Study of factors of utilisation of antenatal services and awareness among pregnant women in third trimester attending government maternity hospital Warangal, Telangana State, India

L. Niharika, K. Bhavani


Background: Understanding the factors affecting the utilization of maternity care during pregnancy and delivery is required. The present study was carried out to find out the awareness and factors associated with utilization of maternal care services.

Methods: A community based observational study was conducted during September to November 2015 on randomly selected antenatal mothers attending Government Maternity hospital, Kakatiya Medical College, Warangal, India. A total of 200 third trimester pregnant women were interviewed using a pre-tested questionnaire regarding utilization and awareness of antenatal services. Statistical analysis: Percentages, Proportions and chi-square test.

Results: A total of 200 antenatal mothers participated in the study. Majority (37.5%) belonged to the age group of 20-24 years in which most of the antenatal mothers belong to Hindu religion (86.3%), of which 50.7% lived in a nuclear family. In this study, the percentage of antenatal mother belonging to Upper Lower class was predominant with 26.5%. Association was also found regarding utilization of antenatal services between age of the mother and literacy of the mother.  83.5%  of the antenatal mothers had taken the recommended two doses of T.T with a complete booster dose, 87.1% are aware of family planning services, 97.8%  of antenatal mothers are aware of immunization and approximately 95% of the antenatal mothers are aware of mother craft classes.

Conclusions: The study shows early and wide spread use of antenatal care, but it also reveals that the antenatal visits occur late in the pregnancy. The literacy and age of women has significant bearing on utilization of antenatal care by the pregnant women.


Antenatal services, Socio-demographic variables, Pregnant mother, Utilization

Full Text:



WHO, UNICEF, UNFPA. Maternal Mortality in 2000: Estimates Developed by WHO, UNICEF, UNFPA. Geneva: WHO, 2003.

Ronsmans C, Graham WJ. Lancet maternal survival series steering group: Lancet. 2006;368:1189-200.

New York: United Nations; 2000. United Nations General Assembly. United Nations Millennium Declaration. A/RES/55/2.

WHO. Global Health observatory data: Maternal mortality. 2015, available from: gho/ maternal_health/ mortality/ maternal_mortality_text/en/

National family health survey (NFHS-4). Telangana state fact sheet, India: 2015-16. Pg.1-6. available from: nfhs/ pdf/ NFHS4/ TG_FactSheet.pdf.

National family health survey (NFHS-3). India: [online] 2007; vol.1. pg.192-222. available from: [accesses on 14 October 2015].

Banerjee B. Maternal care rendered at urban health center of a metropolitan city: Indian J community medicine 2006;31(3):183-4.

Singh A, Arora AK. The changing profile of pregnant women and quality of antenatal care in rural north India. Indian J Community Med. 2007;32(2):135-6.

Chandhiok N, Dhillon BS, Kambo I, Saxena NC. Determinants of antenatal care utilization in rural areas of India: A cross–sectional study from 28 districts (An Indian Council of Medical Research task force study). Journal of Obstetrics and Gynecology of India. 2006;56(1):47-52.

Singh P, Yadav RJ. Antenatal care of pregnant women in India: Indian J Community Med 2000;25(3):112-17.

Agarwal P, Singh MM, Garg S. Maternal health–care utilization among women in an urban slum in Delhi. Indian J Community Med 2007;32:203-05.

Jejeebhoy SJ. Maternal mortality and morbidity in India: priorities for social sciences research. J Family Welfare 1997;42(2):30-51.

Mother–baby package: Implementing safe motherhood in countries. World Health Organization: Geneva. 1994.

National Population Policy – 2000. Department of family welfare.Ministry of Health and Family Welfare. Government of India, New Delhi. 2000.

Park JE, Park K. Text Book of Preventive and Social Medicine, 22nd edition M/s. Banarsidas Bhanot Publishers: Jabalpur, India: 2013;523-9, 557-2.

Ray SK, Mukherjee B, Dobe M, Sengupta D, Ghosh M, and Chaudhuri N. Utilization of maternal services in West Bengal. Indian Pediatrics. 1993;30:351-54.