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Predictors for antenatal services and pregnancy outcome in a rural area: a prospective study in Wardha district,
Nazli Khatib1, Quazi Syed Zahiruddin, A M Gaidhane
1Department of Physiology, Datta Meghe Institute Medical Sciences, Sawangi, Wardha, India. nazli.786@rediffmail.com
Background:
Antenatal care is essential to reduce morbidity and mortality among newborn babies and pregnant women.
Aims:
To study the pattern of utilization of antenatal services and to find out the potential predictors, their distributions and their association with antenatal care utilization and pregnancy outcomes.
Settings And Design:
A prospective longitudinal study was conducted in Deoli, a rural teaching area of a medical college of Wardha district, Maharashtra state.
Materials And Methods:
Medical social workers contacted all the registered 305 pregnant women in 1 month. A total of 274 women were included in the study. The response rate was 89.83%.
Statistical Analysis Used:
Percentages, rate ratio.
Results:
Mean age at marriage was 19.8+/-3.6 years, and the average age at first pregnancy was 21.6+/- 4.5 years. Of the 274 pregnant women, 156 (56.9%) were pregnant for the first time (gravida 1), and the remaining 118 (43.1%) pregnant women, gravida 2 and above, had an average of 2.1 living sons and 1.9 living daughters. Only 92 (33.6%) women had undergone the minimum recommended antenatal checkup during their current pregnancy, and 188 (68.6%) women had institutional deliveries. A large proportion of women in Deoli do not receive proper health care during pregnancy and childbirth.
Conclusion:
In Deoli, antenatal services, in spite of being essential to the care of pregnant women, are being poorly delivered.
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