FACTORS FOR INACCESSIBILITY OF ANTENATAL CARE BY WOMEN IN SINDH
AbstractBackground: Antenatal care is important for pregnant women. By good antenatal care manycomplications of pregnancy can be prevented and lives can be saved. This study was carried out tofind out the reasons of not utilising antenatal care, knowledge about dangerous signs andsymptoms of pregnancy, and diet in women receiving and not receiving antenatal care. Methods:This descriptive study was conducted at Department of Obstetrics and Gynaecology, LiaquatUniversity Hospital, Hyderabad Pakistan from February 2007 to October 2007. A total of 134women who came for delivery were included in the study. Out of these, 71 women had receivedantenatal care while 63 did not receive antenatal care. After taking informed consent, women wereinterviewed regarding demographic data, reason of not utilising antenatal care, knowledge aboutdiet and dangerous signs and symptoms of pregnancy. Results: Twenty-eight (44.44%) womendid not receive antenatal care because the facility was far away from home, 10 (15.87%) said thattransport was not available. Tetanus toxoid coverage was higher among women who receivedantenatal care (p<0.0001). Women who received antenatal care were more aware of the dangeroussigns and symptoms of pregnancy than women who did not receive antenatal care. Conclusion:Most common reason of not utilising antenatal care was that facility was far away from therehome. Women who received antenatal care were not anaemic and had received tetnus toxoidvaccination. They knew more about diet and dangerous sign and symptoms of pregnancy thanwomen who had not received antenatal care.Keywords: Antenatal care, women, anaemic, rural, pregnancy, facility, safe motherhood, Sindh
Hibbard BM (ed). Antenatal care. In: Principals of obstetrics 1st
edition. Butterworth and company, 1988. p.151.
WHO, The safe motherhood initiative, a decade after Nairobi,
achievements in the WHO Eastern Mediterranean Region, 1988.
Pakistan demographic and household survey 1990–91.
Islamabad: Government of Pakistan. National Institute of
Population Studies. Islamabad, Pakistan, 1992.
Thaddeus S, Maine D. Too far to walk: maternal mortality in
context. Soc Sci Med 1994;38:1091–110.
Fathalla MF. Human rights aspects of safe motherhood. Best
Pract Res Clin Obstet Gynaecol 2006;20(3):409–19.
Pappas G, Akhtar T, Gergen PJ, Hadden WC, Khan AQ. Health
Status of the Pakistani population: a health profile and
comparison with the United States. Am J Public Health
Yanagisawa S, Oum S, Wakai S: Determinants of skilled birth
attendance in rural Cambodia. Trop Med Int Health
Stekelenburg J, Kyanamina S, Mukelabai M, Wolffers I, van
Roosmalen J: Waiting too long: low use of maternal health
services in Kalabo, Zambia. Trop Med Int Health 2004;9:390–8.
Awan M, Akbar M, Khan M. A study of anemia in pregnant
women of railway colony, Multan. Pak J Med Res 2004;43:11–4.
Pakistan Medical Research Council, National Health Survey of
Pakistan, Health Profile of the people of Pakistan. Islamabad:
PMRC; 1988. p. 90.
Safdar S, Inam SN, Omair A, Ahmed ST. Maternal health care in
a rural area of Pakistan. J Pak Med Assoc 2002;52:308–11.
Bhatia JC. Maternal mortality in Anantapur District, India:
preliminary findings of a study. Interregional meeting on
prevention of maternal mortality, Geneva 11-17 November 1985.
Document FHE/PMM/85.9.16.Geneva: World Health
Bhatia JC. Light on maternal mortality in India. World Health
Nisar N, White F. Factors affecting utilization of antenatal care
among reproductive age group women (15–49 years) in an urban
squatter settlement of Karachi. J Pak Med Assoc 2003;53:47–53.