Determinants and Patterns of Antenatal Care Utilizations among Women in Thiruvarur District, Tamil Nadu: An Analytical Study |Chapter 8 | An Overview of Disease and Health Research Vol. 7

 

Timely utilisation of antenatal care (ANC) remains critical for reducing maternal mortality, yet considerable disparities in ANC access persist due to multifaceted socio-economic and health system determinants. The present study aims to (1) identify and quantify the socio-economic, demographic, psychological, and infrastructural determinants influencing ANC utilisation among women in Thiruvarur district, Tamil Nadu; (2) examine the principal barriers to accessing ANC; and (3) analyse district-level trends in childbirth and infant mortality. Data were obtained from 2,101 pregnant women aged 17–36 years who received care at 42 Primary Health Centres and 9 Government General Hospitals. Utilizing structured questionnaires and robust statistical analysis—including stratified random sampling and multiple regression techniques—the study assessed key factors associated with ANC uptake. The results demonstrate that maternal age, age at marriage, family size, educational attainment, health status, and proximity to health care facilities are statistically significant predictors of ANC use. In contrast, household income was not a statistically significant predictor of ANC utilization (p=0.060), indicating that the widespread availability of free public health services likely mitigates direct financial barriers. The findings also establish that Primary Health Centres serve as the predominant sources of ANC, with institutional deliveries prevailing across the district. Despite these positive trends, the research reveals ongoing geographic disparities in infant mortality rates. Collectively, the results underscore that demographic and infrastructural variables substantially shape patterns of ANC utilisation. The study thus highlights the necessity of targeted interventions, especially those aimed at educational advancement, improved accessibility, and service delivery improvements, to address enduring inequities faced by socioeconomically or geographically marginalised women.

 

 

Author(s) Details

Vadivel Sivalingam
Postgraduate and Research Department of Geography, Thanthai Periyar Government Arts and Science College (Autonomous), Tiruchirappalli – 620023, Tamil Nadu, India.

 

Anandan Rethinam
The Government of Tamil Nadu, India.

 

Mayakannan Ayyanar
Department of Geography, Government Arts College for Women, Nilakottai, 624208, Tamil Nadu, India.

 

Sankar Karuppaiyan
Postgraduate and Research Department of Geography, Government Arts College (Autonomous), Kumbakonam – 612001, Tamil Nadu, India. India.

 

Please see the book here :- https://doi.org/10.9734/bpi/aodhr/v7/6585

Health Care Seeking Behaviour Among Pregnant Women in Rural Western India: A Qualitative Study | Chapter 9| An Overview of Disease and Health Research Vol. 3

Background: One of the most important aspects of maternal health services is antenatal care (ANC).

 

Aim of the Study: The perceptions and care-seeking behaviour of pregnant women living in rural Western India are examined in this study, as is their knowledge of pregnancy-related complications.

 

Methods: A qualitative descriptive study was carried out in 2022 with 74 pregnant women who were randomly selected from the ANC register and were in their third trimester. Using a pretested guide that covered eight thematic areas, data were collected through in-depth interviews. Thematic coding was used to analyse the transcriptions of the interviews.

 

Results: The majority of women understood the value of regular ANC visits. However, little was known about specific complications like pre-eclampsia or gestational diabetes. Although transportation obstacles and reliance on spouses for decision-making were observed, government health services were favoured because they were accessible and reasonably priced. Families provided support, and there was little dependence on traditional healers. A few participants voiced concerns about the results of deliveries, especially caesarean sections.

 

Conclusions: The study draws attention to the disparity in general ANC awareness and specialised knowledge regarding pregnancy complications. Maternal outcomes can be improved in rural Western India with sustained community involvement and education provided by primary healthcare systems.

 

Author(s) Details

Pravin Yerpude
Department of Community Medicine, Chhindwara Institute of Medical Sciences, Chhindwara (Madhya Pradesh)-480001, India.

 

Keerti Jogdand
Department of Community Medicine, Chhindwara Institute of Medical Sciences, Chhindwara (Madhya Pradesh)-480001, India.

 

Mohini Jogdand
Department of Community Medicine, Swami Ramanand Teerth Rural Government Medical College, Ambajogai, (Maharashtra)- 431517, India.

 

 

Please see the book here:- https://doi.org/10.9734/bpi/aodhr/v3/5781

Prevalences and Risk Factors Associated with Pre-eclampsia, Low Birth Weight and Post-partum Haemorrhage among Pregnant Women Seeking Antenatal Care in Northern Ghana: A Cross-sectional Descriptive Study | Chapter 1 | Pharmaceutical Science: New Insights and Developments Vol. 1

The risks of developing pre-eclampsia (PE), giving birth to a low birth weight (LBW) neonate, and post-partum haemorrhage (PPH) among pregnant women in low-and middle-income countries have been on the increase. These risks are further exacerbated in pregnant women from low-resourced settings. This study was therefore conducted to determine the prevalences and risk factors associated with pre-eclampsia, low birth weight and post-partum haemorrhage among pregnant women at antenatal booking in a poor-resourced setting in northern Ghana. Two hundred and sixty-eight pregnant women attending their first antenatal visit at the Bolgatanga Regional Hospital, Bolgatanga, Ghana, from March 2018 to March 2019 took part in the study. The socio-demographic and obstetric characteristics of the pregnant women were obtained through a structured questionnaire. Also, participants' G6PD status, sickling status, blood group, Hb-genotype and Hb (haemoglobin) concentration at 1^st ANC visit were determined. A multivariate logistic regression analysis was used to evaluate the risk factors of PE, LBW and PPH. The prevalence of PE, LBW and PPH were 25.4% (68/268), 15.7% (42/268) and 6.0% (16/268), respectively. For PE, delayed 1^st ANC visit (AOR=16.82, 95% CI (3.61-78.5), p=0.000) and younger maternal age (AOR= 15.19, 95% CI (1.85-124.56), p=0.011) were independently associated with higher odds. Lastly, delayed 1st ANC visit (AOR=3.26, 95% CI (1.05-10.10), p=0.041) and vaginal delivery (AOR=0.36, 95% CI (0.17-0.74), p=0.006) were independently associated with LBW in the multivariate model. The study identified delayed ANC visits as an independent risk factor for PE, LBW and PPH in Northern Ghana. Public health education for pregnant women that highlights the importance of early ANC visits must be enhanced to facilitate early identification and intervention for women with the risk of foeto-maternal complications. Younger women should be educated on the dangers of early marriages with its attendant foeto-maternal complications of pregnancy.

 

Author (s) Details

 

Benjamin Ahenkorah
Department of Medical Laboratory Science, Bolgatanga Technical University, Bolgatanga-Upper East Region, Ghana.

 

Addai-Mensah Donkor
Department of Pharmaceutics, School of Pharmacy and Pharmaceutical Sciences, University for Development Studies, Tamale, Ghana and Department of Pharmaceutical Chemistry, School of Pharmacy and Pharmaceutical Sciences, University for Development Studies, Tamale, Ghana.

 

Kwame Opare-Asamoah
Department of Biological Sciences, Faculty of Biosciences, University for Development Studies, Tamale, Ghana.

 

Please see the book here:- https://doi.org/10.9734/bpi/psnid/v1/3138

The Promises in Peril-Continuum of Maternal Health Care Services in North Indian Urban Fringe | Chapter 10 | Current Innovations in Disease and Health Research Vol. 6

 Maternal energy is commonly approved as one of the most meaningful and challenging fitness indicators. Targeted MMR still faces important obstacles, mainly by way of the inequality, chance, and accessibility of the continuation of maternal health duties (CMHS). This study was conducted to evaluate the status of exercise, determinants, and satisfaction of /accompanying CMHS in the North Indian urban border. A community-located study including 310 recently brought women (RDWs) was completed activity. A structured questioner-administered questionnaire was used to draw the data through household surveys, and SPSS 26.0 was used to resolve it. Full utilization of antenatal care (ANC), event-natal care (INC), and post-natal care (PNC) were 158 (51%), 228 (73.5%), and 92; (29.7%) individually. Birth order, the husband's instructional level, previous gestation complications, the family construction, the first ANC visit, and the location of the ANC were all important (p<0.05) predictors of full ANC exercise. Significant (p<0.05) predictors of full utilization of INC contained husband and RDWs instruction levels and complications from earlier pregnancies. The husband's age, birth order, and level of instruction were all significant (p<0.05) predictors of entire utilization of PNC. Full exercise of overall CMHS was only 60 (19.4%). More than 70% of RDWs expressed satisfaction accompanying the quality of CMHS. Post-innate care is acting as a obstacle in the adequate Utilization of CMHS. To assuage commitments and reach the target settled by SDG, a systematic approach is necessary to thoroughly check the gaps by population necessities and discover effective solutions fast.

Author(s) Details:

Poonam Kushwaha,
Department of Community Medicine, Rama Medical College Hospital and Research Centre, Mandhana, Kanpur, Uttar Pradesh, India.

Saira Mehnaz,
Department of Community Medicine, Jawaharlal Nehru Medical College, AMU, Aligarh, Uttar Pradesh, India.

M. A. Ansari,
Department of Community Medicine, Jawaharlal Nehru Medical College, AMU, Aligarh, Uttar Pradesh, India.

Please see the link here: https://stm.bookpi.org/CIDHR-V6/article/view/11845

Analysis of Factors Associated with Four or More ANC in the City of Kita, Mali| Chapter 6 | Current Overview on Disease and Health Research Vol. 7

 The objective concerning this research is to resolve the factors guide four or more PNCs among meaningful women in the city of Kita, Mali. It covers a sample of 281 wives aged 15 to 49. The study is interesting cause it will highlight the factors most closely had connection with four or more CPNs. A quantitative and examining study was carried out from October to December, 2020. Adjusted probability ratios (ORaj) were determined for the variables with the profit of the probability (p <0.05, in bivariate study). The study revealed that 63.7% of wives performed 4 or more CPNs. The appropriate factors associated with 4 or more ANC are: age, matrimonial status, number of living babies and the person the one has the power to select health care. The efficiency of ongoing ANC exercises in this city will be raised by taking into account these suitable aspects.

Author(s) Details:

Famagan-Oulé Konate,
Private University Centre DELTA- C Bamako, Mali.

Mariam F. Konate,
Private University Centre DELTA- C Bamako, Mali.

Yaranga Coulibaly,
Department of Geography, Department of FHG, University of Social Sciences and Management of Bamako, Mali.

Please see the link here: https://stm.bookpi.org/CODHR-V7/article/view/9434

Factors Influencing Uptake of Focused Ante Natal Care in Kenya a Case Study of Nyatoto Community | Chapter 6 | Challenges in Disease and Health Research Vol. 10

 The third sustainable target (UN 2015) is for a decrease of 70 maternal deaths per 100,000 women. Despite the fact that maternal mortality has decreased dramatically in Africa, many nations still have high maternal mortality rates. Kenya's death rate has dropped dramatically, from 488 fatalities per 10,000 in 2016 to 350 deaths per 100,000 in 2017. Women's health is a significant predictor of a country's overall economic health and well-being. The survival of babies is inextricably tied to maternal health. FANC (Focused Antenatal Care) is a commonly utilised method for improving the health of pregnant women. pregnant people and to promote excellent delivery care. Kenya's Ministry of Health produced a national adaptation plan in 2011 based on the World Health Organization's new model (WHO) The factors impacting FANC uptake in the Nyatoto sub-location of Kenya's HomaBay County were investigated in this cross-sectional study. Nyatoto village is a small rural village in Kenya's western region. The study used a stratified systemic sampling strategy and an analysis of variance. To collect data, set up an interview schedule. All of the participants were found to be eligible based on predefined criteria. Microsoft Excel was used to examine the data. According to the findings, 23.6 percent of the participants had previously experienced a miscarriage. Malaria was the most common cause (30.7 percent ). The majority of women (85.5%) favoured hospital delivery, whereas only 14.5 percent preferred home delivery, citing unpleasant health staff and a lack of understanding of the value of hospital delivery as reasons. Women make up 47.3 percent of the population in the United States. The Nyatoto community used to have a home delivery service. In order to improve FANC services, the study suggested a collaborative strategy involving health care practitioners, FANC mothers, and the community at large. Improved FANC services will help mothers get the most out of their care. Furthermore, the ministry of education, county governments, and other development partners should also contribute to adult education programmes. Women with little or no education should be encouraged to enrol.

Author (S) Details

David K. Njeru
Department of Community Health, Egerton University, Kenya.

View Book :- https://stm.bookpi.org/CDHR-V10/article/view/2544

Experiments on the Seroprevalences and Associated Factors of Viral Infections (HIV, Hepatitis B and C) among Pregnant Women Attending Antenatal Care at the Yaoundé Central Hospital | Chapter 3 | New Insights into Disease and Pathogen Research Vol. 5

A viral infection is a proliferation of a harmful virus inside the body. HIV infection, viral hepatitis B (HBV) and C (HCV) constitute a public health problem. The objective of this study was to assess seroprevalences and associated factors of these infections among pregnant women. We carried out a cross-sectional and analytical study. We consecutively enrolled 360 women attending ANC. Blood samples were collected to screen for HIVAb, HBsAg and HCVAb through rapid diagnostic tests, and confirmed at the “Centre Pasteur” laboratory of Cameroon. The mean age was 27.99 +/- 5.63 years, ranging from 15 and 47 years. The prevalence of HIVAb, HBsAg and HCVAb were 13.1% (n = 47), 9.4% (n = 34) and 1.7% (n = 6) respectively. We had 1.4% and 0.6% of HIV/HBV and HIV/HCV coinfections respectively. Independent risk factors associated with HIV were: The level of primary study (OR: 7.97; 95% CI = 2.23 - 28.49; P = 0.001) and multiple sexual partners (OR: 4 79; 95% CI = 1.79 - 12.79, P = 0.002). Multiple sexual partners was the Independent risk factor associated with HBsAg (OR: 11.62; 95% CI = 5.057 - 26.731; P = <0.001). No factor was associated with HCVAb.  Increased awareness, promotion of screening and / or treatment of infections and immunization against HBV in the general population and in women of childbearing age in particular, would reduce their impact and therefore prevent their horizontal and vertical transmission.

Author(s) Details

Dr. Florent Ymele Fouelifack
Obstetrics and Gynecology Unit of the Yaoundé Central Hospital, Cameroon and Department of Obstetrics and Gynecology, Higher Institute of Medical Technology of Nkolondom, Yaoundé, Cameroon and Research, Education and Health Associative Group GARES-Falaise, Dschang, Cameroon.

View Book :- http://bp.bookpi.org/index.php/bpi/catalog/book/196