Title: Knowledge of five obstetric danger sign among pregnant women attending antenatal care of ICMH, Matuail, Dhaka

Authors: Dr Begum Shamsun Naher Shirin, Dr Ashrafun Naher, Dr MahbubaAkhter, Dr Sabina Parvin, Dr Md. Nazim Al-Azad

 DOI: https://dx.doi.org/10.18535/jmscr/v8i11.66

Abstract

This study was designed to investigate of five obstetric danger sign among pregnant women attending antenatal care of ICMH, Matuail, Dhaka.

It was a cross-sectional study conducted among 200 pregnant women, aged 18 years and above, who attended antenatal follow-up from May to August 2009 at Obstetrical out Patient Department (OPD), in ICMH, Matuail, Dhaka. Data were collected personally by using a structured questionnaire through interviewing which aimed to assess awareness of five danger signs.

In this study majority of the respondents, (62.5%) were from rural area and only 27.5% from urban area. The mostly reported mean age of pregnant women was around 25 years (74%>).

Almost all were housewife (98%). In case of education level, 6%> respondents did not receive any formal education and remaining was more or less educated. Among the all participants 40% and 60% were in 2nd and 3rd trimester of their pregnancy. Regarding source of knowledge 50% women got idea through reading posters, 15% informed by health care providers and 4%> were learned by watching and listening pregnancy healthcare related programs in television and radio. In terms of the five obstetric danger signs, only 2% respondents were knowledgeable about all of the signs. Majority of the women, 36%) had no idea about danger sign of pregnancy whereas 4%>, 14%>, 22%> and 22%> women knew at least one, two, three and four obstetric danger signs, respectively. Therefore, the most common spontaneously mentioned danger sign was ‘convulsion' (52%>), followed by vaginal bleeding (50%), severe headache with vomiting (44%), high fever (32%) and prolong labour (16%>).

Women had low awareness of danger signs of pregnancy whereas better awareness of danger signs was strongly associated with higher level of education of the woman.

Keywords: Obstetric danger signs, Knowledge. Pregnancy, Antenatal care.

References

  1. WHO 2018. Maternal Mortality,Trends in Maternal Mortality: 1990 to 2015. Estimates by WHO, UNICEF, UNFPA, The World Bank and the United Nations Population Division (Geneva, World Health Organization).
  2. WHO 2001.lnfromation, education and communication: lessons from the past, perspectives for the future (Geneva, World Health Organization).
  3. El Arifeen, S., Hill, K., Ahsan, K.Z., Jamil, K., Nahar, Q., Streatfield, P.K., 2014, Maternal mortality in Bangladesh: a Countdown to 2015 country case study. Lancet 384, 1366- 1374.
  4. Killewo, J., Anwar, I., Bashir, I., Yunus, M., Chakraborty, J., 2006, Perceived delay in healthcare-seeking for episodes of serious illness and its implications for safe motherhood interventions in rural Bangladesh. Journal Health Popul Nutrition.
  5. Hogan, J., Maguire, P., Farah, N., Kennedy, M., Stuart, B., Turner, M., 2010, Body Mass Index and Blood Pressure Measurement during Pregnancy. Hypertension in Pregnancy.The lancet journal.
  6. Okour, A., Alkhateeb, M., Amarin, Z., 2012, Awareness of Danger Signs & Symptoms of Pregnancy Complication Among Women in Jordan. International Journal Gynecologic Obstetric.
  7. Benski, A.C., Stancanelli, G., Scaringella, S., Herinainasolo, J.L., Jinoro, J., Vassilakos, P., Petignat, P., Schmidt, N.C., 2017, Usability and feasibility of a mobile health system to provide comprehensive antenatal care in low-income countries: PANDA mHealth pilot study in Madagascar. J TelemedTelecare 23, 536-543.
  8. WHO 1998.Organization Reference at High Risk during Pregnancy. In SMH newsletter activates issue. World Health Organization.
  9. MOH 2003.Ministry of Health (MOH) Annual Report (Department of Health Services of Nepal).
  10. Hoque, M., Hoque, M.E., 2011, Knowledge of danger signs for major obstetric complications among pregnant KwaZulu-Natal women: implications for health education. Asia Pac J Public Health 23, 946-956.
  11. Pembe, A.B., Urassa, D.P., Carlstedt, A., Lindmark, G., Nystrom, L., Darj, E., 2009, Rural Tanzanian women's awareness of danger signs of obstetric complications. BMC Pregnancy Childbirth 9, 12.
  12. Kabakyenga, J.K., Ostergren, P.O., Turyakira, E., Pettersson, K.O., 2011, Knowledge of obstetric danger signs and birth preparedness practices among women in rural Uganda. Reprod Health 8, 33.
  13. Bogale, D., Markos, D., 2015, Knowledge of obstetric danger signs among child bearing age women in Goba district, Ethiopia: a cross-sectional study. BMC Pregnancy Childbirth 15,77.
  14. Hasan, I.J., Nisar, N., 2002, Womens' perceptions regarding obstetric complications and care in a poor fishing community in Karachi. J Pak Med Assoc 52, 148-152.
  15. Baqui, A., Ahmed, S. 2004. Community-based interventions to reduce neonatal mortality in Bangladesh, Projahnmo I. Baltimore, D., Johns Hopkins University, ICDDR,B., ed.
  16. Anya, S.E., Hydara, A., Jaiteh, L.E. 2008. Antenatal care in The Gambia: missed opportunity for information, education and communication (BMC Pregnancy Childbirth).
  17. Evjen-Olsen, B., Hinderaker, S.G., Lie, R.T., Bergsjo, P., Gasheka, P., Kvale, G., 2008. Risk factors for maternal death in the highlands of rural northern Tanzania: a case-control study. BMC Public Health 8, 52.

Corresponding Author

Dr Begum Shamsun Naher Shirin

Associate Professor, Current Charge, Gyanae, US Bangla Medical College, Dhaka, Bangladesh