The role of effectiveness of antenatal check up in to reduction of infant mortality and preterm birth

Dr. Seema kumari; Dr. Mritunjay Kumar

Volume : VII, Issue : VII, July - 2017

The role of effectiveness of antenatal check up in to reduction of infant mortality and preterm birth

Dr. Seema Kumari, Dr. Mritunjay Kumar

Abstract :

Aim: To study the role of ANC in infant mortality and preterm birth. Methods: This study was done for a period of one year from April 2016 to March 2017 in patients who has come in outpatient department in obstetrics and gynaecology department of JLNMCH, Bhagalpur. Thorough examination, investigations were performed. A total of 100 cases were taken in the study. All patients were given proper antenatal care before delivery. Results: Out of 100, 85 patients attended ANC, 15 patients did not attend ANC. Age group of woman attending ANC was 25–35 years. Financial problems in 10 patients and ignorance in 5 patients was the reason not to attend ANC. Woman who attended ANC were immunized regularly and iron supplements were given but not in patients who did not come for ANC. Maternal complications like anaemia and pregnancy induced hypertension occurred more commonly in women without ANC. The proportion of low birth weight and preterm babies was higher in women with inadequate or no ANC. NICU admissions were more in patients who did not go for ANC due to various reasons like neonatal sepsis, birth asphyxia, jaundice etc. Two neonatal deaths has been reported in patients without ANC. No mortality in patients with ANC. Maternal and perinatal outcomes were found to be better in women who attended regular ANC. Conclusion– ANC is very important for pregnant ladies. The quality of antenatal care needs to be strengthened. The health system needs to ensure the availability of ANC in primary care level and to establish mobile clinics for those living far from the health facilities.