Effect of quality of antenatal care on the perinatal outcome: A cross sectional study

Manisha Kasat, Nikita R Vijay, Anjali Kawthalkar


Antenatal care is one of the major way by which we can avoid many complications related to pregnancy outcome by very minute and cost effective interventions. Antenatal care is a way of monitoring pregnancy to lead to a successful outcome. A cross sectional study was conducted at tertiary care hospital to know the effect of antenatal care on pregnancy outcome, association of risk factors with poor pregnancy outcome, reasons for poor antenatal care and to increase the awareness about regular antenatal check-up. For this, 100 postnatal women whose baby shifted to NICU were included in this study. Majority (62%) of the study subjects were from urban areas, were educated up to upper primary and belonged to Class 3 socioeconomic status. About 26% of cases had irregular ANC check-up and 74% had check-up more than or equal to 4 during their ANC period. Most common risk factor was anaemia followed by pre-eclampsia and PROM in our study. Among the neonatal risk factors, low birth weight was the most common risk factors. Among all the factors associated with the regularity of the ANC check-up, rural residents had more irregular check-up when compared to the urban areas (p<0.05). Educational status of mother and socioeconomic status of the family had significant influence over the regularity of the ANC check-up. All antenatal risk factors except for obstructed labour were significantly higher in the patients who had irregular ANC check-up. Further, low birth weight, preterm birth and infections were also more common in mothers having irregular check-up during the ANC period (p<0.01). The present study highlights that regularity of the ANC check-up reduces the perinatal complications. Some factors like socioeconomic status, educational status of mother and residence affect the regularity of the ANC check-up, indirectly affecting the perinatal outcome.

 Keywords: Antenatal care, Perinatal outcome, Check-up.

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