Assessment of knowledge of obstetric danger signs and its associated factors among pregnant women attending antenatal clinic of rural health training centre of a medical college: A cross-sectional study from Rajasthan

Abstract

Background and Objectives: Women and newborns are most vulnerable during and immediately after childbirth. The majority of maternal and newborn deaths occurring in developing countries can be attributed to inabilities to access health services, illiteracy, social stigmas, and gender inequalities. Women should be made aware of the danger signs so that health care services can be assessed on time, thus reducing maternal mortality. The objectives of this study were to assess the knowledge about obstetric danger signs and to find out various factors associated with them among pregnant women attending antenatal care (ANC) clinic at the Rural Health Training Centre (RHTC) attached to a Medical College. Methodology: This cross-sectional study was conducted at the ANC clinic of the RHTC attached to a medical college of Rajasthan for a period of 4 months and included 353 pregnant women. A pre-designed and pre-tested schedule was used. Mean knowledge scores were computed and knowledge was classified into adequate and inadequate. Descriptive statistics were used and the Pearson Chi-square test was used as a test of significance, taking a P value of < 0.05 as statistically significant. Results: Educational status of pregnant women, antenatal check-up status and gravid status had significant associations with the knowledge of obstetric danger signs. Conclusions: About half of the respondents had adequate knowledge about the obstetrics danger signs. Therefore, there is a strong need of creating awareness in the community by improving access to health care.

Awareness and practice regarding puerperal danger signs among postnatal mothers attending at rural tertiary care center of Nepal

“…This finding is similar to a study done in Rajasthan of India by Kumar A et.al revealed that belonged to the Hindu religion and joint family (97.5%) and (84.7%) respectively. [10] Also similar with study done in Delhi of India by Kumar A et.al. showed that most of participants (87%) and (54.5%)belonged to Hindu religion and joint family respectively. [11] In the present study, majority 56 (40.3%) of respondents had higher secondary education which finding is similar to a study conducted in Kigali, Rwanda by Uwiringiyimana E et.al.…”

“…showed that heavy vaginal bleeding (74.5%) as a danger signs during post-partum. This finding was also consistent with the findings of the study conducted in Nepal by Thapa B, Manandhar K (88.3%) knew that severe vaginal bleeding is a danger sign during post partum period [11,15,2,8,17]. In the present study, most (85.6%) of the respondents had poor knowledge of puerperal danger signs compare to only (14.4%) of the study subjects had good knowledge.…”

“…Women should be made aware of the danger signs so that health care services can be assessed on time, thus reducing maternal mortality. [8]…”