Background: The postpartum period, or puerperium, starts about an hour after the delivery of the placenta and includes the following six weeks. Care during the puerperium is often described as the "Cinderella" of maternity care. In developing countries, the need for care and support after birth was, until recently, less well recognized. Despite its importance, this period is generally the most neglected. Aims & Objectives: To study factors influencing utilization of health services in postnatal period in study area. Materials and Methods: It is a community based, cross sectional study, carried out in a primary health center of Thane district, Maharashtra. Data was collected by using standard validated questionnaires, based on District level household survey (DLHS) of Reproductive and child health (RCH) Round II, Phase II, 2004 woman's questionnaire. It was suitably modified to meet objectives of study and was pilot-tested. Results: 28 study subjects received home visit during postnatal period. Out of 28, 4 received 2 postnatal visits. 16 study subjects went to primary health center or sub center for postnatal checkup. 28 mothers didn't feel the need for postnatal checkup. 15 women said that they were not informed by ANM about postnatal care, otherwise they would have gone for it. Conclusion: Working women utilized the postnatal service more. This may be because working women are able to spend for travelling expenses for going to primary health center.
Background: Many health problems among pregnant women are preventable, detectable or treatable through visits to health facility before birth. This enables women to receive important services, such as tetanus vaccinations and screening and treatment for infections, as well as potentially life-saving information on warning signs during pregnancy. 2 The objective of this study is to understand the current status of utilization of maternal health services in rural area by elucidating the various factors influencing the use of these services. Methods: It is a community based, cross sectional study carried out in a primary health centre in tribal area of Thane district. Results: 93% women received ANC care for 3 or more than 3 times. 73% women received recommended antenatal care. 68% women received ANC care exclusively from public health facility. Conclusions: Inspite of implementation of various programmes like Janani Suraksha Yojana, Matrutva Anudan Yojana and NRHM in the area percentage of registration during first trimester was less. There was lack of awareness and motivation in study subjects to come on their own to PHC for early registration of pregnancy. Though the coverage of ANC services was good it was not of good quality.
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