Utilization of antenatal services among mothers and its impact on birth weight: a community based cross-sectional study

Authors

  • P. Narmada Reddy Department of Community Medicine, M.K.C.G. Medical College and Hospital, Berhampur, Odisha
  • Sangeeta Das Department of Community Medicine, M.K.C.G. Medical College and Hospital, Berhampur, Odisha
  • Nivedita Karmee Department of Community Medicine, M.K.C.G. Medical College and Hospital, Berhampur, Odisha
  • Durga Madhab Satapathy Department of Community Medicine, M.K.C.G. Medical College and Hospital, Berhampur, Odisha
  • Jugal Kishor Bhoi Department of Community Medicine, M.K.C.G. Medical College and Hospital, Berhampur, Odisha

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20200967

Keywords:

Antenatal service, Complete utilization of antenatal service, Low birth weight

Abstract

Background: Safe motherhood initiatives was a worldwide effort launched by WHO in 1987 with an aim to reduce the number of deaths of women associated with pregnancy and childbirth. Appropriate antenatal care (ANC) is one of the pillars of this initiative and an important component of reproductive and child health. The present study was conducted to assess the utilization of antenatal care services, its contributing factors and its impact on birth weight of new-born.

Methods: A community based cross-sectional study was conducted for a period of 3 months at Ankuli, field practice area of urban health training centre, Department of Community Medicine. A total of 138 mothers (delivered within 2 years) were included by cluster sampling. Women who were sick and did not give consent were excluded from the study.  A pre-designed and pre-tested questionnaire was used for data collection and analysed in SPSS version 16. Chi-square test and bivariate logistic regression was applied at p value <0.05.

Results: About 55.07% of mothers were in 25-34 years of age group, 47.82% had studied secondary education and 36.23% mothers belonged to lower middle-class socioeconomic status (SES). About 60.87% of mothers had availed antenatal services completely. Education of the participant and her husband, SES and family type were significant contributors of ANC service utilization. There was a significant association between complete ANC utilization and birth weight of the baby (p<0.05).

Conclusions: The utilisation of the antenatal services was low among the mothers in our study which can be increased by proper IEC activities.

Author Biography

P. Narmada Reddy, Department of Community Medicine, M.K.C.G. Medical College and Hospital, Berhampur, Odisha

JR , Community Medicine

References

Maternal health. Available at: https://www.who. int/health-topics/maternal-health#tab=tab_1. Accessed 7 January 2020.

Institute of Medicine (US) Committee on Improving Birth Outcomes; In: Bale JR, Stoll BJ, Lucas AO (eds). Washington (DC): National Academies Press (US); 2003.

Maternal mortality. Available at: https://www.who. int/news-room/fact-sheets/detail/maternal-mortality. Accessed 7 January 2020.

Lozano R, Wang H, Foreman KJ, Rajaratnam JK, Naghavi M, Marcus JR, et al. Progress towards Millennium Development Goals 4 and 5 on maternal and child mortality: an updated systematic analysis. Lancet. 2011;378(9797):1139-65.

John W, Chou, Mathers D, Moller C, Ann-Beth, Oestergaard, Mikkel. Trends in Maternal Mortality: 1990 to 2010. WHI, UNICEF and The World Bank Estimates; 2010.

de Bernis L, Sherratt DR, AbouZahr C, Van Lerberghe W. Skilled attendants for pregnancy, childbirth and postnatal care. Bri Med Bull. 2003;67(1):39-57.

Testa J, Ouedraogo C, Prual A, De LB, Kone B. Determinants of risk factors associated with severe maternal morbidity: application during antenatal consultations. J Gynecol, Obstetr Biol Reprod. 2002;31(1):44-50.

WHO. Antenatal care. WHO. 2011. Available at: https://data.unicef.org/topic/maternal-health/ant-enatal-care/. Accessed on 3 June 2019.

Alam AY, Qureshi AA, Adil MM, Ali H. Comparative study of knowledge, attitude and practices among antenatal care facilities utilizing and non-utilizing women. J Pak Med Assoc. 2005;55(2):53-6.

Shirin S. Knowledge, attitude and practice of maternal health care amongst the married women in a rural area of Bangladesh. Ibrah Med Coll J. 2011;5(1):13-6.

Chacko E. Women's use of contraception in rural India:: a village-level study. Health Place. 2001;7(3):197-208.

WHO | More women worldwide receive early antenatal care, but great inequalities remain. WHO; 2017.

Abou Zahr C, Wardlaw TM, World Health Organization., UNICEF. Antenatal Care in Developing Countries: Promises, Achievements, and Missed Opportunities: An Analysis of Trends, Levels, and Differentials, 1990-2001. World Health Organization; 2003.

Mumbare SS, Rege R. Ante natal care services utilization, delivery practices and factors affecting them in tribal area of North Maharashtra. Ind J Commu Med: Offici pub Ind Assoc Preven Soci Med. 2011;36(4):287.

Sumithra S, Aswathy S, Sandeep S, Shobha P, Johnson AJ, Valsala LS, et al. Maternal and child health services utilization in married women of age 15-45 years. J Commu Dis. 2006;38(1):102.

Agarwal P, Singh MM, Garg S. Maternal health-care utilization among women in an urban slum in Delhi. Ind J Commu Med. 2007;32(3):203.

Simkhada B. v Teijlingen ER, Porter M, Simkhada P. Factors affecting the utilization of antenatal care in developing countries: systematic review of the literature. J Advan Nurs. 2008;61(3):244-60.

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.

Uppadhaya SK, Agrawal N, Bhansali S, Garg K, Singh M. Utilization of antenatal health care services and its impact on birth weight of newborn in rural area of Western Rajasthan, India. Inter J Commu Med Pub Health. 2017;4(3):680.

Shalini C, Vipul M. Risk factors for low birth weight (LBW) babies and its medico-legal significance. J Ind Acad Foren Med. 2010;32(3):212-5.

Downloads

Published

2020-02-27

How to Cite

Reddy, P. N., Das, S., Karmee, N., Satapathy, D. M., & Bhoi, J. K. (2020). Utilization of antenatal services among mothers and its impact on birth weight: a community based cross-sectional study. International Journal Of Community Medicine And Public Health, 7(3), 1061–1065. https://doi.org/10.18203/2394-6040.ijcmph20200967

Issue

Section

Original Research Articles