Antenatal, intranatal and postnatal care: a tertiary centre study of North India

Abstract

Background:Care of pregnant lady during antenatal period is the key to reducing maternal mortality and morbidity during pregnancy and child birth and futher improving the growth and development of the newborn. Optimal weight gain in the initial 6 months is very essential. Therefore, study aims to assess antenatal, intranatal and postnatal factors affecting the growth of newborn child. Methods:A Community based cross sectional study was conducted twice – at delivery and second after 6 months. A total of 220 ladies delivered at QMH, King Georges Medical University, Lucknow between August-2016 to September-2017 were included. WHO Standards were used to calculate the deviation from normal growth. Data was entered in SPSS-23 and assessment was made for factors affecting the growth of newborn. Results:At the time of birth the weight, length and head circumference of newborn was measured. Normal weight, length and H.C of ±2 SD was seen in 91%, 88%, 94% males respectively and 87.8%, 97.8 and 73.3% females. Repeat measurements at 6 month age of newborn showed normal weight, length and H.C in 62%, 58% and 87% males respectively and 87.8%, 74.4% and 96.7% females. Multivariate logistic regression analysis of factors revealed that growth of newborn upto 6 months was significantly associated with exclusive breastfeeding (OR 0.161; 95% CI 0.053-0.492; p=0.001), Illness in past 6 months (OR 6.820; 95%CI 2.376-19.579; p<0.001) low birth weight (OR 0.101; 95% CI 0.015-0.665; p=0.017). Conclusions:Although adherence to the proper schedule of antenatal, intranatal and postnatal visits and care varies between individuals and over time, the factors can be addressed with periodic counselling and motivation of pregnant ladies and their families.

Utilization of antenatal care services in rural population of north India: a cross sectional study

“…6,[13][14][15] It was observed in present study that 91% of the mothers received iron and folic acid supplementation, this results are quite comparable to the observation of NFHS-4, the percentage of women who either received or bought IFA tablets was 77.7%, Gupta et al study reported that 93.7% mothers received IFA tablets and Gandhi et al study also revealed that all the mothers had received Iron supplements during ANC visit. 6,[16][17][18] In the present study 95% of mothers immunized with adequate dose of Tetanus Toxoid, this findings is relatively compared to the result of Annual Health Survey (AHS) 2012-13 Uttar Pradesh and Lucknow district which is 83.2% and 87.5% respectively and also supported by some others Indian authors in their study. 6,19,20 In the present study, 75.5% mothers were delivered in health facility in which 52% at Government health facility and 24% in private health facility while 24.5% mothers were delivered at home.…”