• Anwar Sultana
  • Shafiq Ahmed


Background: A safe motherhood initiative is a global effort to reduce maternal mortality and morbidity. This aims to ensure improvement in the quality and safety of lives of women through adoption of health and non-health strategies. Antenatal care is a branch of preventive medicine dealing with prevention and early detection of pregnancy disorders. It is the key to modern obstetrics. Methods: It was a descriptive type of study to find out the attitude of the women towards utilization of antenatal care facility at a newly commissioned hospital, Hayatabad Medical Complex, Peshawar, Pakistan in the first year of its working. Results: We recorded 980 patients. All of them were married. Monthly attendance showed increasing trend. In this study 72.44% of the women were of 25–35 year of age while 11.42% were teenager. Multiparity was recorded in 38.97% and 12.14% had more then nine pregnancies. Six hundred and fifty patients were living near the hospital. 2.24% patients visited more than six times and 63.26% had one visit only, with the rest visiting for 2–5 times. Thirty patients had medical disorders. Obstetrical diseases were detected in 194 patients. Pregnancy losses contributed to 146 women and 3 women had more then 6 losses. 254 women selected hospital delivery. Out of then 160 women were booked in the 3rd trimester. Caesarean section rate among those women was 16.4%. Conclusions: The conclusion drawn was that the women living near the hospital used the facility. Antenatal care should be provided to the women at the doorstep of their house. There is a system of lady health workers that should be expanded to cover all areas. Basic health units must be fully equipped and staffed. Communication system should be improved. There is a need to include health education in the curricula of primary education.


Hibbard BM (ed). Antenatal care In: Principals of obstetrics 1st Edition. Butterworth & company, 1988, P-151.

Donald I. (ed). The scope of antenatal care. In: Practical obstetrical problem. 5th edition. Lloyd-Luke Co. 1969, P-2.

Sai FT. Statement presented at the Validictory session of first safe motherhood conference held at Nairobi, Kenya 1987.

World Health Organization. Family and reproductive health coverage of maternity care. 1997.

Nasir Aslam. Commission Report on status of women in Pakistan, 1997.

Gunning-Schepers L. The health benefits of prevention, a similation approach In: Blanpain J, Davis K, Gunji A (ed). Health Policy, Vol 12 Amsterdam, Elsevier.1989.

Wildschut HIJ. Sociodemographic factors: Age, Parity, Social class and ethnicity.In: High risk pregnancy. James OK, Seer PJ, Weiner CP and Gonik B. (Eds) 2nd Edition. WB Saunders, London.1999: pp-42.

Sikori J, Wilson J, Clement S, Das S, Smeelon N. A randomised control trial comparing to schedules of antenatal visits: The antenatal care projects. BMJ 1996; 312:546-53.

Henshaw K. Attention should be paid to what women want. (Letter). BMJ 1996;313:168

Goodburn E, Combell O. Reducing maternal mortality in the developing world: Sector wide approaches may be the key. BMJ 2001;322:917-930.

Lardon MB, Gabbe SG. Diabetes in pregnancy in: High risk pregnancy. James DK, Stee PJ, Weiner CP and Gonik B (eds). 2nd Edition. WB Saunders, London, 1999:pp- 668

Hallak M. Hypertension in Pregnancy In: High Risk Pregnancy. James DK, Steer PJ, Weiner CP and Gonik B (ed). 2nd edition. Wb Saunders, London. 1999: pp-693

Seigel Ji, Mc Craken Gh Jr. Sepsis neonatorum. New Eng J Med 1981; 304:642-44

Green Jr. Placental abnormalities. Placenta praevia and abruptio placentae. Creasy RK and Resnik R (eds) In: Maternal Foetal medicine; Principals and Practice. Philadelphia. WB Saunders.1989.

Hibbard Bm. Bleeding in late pregnancy. In: Principals of obstetrics. London, Butterworth. 1988.

Pakistan Medical Research Council. National Health Survey of Pakistan. 1995.

Dobson R. Caesarean section rate in England and Wales hits 21. BMJ 2001; 323: 951.1