PATTERN OF ANTENATAL CARE PROVIDED AT A PUBLIC SECTOR HOSPITAL HYDERABAD SINDH
AbstractBackground To assess the pattern of antenatal care provided to the pregnant women and todetermine their level of satisfaction for provision of services. Methods: This cross-sectional studywas conducted at a public sector hospital of Hyderabad Sindh, the data was collected in the monthof October 2004. The data was collected by using a pre-tested semi-structured Questionnaire,during the month of October 2004. A total of 161 women consecutively attending antenatal careclinic were included in the study. The variables included were socio-demographic like age,education, occupation and income, maternal and child health variables and level of satisfactionabout antenatal care provided. The data was analyzed by using statistical package SPSS version11. Results: The mean age of women was 29.083.95 years, majority were housewife, 43.5%women were illiterate, 47.2% had primary education and 9.3% had secondary level of education.About 66% were from low-income group, i.e., earning less than 3000 rupees. About 71% weremulti gravida, 67% had live births and 32% had history of abortions. Four had history of Intrauterine deaths. Only 22.4% reported that they use contraceptive for spacing. About 50% of thewomen were dissatisfied with the services available. The reasons identified for dissatisfactionwere long waiting time, inadequate medicine supply and incomplete tetanus vaccination were alsoreported. Conclusion: This study concluded that antenatal care provided needs improvement andrequire attention to improve the quality of services provided.Key words: Antenatal care, quality of antenatal care, pattern of antenatal care
Pakistan Demographic and Household Survey 1990–91.
Islamabad: Government of Pakistan.
National Health Survey of Pakistan. Health profile of the
people of Pakistan. Islamabad, Pakistan Medical Research
Pakistan Contraceptive Prevalence Survey 1994–95.
Islamabad: Ministry of Population Welfare (MoPW) and the
Population council, 1995.
Donabedian A: The quality of care: How can it be assessed?
Baldo MH, Al-Manzrou YY, Farag MK, Asis KMS, Khan
MU: Antenatal care, Attitudes and practices. J trop Pediatr
Pearce CW: seeking a healthy baby: Hispanic women’s
views of pregnancy and Prenatal care. Clin Excell Nurse
Al Qutob R, Mawajdeh S, Raad FB: The assessment of
reproductive health services: a Conceptual framework for
prenatal care. Health care women Int 1996;17:423–34.
Munjanja SP, Lindmart G, Nystrom L: Randomized
controlled trial of a reduced visits program of antenatal care
in Harare, Zimbabwe. Lancet 1996;348:364–9.
R Main D. The epidemiology of preterm birth. Clin Obstet
R Sayers S, Powers J. Risk factors for original low birth
weight, intrauterine growth retardation and preterm birth in
the Darwin Health region. Aust NZJ Public Health
Humphrey MD, Keating SM. Lack of antenatal in far north
queens land. Aust NZJ Obstet Gynaecol 2004;44:10–3.
Munim S, Rahbar MH, Rizvi M, Mushtaq N. The effect of
grandmultiparity on pregnancy related complications: the
Aga khan University experience, JPMA 2000;50:54–8.
Ali M, Ayaz M, Rizwan H, Hashim S, Kuroiwa C.
Emergency Obstetric Care, availability, accessibility, and
utilization in eight district In Pakistan’s North West Frontier
Province. J Ayub Med Coll Abottabad 2006;18(4):10–5.
Thaddeus S, Maine D. Too far to walk: maternal mortality in
context. Soc Sci Med 1994;38(8):1091–110.
Fathalla MF. Human rights aspects of safe motherhood. Best
Practice and research.2006;20(3):409–19.