Study on knowledge, attitude and practice of ante-natal care among pregnant women attending antenatal tertiary care institution

Authors

  • Vuppu Sitalakshmi Department of Obstetrics and Gynecology, Narayana Medical College and Hospital, Nellore, Andhra Pradesh, India
  • Pothu Bavyasri Department of Obstetrics and Gynecology, Narayana Medical College and Hospital, Nellore, Andhra Pradesh, India
  • Rajyalakshmi Talapala Department of Obstetrics and Gynecology, Narayana Medical College and Hospital, Nellore, Andhra Pradesh, India
  • Manjula Kopperla Department of Obstetrics and Gynecology, Narayana Medical College and Hospital, Nellore, Andhra Pradesh, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20200895

Keywords:

Antenatal care, Attitude, Danger signs, Knowledge, Practices, Pregnant women

Abstract

Background: The primary aim of antenatal care is to achieve a healthy mother and baby. Antenatal care helps to identify the complications and to remove anxiety and dread associated with delivery. Current study designed to assess knowledge, attitude and ante natal care practice among pregnant women attending to antenatal tertiary care hospital.

Methods: A cross-sectional study was conducted on 500 pregnant women attending antenatal care centre at department of obstetrics and genecology, Narayana Medical College and Hospital, Nellore during June 2017 to June 2019 under Narayana Mathru Seva Pathakam. Face to face interview was conducted to assess their knowledge, attitude and practice using a structured questionnaire.

Results: A total 86% belongs to 20-29 years age group and 71.4% belongs to multiverdia. 20.6% women responded that they had completed 3 antenatal visits, 26.6% are those who thought that at least more than 5 ANC checkup should be done during pregnancy. 96.1% pregnant responded that registration for antennal care and visits is essential. 87.2% responds to take iron and folate during pregnancy and 11% responds does not taken the same. 92% pregnant responded that tetanus toxoid (TT) should be given during pregnancy but 3.2% told don’t know. When they asked about resting period, 24.2% responded 5-6 hours, 35.4% responded 7-8 hours, 35.6% responded > 8 hours per day to rest they are taking. 55.8% pregnant responded that they had taken decision to give birth the baby in the hospital. 71.2% pregnant females reported that they knew about the danger signs during pregnancy. The reasons for not attending antenatal check-up were financial reasons, illiterate (15.4%), transport and unaware about ANC.

Conclusions: Information, education and communication activities should be increased on ANC through community campaign and mass media to motivate women to utilize maternal care services.

References

Carroli G, Rooney C, Villar J. How effective is antenatal care in preventing maternal mortality and serious morbidity? An overview of the evidence. Paediatr Perinatal Epidemiol. 2001;15:1-42.

Gupta RK, Shora TN, Verma AK, Jan R. Knowledge regarding antenatal care services, its utilization, and delivery practices in mothers (aged 15-49 years) in a rural area of North India. Trop J Med Res. 2015;18(2):89.

Patil MS, Vedpathak VL, Aswar NR, Deo DS, Dahire PL. Birth preparedness and complication readiness among primigravida women attending tertiary care hospital in a rural area. Int J Comm Med Pub Health. 2017;3(8):2297-304.

Kabakyenga JK, Östergren PO, Turyakira E, Pettersson KO. Knowledge of obstetric danger signs and birth preparedness practices among women in rural Uganda. Reproductive Health. 2011;8(1):33.

Manna PK, De D GD. Knowledge, attitude and practices for antenatal care and delivery of the mothers of tea garden in Jalpaiguri and Darjeeling districts, West Bengal. National J Comm Med. 2011;2(1):4-8.

Koenig MA, Fauveau V, Chowdhury AI, Chakraborty J, Khan MA. Maternal mortality in Matlab, Bangladesh: 1976-85. Studies in Family Planning. 1988;19(2):69-80.

Punyatoya B. Knowledge, attitude and practices among pregnant women about antenatal care, danger sign during pregnancy and adopting family planning method. J Prevent Med Holistic Health. 2018;4(1):10-5.

Chandhiok N, Dhillon BS, Kambo L, Saxena NC. Determinants of antenatal care utilisation in rural areas of India. A cross - sectional study from 28 districts (An ICMR task force study). J Obstet Gynecol India. 2006;56:47-52.

Laishram J, Thounaojam UD, Panmei J, Mukhia S, Devi HS. Knowledge and practice of antenatal care in an urban area. Indian Med Gazette. 2013;101-6.

Khatib N, Zhiruddin QS, Gaidhane AM. Predictors for antenatal services and pregnancy outcome in a rural area: a prospective study in Wardha district, India. Indian J Med Sci. 2009;63:436-44.

Shafqat T, Fayaz S, Rahim R, Saima S. Knowledge and awareness regarding antenatal care and delivery among pregnant women. J Med Sci. 2015;23:88-91.

Mithra P, Unnikrishnan B, Rekha T, Nithin K, Mohan K, Kulkarni V, et al. Compliance with iron-folic acid (IFA) therapy among pregnant women in an urban area of south India. African Health Sci. 2013;13(4):880-5.

Pal PP, Sharma S, Sarkar TK, Mitra P. Iron and folic acid consumption by the ante-natal mothers in a rural area of India in 2010. Inter J Prevent Med. 2013;4(10):1213.

Matthews Z, Mahendra S, Kilaru A, Ganapathy S. Antenatal care, care-seeking and morbidity in rural Karnataka, India: results of a prospective study. Asia Pacif Pop J. 2001;16(2):11-28.

Chellaiyan VG. A study on compliance of antenatal care among the mothers attending immunisation clinic of Murshidabad Medical College and Hospital, West Bengal. IOSR J Dent Med Sci. 2018;17(3):62-5.

Lilungulu AG, Matovelo D, Gesase A. Reported knowledge, attitude and practice of antenatal care services among women in Dodoma Municipal, Tanzania. J Pediatr Neonatal Care. 2016;4:00125.

Sanjel S, Ghimire RH, Pun K. Antenatal care practices in Tamang community of hilly area in central Nepal. Kathmandu Univ Med J. 2011;34(2):57-61.

Zhao Q, Kulane A, Gao Y, Xu B. Knowledge and attitude on maternal health care among rural-to-urban migrant women in Shanghai, China. BMC Women's Health. 2009;9(1):5.

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Published

2020-02-27

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Original Research Articles