Pattern of Antenatal Care Services  Utilization in Women Delivered at Tertiary  Care Level Hospital In Urban Area,  Mumbai

Dr. Jayashri Bute; Dr. Pragati Chavan; Dr. S. N. Nagaonkar

Volume : III, Issue : I, January - 2014

Pattern of Antenatal Care Services Utilization in Women Delivered at Tertiary Care Level Hospital In Urban Area, Mumbai

Dr. Jayashri Bute, Dr. Pragati Chavan, Dr. S. N. Nagaonkar

Abstract :

This cross-sectional study was carried out in one of the tertiary hospital of Mumbai having its own teaching institute with 1400 beds. This study was carried out to know exactly the Pattern of antenatal care services utilization and to find out various components of antenatal care used by women delivered at tertiary hospital. Women in postnatal ward after delivery interviewed with pretested semi-structured Performa. Out of 384 women complete antenatal services were utilized by 255 (66.4%) women & 129 (33.6%) women used them incompletely. 199(51.8%) women were referred from other government hospital, 8.6% from private facility while 151(39.3%) were registered to tertiary care hospital on her own.175 (46.1%) women visited health facility before 16 weeks, while 204 (53.9%) visited after 16 weeks of gestation and it was found to be increased as educational status was increased ( X2= 11.16 p< 0.05 highly significant). About 317(82.6%) women had at least 4 or more antenatal checkups. In 291 (75.8%) of pregnant women were not visited at all even single time by any healthcare worker at their home as per government norms. 255(66.4%) women used the haematinics as per advised by doctor/health staff.371 (96.9%), 129 (70.6%) & 306 (80.2%) women had undergone haemoglobin, urine & VDRL estimation respectively. 352(91.6%) women received two doses of Injection tetanus. Majority women haven�t received proper advise on different aspects of ANC. In 74.5% nobody had advised about newborn care, in 80.5% women on east feeding, in 52% warning signs in pregnancy, in 69% family planning to be followed after delivery. Relatives played key role in 69 % women�s got advised about ANC care, 63% women about nutrition, 52.6% women about personal hygiene, only 14.6% women got advise from relatives about newborn care.