Perceptions of essential obstetric care by rural pregnant women and safe motherhood approaches: An interventional study

Objectives: To assess the level of awareness about Antenatal and Postnatal care in rural women, to understand health seeking patterns of pregnant women, to relate socio-economic factors to the health seeking patterns, to provide awareness and interventions. Methodology: A prospective interventional...

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Main Authors: Dilip Chandrasekhar, Angel Mary William, Anjana A, Annmaria Benny, Aqila Karuppam, Raseel Omar Ahmed, Shahir Ahmed KV Ahamedunni
Format: Article
Language:English
Published: Elsevier 2021-07-01
Series:Clinical Epidemiology and Global Health
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S221339842100035X
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author Dilip Chandrasekhar
Angel Mary William
Anjana A
Annmaria Benny
Aqila Karuppam
Raseel Omar Ahmed
Shahir Ahmed KV Ahamedunni
author_facet Dilip Chandrasekhar
Angel Mary William
Anjana A
Annmaria Benny
Aqila Karuppam
Raseel Omar Ahmed
Shahir Ahmed KV Ahamedunni
author_sort Dilip Chandrasekhar
collection DOAJ
description Objectives: To assess the level of awareness about Antenatal and Postnatal care in rural women, to understand health seeking patterns of pregnant women, to relate socio-economic factors to the health seeking patterns, to provide awareness and interventions. Methodology: A prospective interventional study was conducted over a period of 6 months among the patients of a government district hospital of Kerala; in three phases: pre interventional, interventional, and post interventional phase. Results: Before providing intervention, 89.8% of mothers were aware that vaginal bleeding is one of the danger signs of pregnancy, which increased to 99.8% post intervention. Similarly, they also became aware that convulsions (99%), severe abdominal pain (96.8%) and persistent headache with visual disturbances(98.4%) were the danger signs of pregnancy. The knowledge about pregnancy induced hypertension (99.2%), gestational diabetes (99.6%), gestational anemia(98.8%) and gestational epilepsy(96.2%) had increased post intervention. Initially, 55.2% of women were not aware of any of the diseases. After intervention it decreased to 0.2%. The knowledge on Bacille Calmette Guerin(BCG), Hepatitis B, Polio, Diphtheria Tetanus toxoids Pertussis(DTP) had a notable increase (98.4%,97.6%, 98.2%, 91.6% respectively) after intervention. Also, 35.2% of the women did not know why any of these vaccines were given. After the intervention the value declined to 0.8%. Conclusion: This study recognizes the need to focus on the factors associated with utilization of the available free safe motherhood services across all public health facilities. Community engagement and social awareness could play a very crucial role to help promote maternal health.
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spelling doaj.art-68c3bf4374ee4dbaac4e6c44a13c6da42022-12-21T22:32:03ZengElsevierClinical Epidemiology and Global Health2213-39842021-07-0111100731Perceptions of essential obstetric care by rural pregnant women and safe motherhood approaches: An interventional studyDilip Chandrasekhar0Angel Mary William1Anjana A2Annmaria Benny3Aqila Karuppam4Raseel Omar Ahmed5Shahir Ahmed KV Ahamedunni6Corresponding author. Dept of Pharmacy Practice Al Shifa college of Pharmacy Poonthavanam P.0, Perinthalmanna, Kerala, 67932, India.; Department of Pharmacy Practice, Al Shifa College of Pharmacy, Perinthalmanna, Kerala, 679325, IndiaDepartment of Pharmacy Practice, Al Shifa College of Pharmacy, Perinthalmanna, Kerala, 679325, IndiaDepartment of Pharmacy Practice, Al Shifa College of Pharmacy, Perinthalmanna, Kerala, 679325, IndiaDepartment of Pharmacy Practice, Al Shifa College of Pharmacy, Perinthalmanna, Kerala, 679325, IndiaDepartment of Pharmacy Practice, Al Shifa College of Pharmacy, Perinthalmanna, Kerala, 679325, IndiaDepartment of Pharmacy Practice, Al Shifa College of Pharmacy, Perinthalmanna, Kerala, 679325, IndiaDepartment of Pharmacy Practice, Al Shifa College of Pharmacy, Perinthalmanna, Kerala, 679325, IndiaObjectives: To assess the level of awareness about Antenatal and Postnatal care in rural women, to understand health seeking patterns of pregnant women, to relate socio-economic factors to the health seeking patterns, to provide awareness and interventions. Methodology: A prospective interventional study was conducted over a period of 6 months among the patients of a government district hospital of Kerala; in three phases: pre interventional, interventional, and post interventional phase. Results: Before providing intervention, 89.8% of mothers were aware that vaginal bleeding is one of the danger signs of pregnancy, which increased to 99.8% post intervention. Similarly, they also became aware that convulsions (99%), severe abdominal pain (96.8%) and persistent headache with visual disturbances(98.4%) were the danger signs of pregnancy. The knowledge about pregnancy induced hypertension (99.2%), gestational diabetes (99.6%), gestational anemia(98.8%) and gestational epilepsy(96.2%) had increased post intervention. Initially, 55.2% of women were not aware of any of the diseases. After intervention it decreased to 0.2%. The knowledge on Bacille Calmette Guerin(BCG), Hepatitis B, Polio, Diphtheria Tetanus toxoids Pertussis(DTP) had a notable increase (98.4%,97.6%, 98.2%, 91.6% respectively) after intervention. Also, 35.2% of the women did not know why any of these vaccines were given. After the intervention the value declined to 0.8%. Conclusion: This study recognizes the need to focus on the factors associated with utilization of the available free safe motherhood services across all public health facilities. Community engagement and social awareness could play a very crucial role to help promote maternal health.http://www.sciencedirect.com/science/article/pii/S221339842100035XObstetricRuralMaternal care
spellingShingle Dilip Chandrasekhar
Angel Mary William
Anjana A
Annmaria Benny
Aqila Karuppam
Raseel Omar Ahmed
Shahir Ahmed KV Ahamedunni
Perceptions of essential obstetric care by rural pregnant women and safe motherhood approaches: An interventional study
Clinical Epidemiology and Global Health
Obstetric
Rural
Maternal care
title Perceptions of essential obstetric care by rural pregnant women and safe motherhood approaches: An interventional study
title_full Perceptions of essential obstetric care by rural pregnant women and safe motherhood approaches: An interventional study
title_fullStr Perceptions of essential obstetric care by rural pregnant women and safe motherhood approaches: An interventional study
title_full_unstemmed Perceptions of essential obstetric care by rural pregnant women and safe motherhood approaches: An interventional study
title_short Perceptions of essential obstetric care by rural pregnant women and safe motherhood approaches: An interventional study
title_sort perceptions of essential obstetric care by rural pregnant women and safe motherhood approaches an interventional study
topic Obstetric
Rural
Maternal care
url http://www.sciencedirect.com/science/article/pii/S221339842100035X
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