Utilization of Antenatal Care Services among Patients Presenting in Ayub Teaching Hospital : Utilization of Antenatal Care Services among Patients

Ansa Islam; Iram Sarwar; Azmat Ali Shah; Sana Khalid; Saima Bibi; Mujahid ul Islam

doi:10.54393/pbmj.v7i03.989

Authors

Ansa Islam Department of Obstetrics/Gynecology, Ayub Medical Teaching Institute, Abbottabad, Pakistan
Iram Sarwar Department of Obstetrics/Gynecology, Ayub Medical Teaching Institute, Abbottabad, Pakistan
Azmat Ali Shah Department of Anesthesia, Prince Muhammad Bin Abdul Aziz hospital, Riyadh, Saudi Arabia
Sana Khalid Department of Obstetrics/Gynecology, Ayub Medical Teaching Hospital, Abbottabad, Pakistan
Saima Bibi Department of Obstetrics/Gynecology, Ayub Medical Teaching Hospital, Abbottabad, Pakistan
Mujahid ul Islam Department of Anesthesia, Rehman Medical Institute, Peshawar, Pakistan

DOI:

https://doi.org/10.54393/pbmj.v7i03.989

Keywords:

Antenatal Care, Obstetric Profile, Maternal Health

Abstract

Regular use of antenatal care services during pregnancy has a positive impact on maternal and fetal health and serves as a tool to reduce maternal morbidity and mortality. Objective: To assess the utilization of antenatal care services among pregnant women at Ayub Teaching Hospital in Abbottabad, Pakistan. Methods: This descriptive study was conducted in Ayub Teaching Hospital in Abbottabad, KPK province, Pakistan. Data were collected on paper-based questionnaires and analyzed using SPSS. A total of 208 patients participated. Results: Key findings from the study indicated that the average age of participants was 28 years. The majority of women came from lower-middle-class backgrounds. The study also revealed a wide range of educational backgrounds among participants. Most women had prior pregnancy experience. The study found that a significant percentage of women initiated antenatal visits during the first trimester with drop in visits during the third trimester. Understanding the reasons for seeking care is crucial, with various medical concerns and routine check-ups cited. Barriers to utilization included lack of awareness, family issues, and geographical distance. Additionally, only 72% of women reported taking recommended supplements during pregnancy. Conclusions: The study identified that women from middle income group with previous experience of pregnancy seek antenatal care in first trimester with various pregnancy problems but visits were not consistent. Major reason for non-utilization of services was unawareness about the services.

References

Berhe KK, Welearegay HG, Abera GB, Kahsay HB, Kahsay AB. Assessment of antenatal care utilization and its associated factors among 15 to 49 years of age women in Ayder Kebelle, Mekelle City 2012/2013; a cross sectional study. American Journal of Advanced Drug Delivery. 2014; 62: 75.

Sodeinde K, Onigbogi O, Odukoya O, Abiodun O. Knowledge, utilization and clients’ satisfaction with antenatal care services in Primary Health Care Centres, in Ikenne Local Government Area, Ogun State, Nigeria. Annals of Health Research (The Journal of the Medical and Dental Consultants Association of Nigeria, OOUTH, Sagamu, Nigeria). 2020 May; 6(2): 171-83. doi: 10.30442/ahr.0602-06-79. DOI: https://doi.org/10.30442/ahr.0602-06-79

Bihler LM, Agache A, Kohl K, Willard JA, Leyendecker B. Factor analysis of the Classroom Assessment Scoring System replicates the three domain structure and reveals no support for the bifactor model in German preschools. Frontiers in Psychology. 2018 Jul 18; 9: 1232. doi: 10.3389/fpsyg.2018.01232. DOI: https://doi.org/10.3389/fpsyg.2018.01232

PRB. Maternal mortality in Guatemala: A preventable Tragedy. [Last cited: 1st March 2024]. Available at: https://www.prb.org/resources/maternal-mortality-in-guatemala-a-preventable-tragedy/.

World Health Organization. New guidelines on antenatal care for a positive pregnancy experience. [Last cited: 1st March 2024]. Available at: https://www.who.int/news/item/07-11-2016-new-guidelines-on-antenatal-care-for-a-positive-pregnancy-experience.

Reliefweb. Maternal Mortality in 2000: Estimates developed by WHO, UNICEF and UNFPA. [Last cited: 1st March 2024]. Available at: https://reliefweb.int/report/afghanistan/maternal-mortality-2000-estimates-developed-who-unicef-and-unfpa.

Rockers PC, Wilson ML, Mbaruku G, Kruk ME. Source of antenatal care influences facility delivery in rural Tanzania: a population-based study. Maternal and Child Health Journal. 2009 Nov; 13: 879-85. doi: 10.1007/s10995-008-0412-7. DOI: https://doi.org/10.1007/s10995-008-0412-7

Helene Sancho-Garnier, Andreas Biedermann, Karen Slama, Annie S. Anderson, Elsebeth Lynge. Evidence-based Cancer Prevention: Strategies for NGO's: A UICC handbook for Europe. Geneva: UICC; 2004.

Tessema ZT, Teshale AB, Tesema GA, Tamirat KS. Determinants of completing recommended antenatal care utilization in sub-Saharan from 2006 to 2018: evidence from 36 countries using Demographic and Health Surveys. BMC Pregnancy and Childbirth. 2021 Dec; 21: 1-2. doi: 10.1186/s12884-021-03669-w. DOI: https://doi.org/10.1186/s12884-021-03669-w

Zakar R, Zakar MZ, Aqil N, Chaudhry A, Nasrullah M. Determinants of maternal health care services utilization in Pakistan: evidence from Pakistan demographic and health survey, 2012–13. Journal of Obstetrics and Gynaecology. 2017 Apr; 37(3): 330-7. doi: 10.1080/01443615.2016.1250728. DOI: https://doi.org/10.1080/01443615.2016.1250728

Smith CA, Shewamene Z, Galbally M, Schmied V, Dahlen H. The effect of complementary medicines and therapies on maternal anxiety and depression in pregnancy: a systematic review and meta-analysis. Journal of Affective Disorders. 2019 Feb; 245: 428-39. doi: 10.1016/j.jad.2018.11.054. DOI: https://doi.org/10.1016/j.jad.2018.11.054

McLeish J, Harvey M, Redshaw M, Henderson J, Malouf R, Alderdice F. First-time mothers’ expectations and experiences of postnatal care in England. Qualitative Health Research. 2020 Oct; 30(12): 1876-87. doi: 10.1177/1049732320944141. DOI: https://doi.org/10.1177/1049732320944141

Emiru AA, Alene GD, Debelew GT. Women’s satisfaction with the quality of antenatal care services rendered at public health facilities in Northwest Ethiopia: the application of partial proportional odds model. BMJ open. 2020 Sep; 10(9): e037085. doi: 10.1136/bmjopen-2020-037085. DOI: https://doi.org/10.1136/bmjopen-2020-037085

Sarker BK, Rahman M, Rahman T, Khalil JJ, Hasan M, Rahman F et al. Status of the WHO recommended timing and frequency of antenatal care visits in Northern Bangladesh. Plos one. 2020 Nov; 15(11): e0241185. doi: 10.1371/journal.pone.0241185. DOI: https://doi.org/10.1371/journal.pone.0241185

McCarthy B, Trace A, O’Donovan M, Brady-Nevin C, Murphy M, O'Shea M et al.Nursing and midwifery students' stress and coping during their undergraduate education programmes: An integrative review. Nurse education today. 2018 Feb; 61: 197-209. doi: 10.1016/j.nedt.2017.11.029. DOI: https://doi.org/10.1016/j.nedt.2017.11.029

Rustagi R, Basu S, Garg S, Singh MM, Mala YM. Utilization of antenatal care services and its sociodemographic correlates in urban and rural areas in Delhi, India. European Journal of Midwifery. 2021; 5. doi: 10.18332/ejm/140459. DOI: https://doi.org/10.18332/ejm/140459

Varela C, Young S, Mkandawire N, Groen RS, Banza L, Viste A. Transportation barriers to access health care for surgical conditions in Malawi a cross sectional nationwide household survey. BMC Public Health. 2019 Dec; 19: 1-8. doi: 10.1186/s12889-019-6577-8. DOI: https://doi.org/10.1186/s12889-019-6577-8

Rahman A, Nisha MK, Begum T, Ahmed S, Alam N, Anwar I. Trends, determinants and inequities of 4+ ANC utilisation in Bangladesh. Journal of Health, Population and Nutrition. 2017 Dec; 36(1): 1-8. doi: 10.1186/s41043-016-0078-5. DOI: https://doi.org/10.1186/s41043-016-0078-5

Simkhada B, Teijlingen ER, Porter M, Simkhada P. Factors affecting the utilization of antenatal care in developing countries: systematic review of the literature. Journal of Advanced Nursing. 2008 Feb; 61(3): 244-60. doi: 10.1111/j.1365-2648.2007.04532.x. DOI: https://doi.org/10.1111/j.1365-2648.2007.04532.x

El-Khatib Z, Kolawole Odusina E, Ghose B, Yaya S. Patterns and predictors of insufficient antenatal care utilization in Nigeria over a decade: a pooled data analysis using demographic and health surveys. International Journal of Environmental Research and Public Health. 2020 Nov; 17(21): 8261. doi: 10.3390/ijerph17218261. DOI: https://doi.org/10.3390/ijerph17218261

Ali SA, Dero AA, Ali SA, Ali GB. Factors affecting the utilization of antenatal care among pregnant women: a literature review. Journal of Pregnancy and Neonatal Medicine. 2018; 2(2).