Vincent A, Keerthana K, Dhamotharan K, Newtonraj A, Bazroy J, Manikandan M. Health care seeking behaviour of women during pregnancy in rural south India: a qualitative study. Int J Community Med Public Health. 2017;4:3636-9.
Mini C H, Sidhiq M. Pattern of antenatal care among women utilising a tertiary care centre in government sector for delivery. J Evol Med Dent Sci. 2017;6(51):3878–81.
Roy MP, Mohan U, Singh SK, Singh VK, Srivastava AK. Determinants of Utilization of Antenatal Care Services in Rural Lucknow, India. J Family Med Prim Care. 2013;2(1):55–9.
Singh P, Yadav RJ. Antenatal care of pregnant women in India. Indian J Community Med. 2000;25(3):112–7.
District Level Household and Facility survey -4 State fact sheet Kerala. Available at: http://rchiips.org/pdf/dlhs4/report/KE.pdf
Niharika L, Bhavani K. Study of factors of utilisation of antenatal services and awareness among pregnant women in third trimester attending government maternity hospital Warangal, Telangana State, India. Int J Community Med Public Health. 2016: 2291.
Demissie E, Dessie F, Michael FW, kahsay T, Tadele N. Level of Awareness on Danger Signs of Pregnancy among Pregnant Women Attending Antenatal Care in Mizan Aman General Hospital, Southwest, Ethiopia: Institution Based Cross-sectional Study. J Women’s Health Care 2015;4(8):288.
Teng SP, Zuo TC, Jummaat FB, Keng SL. Knowledge of pregnancy danger signs and associated factors among Malaysian mothers in British. J Midwifery. 2015;23(11):800-6.
Fatema K, Khatun M, Akter S, Ali L. Role of Urinary Albumin in the Prediction of Preeclampsia. Faridpur Med Coll J. 2011;6(1):14-18:
Starling AP, Shapiro ALB, Sauder KA, Kaar JL, Ringham BM, Glueck DH, et al. Blood pressure during pregnancy, neonatal size and altered body composition: the Healthy Start study. J Perinatol. 2017;37:502-6.
Rajarajan K, Kumar SG, Kar SS. Proportion of beneficiaries and factors affecting Janani Suraksha Yojana direct cash transfer scheme in Puducherry, India. J Fam Med Prim Care. 2016;5(4):817–21.
Murthy RN, Siddalingappa H, Mishra B. Assessment of utilization of antenatal care services by mothers attending immunization sessions at a primary health centre in Mysore district, Karnataka, India. Int J Community Med Public Health. 2016;2561–5.
International Institute for Population Sciences. National Family Health Survey (NFHS-3) 2005–06. IIPS, Mumbai; 2007. Available from: http://rchiips.org/nfhs/NFHS-3%20Data/VOL-1/India_volume_I_corrected_17oct08.pdf
Ikeako LC, Ezegwui HU, Onwudiwe E, Enwereji JO. Attitude of Expectant Mothers on the Use of Ultrasound in Pregnancy in a Tertiary Institution in South East of Nigeria. Ann Med Health Sci Res. 2014;4(6):949–953.
Huang K, Tao F, Raven J, Liu L, Wu X, Tang S. Utilization of antenatal ultrasound scan and implications for caesarean section: a cross-sectional study in rural Eastern China, BMC Health Serv Res. 2012;12:93.