PATTERN OF ANTENATAL CARE AMONG WOMEN UTILISING A TERTIARY CARE CENTRE IN GOVERNMENT SECTOR FOR DELIVERY
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 51
Abstract
BACKGROUND The goal of antenatal care is to prevent, detect and alleviate or manage the health problems in pregnancy. Kerala had a Maternal Mortality Ratio of 61 in 2011-13 which is well below the target set in Millennium Development Goal. We studied the antenatal services utilised by the women. Aims-1. To look into the pattern of antenatal care and patient preferences in antenatal contacts. 2. To study the determinants of utilisation of government or private services. MATERIALS AND METHODS Study subjects - 200 antenatal women, after 36 weeks of pregnancy admitted for delivery. There were 276 women referred from outside hospitals. 76 women had serious maternal complications. Hence, they were excluded. So the sample size was 200. Setting – Department of OBG in Govt. Medical College, Kozhikode. Period – One month (March 2017). Design - This was a cross sectional descriptive study. Data collection – All the women were interviewed with a pre-structured questionnaire and information collected by trained doctors. The women who had antenatal check-ups at government institutions were considered under govt. sector and women who were seen by obstetricians at private clinics or hospitals were included in the private sector. RESULTS Out of 200 women, 68.5% belonged to 20-30 years. 6% were below 19 and 9% were aged >35. 61% resided in the same district where the hospital is situated. Regarding ANC, 98% registered early. All patients had more than 8 visits, consumed IFA tablets and took tetanus immunisation. 82 women had private antenatal visits. The family income and education were significantly higher in this group with a p value of 0.0012 and p value of 0.0003 respectively. CONCLUSION Our study showed that in Kerala, women are aware of antenatal services and utilised it efficiently. Women with higher income and education preferred private consultations but opted a well-equipped centre for delivery.
Authors and Affiliations
Mini C. H, Mohammed Sidhiq
Keywords
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- EP ID EP220048
- DOI 10.14260/Jemds/2017/838
- Views 92
- Downloads 1
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