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Impact of Antenatal Care on Postnatal Outcomes among Postnatal Women in a Selected District Hospital, Assam


Affiliations
1 Dept. of Obstetrics & Gynaecological Nursing, B.Sc. Nursing College Dibrugarh, Assam 786001, India
2 Dept. of Anatomy, Guwahati Medical College, Guwahati 781032, India
 

Introduction: Maternal mortality rate in developing countries has almost defied the advance made by health care facilities. Such unfortunate deaths can be barred radically by providing state of the art antenatal, natal and postnatal care. This study is designed to recognize the impact of antenatal care on the outcome of the postnatal women in relation with a number of key parameters. Furthermore, it also aims to understand the association between antenatal cares with a setof selected demographic variables. Methods: This study was undertaken by adopting System Model as the conceptual framework. Simple random sampling technique was used to select 100 postnatal women in a selected hospital in Assam. Semi structured interview schedule, record analysis and physical assessment proforma were used to collect information. Results: Most of the postnatal women had at least three antenatal visits for complete physical and obstetrical examination. However, hemoglobin and other routine blood investigations, urine testing and USG were found only for few. Iron and folic acid supplementation was not received by some postnatal women. Adverse postnatal outcomes present among the postnatal women were maternal hypertension (4%); PPH (6%), maternal distress (14%), and fetal distress (28%), still birth (8%), neonatal death (1%) and low birth weight (22%). Conclusion: Significant association was found between occupation and total family income of the postnatal women with the number of antenatal checkup. Numbers of antenatal visit and live birth were found to have a direct association with complete obstetrical examination and birth weight, Hb estimation and PPH, occupation and birth weight.

Keywords

Antenatalcheck-Up, Nursing Practices, Maternal Morbidity.
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  • Arora SVP. Maternal mortality- indian scenario. Medical J of Armed Force India 2005;6(1):214-5.

  • Dutta DC. Text book of obstetrics. 6th ed. Kolkata: New Central Book Agency; 2004.p.

  • Worku AG, Yalew AW, Afework MF. The contributions of maternity care to reducing adverse pregnancy outcomes a cohort study in dabat district, northwest ethiopia. Maternal Child Health J 2014;18(1):1336–44.

  • Gupta A, Chhabra P, Kannan AT, Sharma G. Determinates of the utilization pattern of antenatal and delivery services an urbanised village of east delhi. Indian Jof Preventive Social Medicine 2010;41(3):240-5.

  • Navaneetham K, Dharmalingam A. Utilization of maternal health care services in southern india. Social Science and Medicine 2001;55(10):1849-69.

  • Jat TR, Naw NG, Sebastian MS. Factors affecting the use of maternal health services in madhya pradesh state of india a multilevel analysis. International J for Equity in Health 2011;10(1):59.

  • Chandhok N, Dhillon SB, Kambo I, Saxena NC. Determinants of antenatal care utilization in rural areas of india a cross-sectional study from 28 districts. J Obstet Gynecol India 2006;56(1):47-52.

  • RoyM, Mohan U, Singh SK, Singh V, Srivastava AK. Determinants of utilization of antenatal care services in rural lucknow, india. J of Family Medicine Prim Care 2013;2(1):55–59.

  • Olayinka A, Afolayan JA, Oladimeij BD. Factor’s influencing utilization of antenatal care services among pregnant women in ife central lga, osun state nigeria. Advances in Applied Science Research 2012;3(3):1309-15.

  • Matthews Z, Mahendra S, Kilaru A, Ganapathy S. Antenatal care care-seeking and morbidity in rural karnataka india results of a prospective study. Asia-Pacific Population J 2006;16(2):11-28.

  • Ibnouf AH, Borne HW, Maarse JA. Utilization of antenatal care services by sudanese women in their reproductive age. Saudi Med J 2007;28(5):737-43.

  • Singh A, Arora AK. The changing profile of pregnant women and quality of antenatal care in rural north india. Indian J of Community Medicine 2007;32(1):135-6.

  • Singh PK, Rai RK, Alagarajan M, Singh L. Determinants of maternity care services utilization among married adolescents in rural india. PloS One 2012 Feb 15;7(2):316-66.

  • Petrou S, Kupek E, Vause S, Maresh M. Antenatal visits and adverse perinatal outcomes results from a british population-based study. Eur J Obstet Gynecol Reprod Biol 2003;106(1):40-9.

  • Ramy AR, Abou-El Nour A, Mostafa GF, Laban M, Abdel-Hafez SM.Relation of antenatal care services to obstetric outcome in ain shams maternity hospital. Egyptian Society of Obstetrics and Gynecology 1998;24(7-9):513-21.


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  • Impact of Antenatal Care on Postnatal Outcomes among Postnatal Women in a Selected District Hospital, Assam

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Authors

Kobita Borah
Dept. of Obstetrics & Gynaecological Nursing, B.Sc. Nursing College Dibrugarh, Assam 786001, India
Kunjalal Talukdar
Dept. of Anatomy, Guwahati Medical College, Guwahati 781032, India

Abstract


Introduction: Maternal mortality rate in developing countries has almost defied the advance made by health care facilities. Such unfortunate deaths can be barred radically by providing state of the art antenatal, natal and postnatal care. This study is designed to recognize the impact of antenatal care on the outcome of the postnatal women in relation with a number of key parameters. Furthermore, it also aims to understand the association between antenatal cares with a setof selected demographic variables. Methods: This study was undertaken by adopting System Model as the conceptual framework. Simple random sampling technique was used to select 100 postnatal women in a selected hospital in Assam. Semi structured interview schedule, record analysis and physical assessment proforma were used to collect information. Results: Most of the postnatal women had at least three antenatal visits for complete physical and obstetrical examination. However, hemoglobin and other routine blood investigations, urine testing and USG were found only for few. Iron and folic acid supplementation was not received by some postnatal women. Adverse postnatal outcomes present among the postnatal women were maternal hypertension (4%); PPH (6%), maternal distress (14%), and fetal distress (28%), still birth (8%), neonatal death (1%) and low birth weight (22%). Conclusion: Significant association was found between occupation and total family income of the postnatal women with the number of antenatal checkup. Numbers of antenatal visit and live birth were found to have a direct association with complete obstetrical examination and birth weight, Hb estimation and PPH, occupation and birth weight.

Keywords


Antenatalcheck-Up, Nursing Practices, Maternal Morbidity.

References