Prevalence of antenatal risk conditions among women in an underserved district of Northern Sri Lanka

Sivaganesh, S.; Senarath, Upul

doi:10.4038/cmj.v54i4.1450

Cited by 8 publications

(7 citation statements)

References 3 publications

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“…In this study the estimates of anaemia in non pregnant women were as high as 35% in some regions [3]. Regional studies on the prevalence of anaemia in pregnant women have reported a prevalence of 14.4% in Dankotuwa in the Puttalam district in 1999, 8.2% in northern Sri Lanka in 2009 and 14.1% in the Anuradhapura district in 2012 [4][5][6]. Although demonstrating a wide variation in the rates reported, all these regional studies suggest that the national prevalence could be less than the available estimates.…”

Section: Introductionmentioning

confidence: 91%

Anaemia and iron deficiency in pregnant women attending an antenatal clinic in a Teaching Hospital in Southern Sri Lanka

Senadheera¹,

Goonewardene

Mampitiya³

2017

Ceylon Med. J.

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Section: Introductionmentioning

confidence: 91%

Anaemia and iron deficiency in pregnant women attending an antenatal clinic in a Teaching Hospital in Southern Sri Lanka

Senadheera¹,

Goonewardene

Mampitiya³

2017

Ceylon Med. J.

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“…A study done in the Puttalam district in 1999 reported a prevalence of 14.4% and another study conducted in the adjacent Gampaha district in 2001-2002 period reported 7.1% prevalence [3]. In 2009, a 8.2% prevalence was reported from the Vavuniya district [5]. The prevalence was 18-23.4% in Colombo.…”

Section: Introductionmentioning

confidence: 99%

Anaemia in pregnancy in the district of Anuradhapura, Sri Lanka – need for updating prevalence data and screening strategies

et al. 2012

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“…This may be due to selfnegligence and suboptimal dietary care. Inadequate antenatal care in unplanned pregnancies is also phenomenal in other countries as well(20,56,57). Currently in the USA, pregnant women with unintended pregnancies were associated with cigarette smoking and lack of adequate vitamins (58).…”

mentioning

confidence: 99%

Proportion of unplanned pregnancies, their determinants and health outcomes of women delivering at a teaching hospital in Sri Lanka

Ranatunga¹,

Jayaratne²

2019

Preprint

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Unplanned pregnancy is a significant public health issue in both low- and high-income countries. The burden of unplanned pregnancy is reflected in women opting for pregnancy terminations in spite of the presence of well-established family planning services. Solid data on the proportion of unplanned pregnancies are using more specific tools such as the London Measure of Unplanned Pregnancy (LMUP) needed to address the issue in Sri Lankan contexts. The objective was to describe the proportion of unplanned pregnancies, their determinants and the health outcomes of women delivering at Colombo North Teaching Hospital-Ragama (CNTH). Methods A cross-sectional study was carried out among 494 consecutive pregnant women selected by non-probability consecutive sampling who were admitted for the confinement at CNTH. A pre-tested structured interviewer-administered questionnaire was used to collect data on antenatal women and intentionality measured by self-administered six-item LMUP. Maternal and newborn health outcomes were ascertained in each post-partum women before discharge. Data were analyzed with the Mann-Whitney U tests, Kruskal-Wallis tests and spearman rank correlation. We also evaluated the psychometric properties of the Sinhalese version of LMUP. Results The response rate was 97.8% and 17.2% of pregnancies ending at birth were unplanned, 12.7% were ambivalent and 70.1% were planned. Associated factor profile of women with unplanned pregnancies includes; not married women (p=0.001) educated up to the passing of GCE ordinary level by women (p<0.001) and spouse (p<0.001), primiparity (p=0.002) and inadequate knowledge on emergency contraceptives (p=0.037). Less planned pregnancies were also significantly associated with anemia (p=0.004), low mood for last two weeks (p<0.001), having a partner with problematic alcohol consumption (p<0.001), presence of Gender-Based Violence (GBV) (p<0.001), poor relationship satisfaction with partner (p<0.001). Inadequate pre-pregnancy preparation and antenatal care were associated with an unplanned pregnancy. No differences were found in neonatal outcomes. Sinhalese version of the LMUP scale was found to be accepted, valid and reliable with the Cronbach's alpha of 0.936. Conclusions A sizeable proportion of pregnancies were unplanned. Teenage pregnancies, non-marital relationships and inadequate knowledge on emergency contraceptives, maternal anemia, low mood, and GBV were modifiable associated factors which could be prevented by evidence-based locally applicable approaches.

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Prevalence of antenatal risk conditions among women in an underserved district of Northern Sri Lanka

Cited by 8 publications

References 3 publications

Anaemia and iron deficiency in pregnant women attending an antenatal clinic in a Teaching Hospital in Southern Sri Lanka

Anaemia and iron deficiency in pregnant women attending an antenatal clinic in a Teaching Hospital in Southern Sri Lanka

Anaemia in pregnancy in the district of Anuradhapura, Sri Lanka – need for updating prevalence data and screening strategies

Proportion of unplanned pregnancies, their determinants and health outcomes of women delivering at a teaching hospital in Sri Lanka

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