Antenatal Mothers Research Articles

Assessment of Knowledge and Attitude of Antenatal Mothers Regarding Physical Activity During Pregnancy: A Cross-Sectional Analytical Study at a Tertiary Care Hospital in Puducherry, India

Assessment of Knowledge and Attitude of Antenatal Mothers Regarding Physical Activity During Pregnancy: A Cross-Sectional Analytical Study at a Tertiary Care Hospital in Puducherry, India

Barriers and facilitators for universal gestational diabetes Mellitus screening in a low resource setting: a cross-sectional study in Sri Lanka

Gestational Diabetes Mellitus (GDM) is associated with adverse maternal and perinatal outcomes and increased risk of developing diabetes in later life. Sri Lanka adopted universal GDM screening at two time points in pregnancy (before 12 weeks and between 24 and 28 weeks) in 2014 and its utilization has not been assessed. This study assessed the utilization of GDM screening services and associated factors among antenatal mothers in Southern Sri Lanka. A cross-sectional study was carried out in a consecutive sample of 420 postpartum mothers who delivered at three major hospitals in Sri Lanka. Data were collected on socio-demographics, pregnancy, availability and utilization of screening services and logistics using an interviewer-administered questionnaire and a data record sheet. Data was analysed using SPSS software. Chi-square test and binary logistic regression was used to assess the association between variables. The coverage of first and second screening tests were 91.4% and 94.5% and timeliness were 72.4% and 59.5%, respectively. The median period of amenorrhoea at the first and second screening were 10.0 (inter-quartile range: 2.5) weeks and 28.0 (inter-quartile range: 1.5) weeks. A higher utilization was associated with higher income (OR = 3.4, 95% CI: 1.1–10.5) and planned pregnancy (OR = 4.9, 95% CI: 2.2–10.7) for the first screening test. Primiparity (OR = 0.3, 95% CI: 0.1–0.9) and proximity of the nearest laboratory (OR = 3.5, 95% CI: 1.0–12.0) were positively associated with the second screening test. The timeliness of both screening tests was associated with planned pregnancy (OR = 2.1, 95% CI: 1.1-4.0 and OR = 2.3, 95% CI: 1.1–4.5) and being non-employed during the pregnancy (OR = 2.5, 95% CI: 1.4–4.3 and OR = 2.3, 95% CI: 1.3–4.1). A high utilization of GDM screening was observed. Timeliness should be ensured through improved availability and accessibility of screening facilities.

Evaluate the Knowledge about the WHO- Recommended Antenatal Visits among Antenatal Mothers in the Outpatient Department

One of the most crucial aspects of the World Health Organization's family welfare program in India is the promotion of maternal and child health. ANC is the care given to women during pregnancy to ensure that both the mother and the kid remain healthy. Reducing infant and mother mortality and morbidity as well as promoting, protecting, and preventing maternal and perinatal health are beneficial for the long-term growth and development of the nation. Sadly, a lot of women in underdeveloped nations do not get this kind of care.  Objectives: Assess the knowledge of WHO recommended ANC visit among pregnant women..  Methodology:  Research Approach: Qualitative study,  Research Design: Descriptive study,  Population: Antenatal mothers Antenatal mothers who are attending OPD.  Sample Size: The sample size consider of 30 antenatal mothers.  Sample Technique: Non probability sampling convenient sampling techniques adopted in this study.  Result: This study had given some clues that majority 22 (74%) of them had moderate knowledge. 6 (20%) of them had inadequate knowledge, 2(7%) of them had adequate knowledge about antenatal mothers.  Conclusion: This study experiences helped the investigator to spell out some recommendations and develop a self- instructional module so as to improve the knowledge about antenatal mothers.

Comparison of the effectiveness of ferrous ascorbate with ferrous sulphate in improving haemoglobin percentage among ante-natal mothers in rural field practice area of a medical college

ABSTRACT Background: Anaemia in pregnancy is defined by the World Health Organisation (WHO) as a haemoglobin concentration of less than 11 g/dl in venous blood. The prevalence of anaemia among ante-natal mothers in India is 50.3%[3]. The government of India supplies ferrous sulphate for prophylaxis and treatment of anaemia among ante-natal mothers for free through the reproductive maternal neonatal and child health + adolescent (RMNCH+A) programme. However, patient compliance is poor due to gastrointestinal disturbances (of all registered pregnancies, less than 1/3 consumed a full course of ferrous sulphate). Previous studies in different settings have shown increased compliance and higher mean haemoglobin levels with ferrous ascorbate, which is more affordable than other commercially available compounds. Objective: Hence, the current study was done to compare the effectiveness of ferrous ascorbate with ferrous sulphate in improving haemoglobin percentage among ante-natal mothers in a rural field practice area of a medical college. Methods: An interventional community-based study was conducted in the rural field practice area of Andhra Medical College. The study was done among 76 registered (registered at Rural Primary Health Centre Simhachalam) ante-natal mothers in gestational age 13–17 weeks with haemoglobin concentration of 7–10.9 g/dl (mild to moderate anaemia) after taking informed consent. The study was performed for two years. Ante-natal mothers who were registered but unavailable during the study period, with a medical history of haematological disorders, chronic cardiac and kidney diseases, known or suspected to have sensitivity to iron compounds, with known thyroid dysfunction or mental illness were excluded from the study. Results: There was a rise in haemoglobin among the entire study population, which was statistically significant (P < 0.0001). There was a higher rise in haemoglobin among the antenatal women who took ferrous ascorbate than among those who took ferrous sulphate (mean difference = 0.344 gm/dl) after 12 weeks of follow-up, which was statistically significant (P = 0.014). Conclusion: The study compared the effectiveness of ferrous ascorbate with ferrous sulphate in improving haemoglobin percentage among antenatal mothers in a medical college’s rural field practice area. There was a significant rise in haemoglobin percentage among the study group, which was on ferrous ascorbate with better compliance and fewer gastrointestinal side effects.

Fatherhood and men’s participation in antenatal care in rural sub-Saharan Africa: a scoping review protocol

IntroductionMen’s participation is imperative for improving antenatal care (ANC) access and mother and child health outcomes in sub-Saharan Africa (SSA). Research looking at improving men’s participation in ANC often focuses...

Effectiveness of Drumstick Leaves Soup on Haemoglobin Level Among the Adolescent Girls in Selected Pu Colleges in Bangalore

In Asia India contributed 80% of the antenatal and postnatal mothers died due to an anemia.3 According to the reports of NFHS-3 and the National Nutrition Monitoring Bureau Survey (NNMBS) over 55% of adolescent girls were having anemia that is alarmingly high. The goal of present study is to assess the effectiveness of drumstick leaves soup on hemoglobin levels among the adolescent girls in selected PU college at Bangalore, Karnataka.The true experimental design was adopted for the study. Adolescent girls with frank anemia and border line anemia who are studying in Gangothri PU college of students has taken as the experimental group and as the control group. Non probability purposive sampling technique was used to select the 60 adolescent girls with frank anemia and border line anemia (30 in experimental group and 30 in control group. Regarding effectiveness of drumstick leaves soup, the overall mean score of experimental groups in the pre-test was 11.90 and 14.06 in the post test with enhancement of 2.16 and it was significant at P<0.001% level and the overall mean score of control group in the pre-test was 11.73 and 11.55 in the post with mild enhancement of 0.18 and it was significant at P<0.001% level. Analysis of socio-demographic variables showed that there is no significant association at 5% level (P>0.05) both in experimental group and control group. The findings of this study support the need for nurses to conduct more experiment to increase the hemoglobin level of adolescent girls in selected college at Bangalore district. And had a remarkable increase in hemoglobin level of adolescent girls when compared to their pre-test, prior to the administration of the drumstick leaves soup. And this study shows that the hemoglobin levels of the adolescent girls have been improved in experimental group then the control group after administering the drumstick leaves soup hence the drumstick leaves soup is effective on increasing hemoglobin levels. Thus, the student researcher recommends further studies in these areas to improve the hemoglobin level of adolescent girls.

Factors Hindering Male Participation in Prevention of Mother-to-Child Transmission of HIV (PMTCT) at National Council of Churches of Kenya (NCCK) Huruma Clinic, Nairobi

Mother-to-child transmission (MTCT) occurs when a pregnant woman with Human immunodeficiency Virus (HIV) passes the virus to her baby either during pregnancy, labour and delivery or breastfeeding period. Vertical transmission during pregnancy is between 20-25%. Globally, about 330,000 children were newly infected with HIV in 2011. It is estimate that more than 90% of these infections were through mother-to-child transmission. According to statistics, 1,400,00 – 1,800,000 people were living with HIV and AIDS by the end of 2007. Male involvement in prevention of mother-to-child transmission of HIV still remains a major challenge. This was facility based descriptive cross-sectional study which was aimed at assessing the factors hindering male participation in Prevention of Mother-to-Child Transmission of HIV (PMTCT) at National Council of Churches of Kenya (NCCK) Huruma clinic in Nairobi. The factors studied were demographic characteristics, knowledge and awareness of prevention of mother-to-child transmission of HIV and socio-cultural influence on male participation in PMTCT. Systematic random sampling method was used to obtain a sample population of 122 antenatal mothers. The data was collected between October and November 2012 using a structured and semi-structured questionnaire. Data was validated, cleaned, coded and entered in the computer. Data analysis was done using the statistical package for social sciences (SPSS). The results of the study showed that majority of the respondents, 77.87% (n=95), were between the age of 20 to 39 years with the least, 16.39% (n=20) aged between 40-49 years. There were low levels of knowledge and awareness on PMTCT among male partners. Socio-cultural factors were seen to contribute to low male involvement in PMTCT. The study recommends creation of awareness and also formulation of health messages which target men and are culture sensitive.

Prevalence Of Congenital Abnormalities On Routine Antenatal Ultrasonography During Second And Third Trimester Of Pregnancy: A Study In A District Hospital Of North East India

Background Prevalence of congenital anomalies varies greatly from country to country. It is reported about 2.5% in India. In India, congenital anomalies are responsible for 15% of perinatal mortality and for 10% to 15% of neonatal deaths. The main aim of the study is to evaluate the prevalence of the congenital anomalies and malformation patterns in our hospital population. Material & Method This is a cross-sectional study carried out in the ‘Radiology unit’ of ‘District Hospital, Gomati’, Tripura. The study population includes about 910 antenatal mothers in the second and third trimester, who were referred to ‘Radiology unit’ from the outpatient and inpatient departments of ‘Obstetrics and Gynaecology’ of the same hospital between September 2017 to February 2018 were included in the study. Data of Antenatal ultrasounds was statistically analyzed on structured data collection form to determine the prevalence of congenital anomaly in 2nd & 3rd trimester. Results: Total 910 numbers of 2nd and 3rd trimester prenatal ultrasonography (USG) were done. Out of these 18 numbers of congenital anomalies were detected. The antenatal prevalence of congenital anomalies was 1.97%. The mean maternal age and mean gestational age at diagnosis was 22.9 years and 27.7 weeks respectively. Genitourinary system defect was the commonest (27.77%), of which maximum number had pyelactasis i.e. 3 (16.66%) cases. Conclusion: Ultrasonography is a cost-effective, non-invasive and sensitive tool in detecting the congenital anomalies antenatally in the hands of an experienced radiologist. Besides the first-trimester USG, the second trimester scan is mandatory in detecting anomaly in the growing foetus, as the majority of congenital anomalies are detected between 20 and 22 weeks of pregnancy

Association of obesity and overweight with the risk of preeclampsia in pregnant women: an observational cohort study.

According to the World Health Organization, obesity is considered a pervasive global epidemic with significant medical and social implications. In antenatal mothers, the prevalence varies from 40% in Western countries to 12% in India which leads to life-threatening complications-preeclampsia and eclampsia. This study delves into the association between body mass index (BMI) and preeclampsia, among primi antenatal mothers with pregnancy-induced hypertension (PIH). An observational cohort (prospective) study was conducted among 150 primi antenatal mothers with pregnancy-induced hypertension in Government Headquarters Hospital, Tamil Nadu, India. Demographic data, body mass index, and pregnancy outcomes were assessed. Statistical analysis was performed using the SPSS 28.0 version. Among 150 pregnant women, 63 (42%) were overweight, and 13 (8.7%) were obese. Higher BMI was significantly associated with maternal complications, especially preeclampsia (P < 0.001). Moreover, other complications such as abruptio placenta, pulmonary edema, eclampsia, and postpartum hemorrhage were not significantly associated with BMI. The study calls attention to the persistent link between BMI and preeclampsia, emphasizing the need for comprehensive strategies aligned with the Sustainable Development Goal. Despite ongoing efforts, the study suggests a lack of substantial change in the prevalence of preeclampsia associated with increased BMI, prompting the exploration of innovative interventions to address weight-related factors during pregnancy for improved maternal and neonatal well-being.

Maternal and Foetal Health Status during Non-Stress Test among Antenatal Mothers: Descriptive Cross-sectional Study

Maternal and Foetal Health Status during Non-Stress Test among Antenatal Mothers: Descriptive Cross-sectional Study

Knowledge and Attitude of Antenatal Mothers Regarding the Effect of Passive Smoking of Fetus with View to Develop Information Booklet in Selected Hospitals of Guwahati Kamrup, (M) Assam

Tobacco smoke has been identified as a serious health threat. Passive smoking is breathing in the smoke of smokers, cigars or pipes. Smoking in pregnancy is associated with numerous complications for both mother and baby. Continuous exposure to passive smoke by pregnant women will directly affect the normal growth and development of the fetus.

A STUDY TO ASSESS THE EFFECTIVENESS OF STRUCTURED TEACHING PROGRAM ON KNOWLEDGE REGARDING HEALTH HAZARDS OF ELECTRONIC DEVICES AMONG ANTENATAL MOTHERS AT SELECTED MATERNITY HOSPITALS, BANGALORE

Background of the Study:Electronic devices are components for controlling the flow of electrical currents for the purpose of information processing and system control. Prominent examples include transistors and diodes. Electronic devices are usually small and can be grouped together into packages called integrated circuits. Electronic devices are now an integral part of modern life. In many countries over half the population use electronic devices and the market is growing very rapidly. The electromagnetic field radiations impart an adverse effect on physical, mental and the emotional state of a pregnant mother and deeply affect the brain cells of mother and her unborn child. It affects level of melatonin, a sleep- controlling hormone which causes sleep disturbances in mothers, that pass to unborn babies through the placenta resulting in growth retardation. Objectives: 1. To assess the level of knowledge regarding health hazards of electronic devices during pregnancy among antenatal mothers in selected maternity Hospitals, Bangalore. 2. To evaluate the effectiveness of structured teaching program on knowledge regarding health hazards of electronic devices during pregnancy among antenatal mothers attending in selected maternity Hospitals, Bangalore. 3. To determine the association between knowledge score with selected demographic variables among antenatal mothers attending in selected maternity Hospitals, Bangalore. Methods:The research approach adopted was an evaluative research approach and research design adopted for this study was Pre experimental one group pretest and post-test research design. Simple random sampling technique was used to collect 60 antenatal mother sample. Data was collected over a period of one month. Structured knowledge questionnaire used as a tool to assess knowledge regarding the health hazards of electronic devices. Data obtained was analysed in terms of objectives which was calculated and tabulated. Results:In pretest, out of 60 antenatal mothers, 33.3% had inadequate knowledge and 66.7% had moderately adequate knowledge and none of the antenatal mothers had adequate knowledge. In post-test, out of 60 antenatal mothers, 73.3% had adequate knowledge, 26.7% had moderately adequate knowledge and none of the antenatal mother had inadequate knowledge. Over all knowledge the paired mean difference was 11.08 and SD of difference was 0.263 and enhancement mean percentage was 37 It was found significant (t=24.464, df=59) (i.e, p&lt;0.05). The paired t-test was also worked out and it was found to be invariably significant (i.e p&lt;0.05). The present study found the significant association between knowledge regarding health hazards of electronic devices at selected demographic variables of antenatal mothers. Interpretation and Conclusion: The study concluded that the post-test knowledge of antenatal mothers was improved after undergone Structured teaching programme regarding health hazards of electronic devices. The overall findings of the study clearly showed that the structured teaching programme was effective in improving the knowledge level of antenatal mothers regarding health hazards of electronic devices.

Effectiveness of Planned Teaching Program on Knowledge Regarding Constipation and Its Management during Pregnancy among Antenatal Mothers in Selected Areas of Kamrup (M), Assam

ABSTRACT BACKGROUND: During antenatal period, mothers experiences numerous physiological and psychological changes. Most of the antenatal mothers experience constipation during pregnancy. So it was found important to assess the knowledge of antenatal mothers regarding constipation and its management during pregnancy. OBJECTIVES: The purpose of the study is to assess the effectiveness of planned teaching program on Knowledge regarding Constipation and its Management during Pregnancy among Antenatal Mothers in selected areas of Kamrup (M), Assam. MATERIALS AND METHODS: A quantitative research survey approach was adopted and pre-experimental one group pre-test post-test research design was used to assess the effectiveness of planned teaching program on knowledge regarding constipation and its management during pregnancy among antenatal mothers in selected areas of Kamrup (M), Assam. 90 antenatal mothers were selected using Multistage Simple Random sampling technique. The tools used for the study was structured self administered knowledge questionnaire. RESULTS: The study result shows that In post-test mean knowledge score i.e 17.11±1.951 was higher than pre-test mean knowledge score 12.47±2.381 with mean difference of 4.64 as evidenced by t=28.37 at 0.05 level of significance which reveals the effectiveness of planned teaching program on knowledge regarding constipation and its management during pregnancy. It also reveals that there was a significant association between the pre-test knowledge of antenatal mothers with their educational status. CONCLUSION: The study reveals that planned teaching program was effective in increasing the knowledge of antenatal mothers regarding constipation and its management during pregnancy.

A Study to Assess the Effectiveness of Honey in the Reduction of Constipation and Insomnia among Antenatal Mothers during the Third Trimester of Pregnancy

ABSTRACT A quasi-experimental quantitative approach with pre and posttest design was conducted at urban public health center (UPHC). Forty antenatal mothers were recruited and were separated into two groups in experimental and control groups. In both the groups, a pretest was done by assessing the level of the constipation-by-constipation assessment tool. The experimental group were provided with honey with warm water continuously for six days in the morning and evening as the control group received routine care. Posttest was conducted on the 7th day in both groups using the same scale to assess the level of constipation and insomnia. The study result concluded that calculated independent “t” test value of t = 2.327 was found to be statistically significant at P &lt; 0.01 level with posttest level of constipation and insomnia between the experimental and control group.

Magnitude and Determinants of Pregnancy Induced Hypertension in Selected General Hospitals in Lusaka, Zambia: A Cross-Sectional Study

Background:Hypertension in pregnancy continue to be among the major causes of maternal and perinatal morbidity and mortality, affecting 5-6% of pregnancies globally and contributing to a significant diseaseburden. Aims and objectives: To assess prevalence and factors associated with pregnancy induced hypertension among pregnant women aged 15 to 49 years at three general hospitals of Lusaka District. Methodology:Conducted cross sectional study with 413 systematically selected pregnant women attending antenatal clinics at Chawama, Chipata and Matero general hospitals from January 2019 to July 2020. The sample size for each hospital was determined proportionally based on twelve months of antenatal care visit data. Blood pressure, heights, weights, Body mass index and urinalysis were measured on all the study participants. A structured questionnaire collected data on social demographic and economic factors, reproductive and medical history. Data was analyzed using STATA version 13. Chi-square and fisher’s exact tests identified association between PIH and various variables with multiple logistic regression used to control for confounders. Statistical significance was set at &lt;0.05. Results:The prevalence of Pregnancy induced hypertension was found to be 21%. Significant predictors of PIH included Stress during pregnancy (AOR = 2.28, 95% CI =1.35-3.85, p=0.002), lack of exercise (AOR = 0.48, 95% CI =0.28-0.81, p=0.007), high BMI (AOR = 1.57, 95% CI =1.12-2.19, p=0.007) and consuming alcohol (AOR = 2.29, 95% CI =1.03-5.09, p=0.042).Conclusion:The prevalence of PIH was 21% with significant association observed between PIH and stress, alcohol consumption, lack of exercise and high BMI during pregnanc. Keywords: Pregnancy Induced hypertension; Prevalence; Associated factors, Antenatal mothers.

A study to evaluate effectiveness of structured teaching programme on knowledge regarding life style modifications of pregnancy induced hypertension among antenatal mothers in selected hospitals at Dharwad

A study to evaluate effectiveness of structured teaching programme on knowledge regarding life style modifications of pregnancy induced hypertension among antenatal mothers in selected hospitals at Dharwad

Role of Uterine Artery Doppler Study Between 11 and 14 Weeks as a Predictor of Preeclampsia.

Introduction Preeclampsia is a serious complication marked by antepartum hemorrhage, resulting in severe maternal and fetal complications. Predicting this condition using placental dysfunction assessments, such as uterine artery Doppler ultrasound, is challenging due to the placenta's evolving structural and biochemical characteristics throughout different stages of pregnancy. Objectives To determine the sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) of the uterine artery Doppler Pulsatility Index (PI) and Resistive Index (RI) in predicting preeclampsia. To compare the Doppler ultrasound measurements between normal pregnancies and those that develop preeclampsia. To assess the diagnostic accuracy of uterine artery Doppler ultrasound in predicting gestational hypertension in addition to preeclampsia. Methodology Conducted as a prospective study, 116 antenatal mothers with computed gestational ages and scan gestational ages between 11 and 14 weeks, and a previous history of preeclampsia were included. Subjects with chronic hypertension or multiple gestations were excluded. Participants underwent uterine artery Doppler screening, during which the PI and RI were measured upon obtaining three consecutive similar waveforms, and the mean PI of the left and right arteries was calculated. The outcomes of patients with normal pregnancies and those who developed preeclampsia were compared. Data were entered into Microsoft Excel (Microsoft® Corp., Redmond, WA, USA) and analyzed using IBM SPSS Statistics for Windows, Version 23 (Released 2015; IBM Corp., Armonk, NY, USA). Results The mean PI among participants was 1.75 (±0.38), with a range from 1 to 2.75. The mean RI was 0.58 (±0.08), ranging from 0.45 to 0.8. The cutoff for the mean PI in predicting preeclampsia was 2.27, which showed a sensitivity of 92.9%, specificity of 97.1%, PPV of 81.47%, NPV of 99.01%, and a diagnostic accuracy of 96.59% (area under the curve (AUC): 0.982). The cutoff for the mean RI for predicting preeclampsia was 0.695, with a sensitivity of 85.7%, specificity of 98%, PPV of 85.47%, NPV of 98.04%, and diagnostic accuracy of 96.52% (AUC: 0.965). In predicting gestational hypertension, the cutoff for the mean PI was 1.975, with a sensitivity of 80%, specificity of 82.9%, PPV of 17.41%, NPV of 98.92%, and diagnostic accuracy of 82.78% (AUC: 0.848). The cutoff for the mean RI in predicting gestational hypertension was 0.615, showing a sensitivity of 80%, specificity of 80.2%, PPV of 15.4%, NPV of 98.89%, and diagnostic accuracy of 80.19% (AUC: 0.767). Conclusion The research demonstrated that aberrant readings in uterine Doppler ultrasound, specifically in the PI and RI, possess strong overall validity in forecasting the occurrence of preeclampsia.

A quasi-experimental study to evaluate the effectiveness of structured teaching programme on knowledge regarding minor disorders of pregnancy among antenatal mothers attending OPD in Apollo hospitals Bilaspur, Chhattisgarh

Background: Most research studies states that there is lower level of knowledge among the antenatal mothers regarding minor disorder which occurs in pregnancy. Hence selected “A quasi experimental study to evaluate the effectiveness of structured teaching programme on knowledge regarding minor disorders of pregnancy among antenatal mothers attending OPD in Apollo Hospitals Bilaspur, Chhattisgarh. The key aspect of the study is to evaluate the effectiveness of the teaching program among the antenatal mothers and to evaluate the effectiveness the outcomes. Materials and methods: A quantitative research approach adopted for the study to assess the knowledge of antenatal mothers regarding minor disorders of pregnancy. One group pretest-posttest design is used and samples who met the inclusion criteria using purposive Sampling. A questionnaire was developed to assess knowledge level of antenatal mother on minor disorder of pregnancy. Pretest was conducted for one hour which is followed by the structured teaching program after that post test for one hour. Sample size is 50. Results: The study findings revealed that the mean pre test knowledge score was (35.75%.) after administering teaching programme. post test knowledge score was 74.00% which is higher than pre test score. Conclusion: This study emphasizes the effectiveness of the structured teaching programme among antenatal mothers attending OPD in Apollo Hospitals Bilaspur, Chhattisgarh. Knowledge of the “antenatal mothers who had undergone structured teaching programme proved to be having increase in their knowledge on minor disorders of pregnancy.

Effectiveness of self-instructional module regarding Janani Shishu Suraksha Yojana among antenatal mothers in Rajasthan

Introduction: Strategies and interventions must be customised according to particular needs as well as circumstances and provide service under the Yojana in order to decline the Maternal Mortality Rate (MMR) as well as Infant Mortality Rate (IMR). As a result, service packages must be created for mother and her newborn. Therefore, the aim of this study was to increase mother's knowledge by providing a self-instructional module about the Janani Shishu Suraksha Yojna (JSSY). Methodology: A quantitative approach of single group, pre- post-test research design were used in this research. Using a purposive sampling technique, the researchers chose 80 pregnant women to participate in the study. Results: The findings show that the average knowledge score before the intervention was 17.65±1.3, and after the intervention, it increased to 25.63±0.85. Antenatal mothers' knowledge score improved considerably between the pre- and post-tests (p0.05). The pre-test knowledge scores were not significantly associated (p&gt;0.05) with any prenatal mothers' demographic factors. Conclusion: Present research highlights that antenatal mother's knowledge towards JSSY is much needed among antenatal mothers for better and safe care of both mother and newborn.

Pendampingan Ibu Hamil Sebagai Upaya Meningkatkan Perilaku Kesehatan dan Persalinan di Fasilitas Kesehatan

Low coverage of antenatal care (ANC) and mothers’ delivery conducted not in the health care facilities were two major problems related to maternal health care in of the West Nusa Tenggara Province. The accompaniment to pregnant women could be solution to prevent the risks of pregnancy by increasing the coverage of ANC and directing mother to deliver in health care facilities. This study aims to study the effect of mentoring pregnant women on maternal health behavior during pregnancy until delivery. A quasi-experiment study was conducted in two districts namely East and Central Lombok. Two public health centers ‘Puskesmas’ were selected in each districts. They differed as the intervention and controlled health centers. The criteria for the both health centers were having high number of pregnant women, but low coverage of maternal health services. The control health centers defined as having the closest distance from the intervention one. Study population of this study were all pregnant women in the study area. Sample were selected for those women with the gestational age of 24-26 weeks and willing to be accompanied further or neither not delivery. The total of 130 women were randomly selected from the study population. Results showed the accompaniment of pregnant women was able to increase the score of health behavior as compare to the control group. Pregnant women with accompaniment were 30 times higher chance of better health behavior (OR=30.89; 95%CI=10.72-84.40), and 3 fold prefer to deliver at health facilities (OR=2.89; 95%CI=1.16-7.21). Other positive impact of accompaniment was the obedience of iron pill at least 90 tablets, as well as food supplementation taken. Student accompaniment brought a positive impact to pregnant women on health behavior and delivery in health facility.