INTRODUCTIONMaternal health care is important for better maternal, perinatal and infant health outcomes. High maternal and neonatal mortality rates are associated with inadequate and poor quality maternal health care, including antenatal care, skilled attendant at birth and postnatal care. Hence achieving MDG goal on maternal health requires providing high quality pregnancy and delivery care, improving sexual and reproductive health care and universal access to all its aspects.1-3 Antenatal care is recognized as a key maternal service in improving a wide range of health outcomes for women and children. It provides an opportunity to provide interventions for improving maternal nutrition, to encourage skilled attendant at birth and use of facilities for emergency obstetric care. 1,4 In any community, mothers and children constitute a priority group. In India, woman of the child-bearing age (15-44 years) constitute 22.2% and children <15 years of age about 35.3% of the total population. Together they constitute nearly 57.5% of the population.5 Pregnancy and child birth constitute significant events in the life of a woman. In this aspect, care of mother and child occupies a paramount place in our health service delivery system. 'MCH' refers to the promotive, preventive, curative and rehabilitative health care for mothers and children's. ABSTRACTBackground: Maternal health has ever been a serious matter of concern worldwide. In developing countries like India, maternal health care services are not sufficient as per requirement, which ultimately leads to maternal deaths triggering a challenge to achieve improve maternal health (i.e. MDG 5). Therefore the present study has tried to focus on the utilization of ante-natal care services by pregnant women by their demographic and socio economic characteristics. Method: A prospective longitudinal study was conducted on 3rd trimester pregnant women attending antenatal clinic in tertiary care hospital by convenience sampling method over a period of 2 year including 407 women after taking consent using semi structured questionnaire including information of socio demographic profile, antenatal health checkup and later followed up to note mode of delivery. Data was analyzed using MS excel 10.0 and SPSS 20.0 Results: out of total 407 respondents, 78.62% were in the age group of 20-30 years, 10.07% were illiterate, and 71.01% belonged to lower class. Majority (42.01%) were registered in 2nd trimester, 50.89% primipara registered in 1st trimester (p<0.0001). 69.53% and 30.47% had >4 and <4 visits respectively. 83.29% had regular IFA consumption and 100% had inj. TT. 78% delivered by normal vaginal delivery and 22% by LSCS. Conclusion: Ante natal care utilization in the view of early registration and regular visits to health care Centre seems to be very important.
Background: Worldwide, developed and developing countries are facing the double burden of communicable and non-communicable diseases. However, developing countries like India is more exposed and vulnerable due to multitude of factors. Objectives were to study the morbidity patterns of communicable diseases of indoor patients at tertiary care hospital and find out the seasonal distribution of the communicable diseases.Methods: A retrospective study was done over a period of 1 year from April 2016 to March 2017. 4766 admitted patients of communicable diseases were included using universal sampling method. Diagnosis was categorized as per International classification of Disease (ICD) 10 classification. Data was analyzed using spss 16.Results: Out of the total 4766 admitted patients, 62% were females and 38% were males. 56.40% patients admitted in the most productive age group (15-45 years) followed by 14.35% and 8.06% geriatric population and under 5 children respectively. Peak in admission was seen in monsoon season (July to Sept.). 34.54% patients were admitted for bacterial cause followed by 30.03% acute gastroenteritis (AGE). AGE, viral fever, malaria were more commonly seen in female while typhoid, measles, tuberculosis were more commonly seen in male.Conclusions: Many diseases have a seasonal variation and the burden of these diseases could be reduced if we take measures to detect the changes in their trend through the implementation of surveillance programs.
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