scholarly journals Community Based Study of Awareness of Maternity Dangers Amongst Rural, Tribal Preconception and Pregnant Women

2021 ◽  
pp. 1-8
Author(s):  
Shakunthala Chhabra

Background: Every pregnant woman faces risk of complications which can cause severe illness or even death of mother and /or baby. Creating awareness about maternity dangers is crucial for safe birth, safe future of mother and baby. Although it remains unclear how awareness translates into appropriate actions, chances of better outcome are there. Objectives: Community based study was carried out to know about rural, tribal preconception and pregnant women’s awareness and perceptions of maternity dangers. Material and Methods: After approval of institute’s ethics committee, study was conducted in tribal communities of 100 villages of hilly forestry region, where mother child services were initiated after creating health facility in one village. Randomly minimum 20 and 10 preconception, pregnant women each, from every village, total 2400 preconception, 1040 pregnant women of 15 to 45 years age were interviewed by research assistant with help of pretested tool. Results: Of 2400 Preconception women interviewed, 801 (33.4%) were aware of labour events, 298 (37.2%) mucoid discharge, 291 (36.3%) little bleeding, 212 (26.5%) labour pains. When asked about source of information, 300 (37.5%) said doctors, 291 (36.3%) Accredited Social Health Activists (ASHAs) and 210 (26.2%) nurse. Of 2400 preconception women, 1015 (42.29%) did talk of some maternity dangers, 403 (39.7%) said swelling over face and feet, 271 (26.7%) giddiness, 184 (18.13%) excessive vomiting and 157 (15.47%) bleeding, leaking with some overlap. Of 1040 pregnant women, 910 (87.5%) were aware of labour events and 870 (83.7%) some maternity dangers, 474 (54.5%) preterm pains, 118 (13.5%) leaking, 97 (11.1%) epigastric pain, 73 (8.4%) headache, 67 (7.7%) vaginal bleeding and 41 (4.7%) loss of fetal movements with some overlap. Conclusion: Only one third preconception and little more pregnant women had some awareness of maternity dangers, but it was scatchy.

2020 ◽  
pp. 1-10

Background: Breastfeeding has nutritional, immunological, behavioral, economic benefits, provides mother-infant bonding. Understanding women’s awareness, views preconception, during pregnancy is increasingly being recognized as vital for providing effective support that would encourage best of breastfeeding. Objective: Community based study was done to know about rural tribal women’s awareness, views, about breastfeeding, preconception and during pregnancy. Materials and Methods: After institute’s ethics committee’s approval, present study was carried out in tribal communities of 100 villages where community-based mother child care activities were initiated after having developed a health facility for 24 hrs 7 days services in one of the 100 villages. Minimum 20 from each village, making a total of 2400 nonpregnant women, 1040 pregnant women of 15 to 45 years old, minimum 10 from each village became study subjects. All women were interviewed in villages. Information regarding their awareness about breastfeeding preconception and during pregnancy was collected after taking consent. Results: All 2400 women interviewed preconception said, they knew that breastmilk was best. After birth they would not give anything other than breastmilk to their babies. However only 726 (30.25%) women knew that mothers first milk after birth decreased risk of diseases, 502 (20.92%) said mothers’ milk was easily digested by baby and 1172 (48.83%) said that mothers milk helped in proper growth of baby. Out of 1040, pregnant women, 999 (96%) were aware of advantages of exclusive breastfeeding and 921 (97.7%) also favored immediate breastfeeding. Only 22 (2.3%) said initiation of breastfeeding should be delayed. Conclusion: While rural women preconception, during pregnancy were aware that breast milk was best of breastfeeding. But they were not aware about initiation of breastfeeding at the earliest, colostrum and exclusive breastfeeding which is needed even in present era.


2021 ◽  
Vol 5 (05) ◽  
pp. 01-09
Author(s):  
S. Chhabra ◽  
Sushila Nayar ◽  
Akanksha Shishugruha ◽  
Malviya S

Background: Ultrasonography (USG) has become part of everyday care of pregnant women in most of the countries of the globe. However like any other technology, it has potential to raise social, ethical, economic dilemmas about benefits, challenges for health providers, beneficiaries of the services. Awareness, utilization of USG by rural tribal women who live in extreme poverty with access problems is not well known. Objective: Community based study was carried out to know awareness of USG amongst rural, tribal, preconception, pregnant women and use of USG during pregnancy. Material methods: Study was conducted in tribal communities of 100 villages where community based mother child care services were initiated after having developed a health facility in one of 100 villages. Total 2400 preconception, 1040 pregnant women of 15-45 years, were interviewed in villages for knowing their awareness about USG, whether pregnant women had USG during pregnancy. Results: Of 2400 preconception women, 626 (26.08%) were not aware of sonography. Of those who knew, 694 (39.1%) said sonography helped in confirmation of pregnancy, 1080 (60.88%) said it helped in knowing fetal age and position. Of 1040 pregnant women also 271 (26.1%) were not aware of USG. Those who knew, sources of information, were Accredited Social Health Activists (ASHAs) in 208 (27%), nurse midwives in 170 (22.1%), family members in 311 (40.4%), doctors in 80 (10.4%). Only 258 (33.5%) of 769 women who knew about USG had got USG done. Of them 82 (31.8%) were told that something was wrong without any details. Conclusion: Study revealed that many rural tribal women did not even know about USG. Community health workers, ASHAs did create awareness of USG in some. Only 25% pregnant women had USG done but without knowing any details of findings.


2017 ◽  
Vol 1 (8) ◽  
Author(s):  
Mary Shilalukey Ngoma ◽  
Tepa Nkumbula ◽  
Wilbroad Mutale ◽  
Chabala Chishala ◽  
Reuben Mbewe ◽  
...  

Author(s):  
Vinutha Vinod ◽  
Pai Divya Venkatesh ◽  
A. H. Suryakantha ◽  
Ashwini Kumar

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Shigeki Koshida ◽  
Shinsuke Tokoro ◽  
Daisuke Katsura ◽  
Shunichiro Tsuji ◽  
Takashi Murakami ◽  
...  

AbstractMaternal perception of decreased fetal movement is associated with adverse perinatal outcomes. Although there have been several studies on interventions related to the fetal movements count, most focused on adverse perinatal outcomes, and little is known about the impact of the fetal movement count on maternal behavior after the perception of decreased fetal movement. We investigated the impact of the daily fetal movement count on maternal behavior after the perception of decreased fetal movement and on the stillbirth rate in this prospective population-based study. Pregnant women in Shiga prefecture of Japan were asked to count the time of 10 fetal movements from 34 weeks of gestation. We analyzed 101 stillbirths after the intervention compared to 121 stillbirths before the intervention. In multivariable analysis, maternal delayed visit to a health care provider after the perception of decreased fetal movement significantly reduced after the intervention (aOR 0.31, 95% CI 0.11–0.83). Our regional stillbirth rates in the pre-intervention and post-intervention periods were 3.06 and 2.70 per 1000 births, respectively. Informing pregnant women about the fetal movement count was associated with a reduction in delayed maternal reaction after the perception of decreased fetal movement, which might reduce stillbirths.


2021 ◽  
pp. 1-19
Author(s):  
Tao Han ◽  
Jingwen Dong ◽  
Jiangtao Zhang ◽  
Chenxiao Zhang ◽  
Yuxuan Wang ◽  
...  

Abstract Objective: To clarify nutrient supplementation usage and primary source of information among pregnant women in China. Design: This cross-sectional study used information on nutrient supplementation and primary source of information collected via face-to-face interviews. Data on the usage of folic acid, calcium/vitamin D, iron, vitamins, docosahexaenoic acid, and other dietary supplements were collected. Primary source of information were categorized as family/relatives, friends/co-workers, the Internet, books/magazines, television/radio, doctors, other people, and oneself. Setting: Maternal and Child Health Hospital in Chengdu, China. Participants: 1081 Chinese pregnant women aged ≥ 20 years with singleton pregnancies. Results: In all three trimesters of pregnancy, usage was highest and most stable for folic acid (81.7%), followed by vitamins (vitamin A, B-group vitamins, vitamin C, and multivitamins; 75.0%), whereas calcium/vitamin D (51.4%) and iron (18.1%) usage was low, potentially indicating a deficiency risk. All supplementation usage percentages increased with pregnancy duration (p < 0.05). Notably, approximately 10% of the pregnant women in our study did not use any nutrient supplementation, and this was especially common in early pregnancy. More than 50% of the women reported getting information on nutrient supplementation from family members, and about 30% reported getting this information from doctors. Conclusions: Among pregnant women in China, awareness about nutrient supplementation increases as the pregnancy progresses, but some types of nutrient supplementation (such as calcium/vitamin D and iron) remain at low levels. It is necessary to pay more attention to the health education of pregnant women in China, and the influence of family members should be emphasized.


2000 ◽  
Vol 14 (9) ◽  
pp. 767-771 ◽  
Author(s):  
Jaclyn Calder ◽  
Robert Issenman ◽  
Ruth Cawdron

Alternative health practices have become increasingly popular in recent years. Many patients visit specific complementary practitioners, while others attempt to educate themselves, trusting advice from employees at local health food stores or the Internet. Thirty-two retail health food stores were surveyed on the nature of the information provided by their staff. A research assistant visited the stores and presented as the mother of a child in whom Crohn’s disease had been diagnosed. Seventy-two per cent (23 of 32) of store employees offered advice, such as to take nutritional and herbal supplements. Of the 23 stores where recommendations were made, 15 (65%) based their recommendation on a source of information. Fourteen of the 15 stores using information sources used the same reference book. This had a significant impact on the recommendations; the use of nutritional supplements was favoured. In conclusion, retail health food stores are not as inconsistent as hypothesized, although there are many variances in the types of supplements recommended for the same chronic disease.


2015 ◽  
Vol 2015 ◽  
pp. 1-8 ◽  
Author(s):  
Claudia Pileggi ◽  
Valentina Mascaro ◽  
Aida Bianco ◽  
Maria Pavia

The use of nonprescription medicines (NPDs) for children illnesses without a doctor’s suggestion can lead to unnecessary medication use and is not free of risks. The aim of our study was to examine attitudes and practice of parents towards NPDs use for their children. We also investigated the conditions that may predict NPDs use. A cross-sectional survey was conducted on parents of children attending Community Based Pediatrician (CBP) consultation and data were collected through structured interviews. Positive attitude on NPDs use was reported by 71.4% of parents, and 61.5% of them had administered NPDs in the previous 6 months. Antipyretic drugs were the most frequently used medication class without the supervision of the CBP. A positive attitude towards NPDs was significantly more frequent in parents who did not use the CBP as the sole source of information about drugs. The study demonstrated a widespread use of NPDs in children in our context, supported by a substantial positive attitude towards their safety. However, considering potential harms related to some NPDs and the finding that most parents rely on CBP advice, role of CBP on appropriate use of NPDs by parents should be emphasized.


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