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

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.

Antenatal care awareness among rural pregnant women of Uttar Pradesh, India: a community-based study

“…However, some earlier studies conducted in South India reported that comparatively more pregnant women (about 90%) were aware of taking TT injections during pregnancy. 18,19 Again in this study 53.72% of pregnant women were found to be aware of the right doses of TT injection, which is in line with the study conducted in Andhra Pradesh. 19 A study conducted in Uttarakhand also showed low ratio of awareness, only 44.44% of pregnant women were agree that TT injection is very important for the care of both mother and baby.…”

“…18,19 Again in this study 53.72% of pregnant women were found to be aware of the right doses of TT injection, which is in line with the study conducted in Andhra Pradesh. 19 A study conducted in Uttarakhand also showed low ratio of awareness, only 44.44% of pregnant women were agree that TT injection is very important for the care of both mother and baby. 17 On the other hand, a study in New Delhi showed a contradictory result as the large number of pregnant women (90.7%) knew that two tetanus toxoid doses are required to immunize against tetanus during pregnancy.…”

“…Other findings also support the view that most pregnant women are aware of ANC visits and its expected benefits and reported that respondents were aware that every pregnant mother needs to go for antenatal check-up. [17][18][19][20] Most of the pregnant women (88.5%) acknowledged that ANC offered to both the pregnant women and their unborn baby opportunities to receive routine immunization and routine drugs for protection against various communicable diseases. 20 Although large numbers of research studies have reported high awareness regarding the antenatal visit, at the same time some studies also reported high a ratio (90% to 100%) of actual ANC registration.…”

Awareness and utilization of mother and child protection (MCP) card among mothers attending immunization OPD: An urban health centre-based cross-sectional study

“…Knowledge about newborn care, infant feeding practices, immunization, newborn and childhood illnesses were all found inadequate among mothers of under three. [ 10 ] Although some studies have reported higher knowledge about danger sings,[ 11 ] thus with knowledge about ANC services, ANC care preparations for pregnancy still remain varied and even below expectation in some areas. The MCP card as a tool provides all the necessary information to the beneficiaries.…”