Quality of antenatal care and pregnancy outcome in the slums of Guwahati city

AUTHORS : Talukdar Rijusmeeta, Madaan Sandeep
DOI No. : 10.31741/ijhrmlp.v5.i2.2019.10

Background: The primary aim of antenatal care is to achieve at the end of every pregnancy healthy baby and mother. Objective: To assess the quality of antenatal care (ANC) and its relation to pregnancy outcome. Materials and methods: A community based cross-sectional study was carried out from August 2011-July 2012. Study was conducted in 7 slums in Guwahati city, Assam, selected by systematic random sampling. Total of 400 mothers who had delivered within 1 year were selected randomly and interviewed. Information about socio demographic variables, ANC services and pregnancy outcome were collected. Data were collected in a predesigned, pretested and semi-structured proforma and analyzed using statistical software. Results: Majority (81.25%) of mothers were registered for ANC. About 61% mothers had 3 or more ANC out of which 66.25% mothers were registered within 12 weeks of pregnancy. While 81.25% mothers had their BP measured, only 25.75% had 100 or more IFA tablets and 70% had 2 doses of TT, 64.5% had their Hb% estimated, 74.5% were advised on proper rest and nutrition, 75% were aware of danger signs of pregnancy. While 81.25% were informed about institutional delivery, only 55.25% mothers had institutional delivery. Association between IFA consumption by mothers and birth weight of babies was highly significant (p<.001). Conclusion: Utilization of 3 or more ANC and institutional deliveries were low in the slums. Thus, awareness of benefits of quality ANC must be generated in slums to ensure increased utilization.

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