Knowledge about obstetric danger signs among pregnant women attending antenatal clinic in a tertiary care hospital of Delhi: a cross sectional study

Authors

  • Ashok Kumar Department of Community Medicine, VMMC and Safdarjung Hospital, New Delhi, India
  • Geeta Yadav Department of Community Medicine, VMMC and Safdarjung Hospital, New Delhi, India
  • Vijay Zutshi epartment of Obstetrics and Gynecology, VMMC and Safdarjung Hospital, New Delhi, India
  • Suman Bodat Department of Community Medicine, GMC Pali, Rajasthan, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20193808

Keywords:

Awareness, Danger sign, Labour, Maternal mortality, Postpartum, Pregnancy

Abstract

Background: According to UNICEF, globally 800 million women die due to preventable causes related to pregnancy and childbirth; 20% of which occur in India. It is therefore imperative to understand the level of knowledge about danger signs among pregnant women to augment timely redressal of preventive obstetric causes of mortality.

Methods: A hospital based, cross sectional study was conducted at the ANC Clinic in Safdarjung Hospital, New Delhi from 2nd July to 27th July 2018. Convenient sampling was used to identify and interview 354 pregnant women, using a semi structured questionnaire. Data was entered and analysed with SPSSv21. Results were presented as frequencies and proportions. Chi square was used to test for association between qualitative variables, and p-value less than 0.05 was considered significant.

Results: 48.3%, 35.6%, and 40.1% of pregnant women had knowledge about danger signs during pregnancy, labour and postpartum respectively. Majority of the women had knowledge about abdominal pain (58.4%) and severe fatigue (80.7%) as danger signs of pregnancy, while bleeding (82.5%) was the most common response as danger sign of labour. More than half had knowledge about heavy bleeding (59.9%) as danger sign of postpartum. The women lacked awareness about Convulsions (92.9%) as danger signs of pregnancy and labour, as well as smelly vaginal discharge (79.6%) in postpartum.

Conclusions: Knowledge of obstetric danger signs among pregnant women is still lower. It needs further awareness as it can help in early diagnosis and referral of patients thus reducing maternal mortality and morbidity.

References

WHO Maternal Mortality Ratio, 2018. Available at: http://www.who.int/healthinfo/statistics/indmaternalmortality/en.

UNICEF India Maternal health, 2018. Available at: http://unicef.in/Whatwedo/1/Maternal-Health.

Maternal Mortality, 2018. Available at: http:// www.who.int>news>fact sheets>detail.

Thaddeus S, Maine D. Too far to walk: maternal mortality in context. Soc Sci Med. 1994;38(8):1091-110.

World Health Organization: Mother-Baby Package: Implementing safe motherhood in countries. Practical guide WHO/FHE/MSM/94.11. Geneva.

JHPIEGO. Monitoring birth preparedness and complication readiness: tools and Indicators for maternal and newborn health. Baltimore: 2004.

Starrs AM. Safe motherhood initiative: 20 years and counting. Lancet. 2006;368(9542):1130-2.

Koblinsky MA, Campbell O, Heichelheim J. Organizing delivery care: what works for safe motherhood? Bull World Health Organ. 1999;77(5):399-406.

Bell J, Hussein J, Jentsch B, Scotland G, Bullough C, Graham W. Improving skilled attendance at delivery: a preliminary report of the SAFE strategy development tool. Birth. 2003;30(4):227-34.

Paxton A, Maine D, Freedman L, Fry D, Lobis S. The evidence for emergency obstetric care. Int J Gynaecol Obstet. 2005;88(2):181-93.

Graham W, Themmen E, Bassane B, Meda N, De Brouwere V. Evaluating skilled care at delivery in Burkina Faso: principles and practice. Trop Med Int Health. 2008;13(1):6-1.

Sahithi K, Venkat C. Awareness of danger signs during pregnancy, labour, child birth and during the first seven days of life attending antenatal care. Int J Repro Contra Obste Gynecol. 2017;8:4106-10.

Haleema M, Raghuveer P, Kiran R, Mohammed IM, Mohammed IS, Mohammed M. Assessment of knowledge of obstetric danger signs among pregnant women attendinga teaching hospital. J Family Med Prim Care. 2019;8:1422-6.

Shankar A, Kaur R, Gnana J, Rasheed N. Making pregnancy safer - birth preparedness and complication readiness among antenatal women. Indian J Com Med. 2015;40(2):127-34.

Acharya AS, Kaur R, Prasuna JG, Rasheed N. Making pregnancy safer-birth preparedness and complication readiness study among antenatal women attendees of a primary health center, Delhi. Indian J Com Med. 2015;40:127-34.

Mukhopadhyay DK, Mukhopadhyay S, Bhattacharjee S, Nayak S, Biswas AK, Biswas AB. Status of birth preparedness and complication readiness in Uttar Dinajpur District, West Bengal. Indian J Public Health. 2013;57:147-53.

Nithya R, Dorairajan G, Chinnakali P. Do pregnant women know about danger signs of pregnancy and childbirth? Int J Adv Med Health Res. 2017;29:4(1):11-7.

Bhumi M, Chajhlana S. Knowledge of obstetric danger signs among pregnant women attending antenatal clinic at rural health training centre. Int J Com Med Public Health. 2018;6:2471-5.

Vijay N, Kumare B, Yerlekar D. Awareness of obstetric danger signs among pregnant women in tertiary care teaching hospital. JP Journals. 2015;7(3):171-5.

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Published

2019-08-26

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Original Research Articles