Utilization of antenatal care services and correlates of anaemia among pregnant women attending a tertiary care hospital in Assam, India

Anuja Baruah, Beeva Boruah


Background: Anaemia is one of the most commonly encountered medical disorders during pregnancy. As per  NFHS-3 Assam 72%  pregnant  women  are anaemic. Besides many adverse effects on mother and foetus, anaemia contributes significantly high maternal mortality. Early Antenatal booking and regular follow-up provides opportunities for delivering timely and essential interventions to the pregnant women. This study aims to explore the socio-demographic factors influencing the pattern of antenatal care services utilization and also to estimate the burden of anaemia in Assam.

Methods: A cross-sectional hospital based study was carried out for three months, from November 2011 to February 2012 in Jorhat Medical College Hospital using a predesigned, pretested proforma. A total of 1845 women admitted in the postnatal ward were studied.

Results: Only 9.51% were illiterate, 64.89% were primigravidae, 70.09% had no previous living issues. All were registered for ANC, of whom 57.62% were registered in the first trimester; 57.98% had adequate ANC; 65.97% received full course of IFA tablets. Adequate ANCs were availed in the younger age groups, the primigravidae and up to two living children. A total of 61.69% pregnant women were found to be anaemic; 46.80% mildly, 12.85% moderately and 2.03% severely anaemic. Most participants in 20-25 years age group (63.7%) and lower socio-economic class (62.63%) were found to be anaemic. Participants who registered for ANC after 12th week (83.4%), attended inadequate number of ANCs (70.06%), and failed to take IFA tablets (60%) were found anaemic.

Conclusions: A total of 61.69% pregnant women were found to be anaemic. Early detection and effective management of anaemia in pregnancy can contribute substantially to reduction in maternal mortality.


Anaemia, Pattern of utilization of antenatal services, Socio demographic characteristics

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