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Impact of Antenatal Interventional Packages on Maternal Outcomes

P. Vadivukkarasi Ramanadin, Pity Koul

Abstract


Introduction: Motherhood is a great responsibility, and it is one of the highest crowns of honour. A
proper antenatal check-up provides necessary care to the mother and helps to identify any
complications of pregnancy and timely management. Aim: Evaluate the effectiveness of selected
antenatal interventions on maternal outcome among high-risk pregnant women. Hypothesis: There is
a difference in maternal outcome between control and experimental group of high-risk pregnant women
after implementation of selected antenatal interventions at 0.05 level of significance. Methodology:
Quantitative research approach, quasi-experimental multiple time series control group design is used.
High-risk pregnant women attending antenatal OPD at Sub District Hospital and District Hospital who
fulfils the inclusion criteria were selected for the study by using non-probability purposive sampling
technique. Experimental group consist of 16 and control group consist of 16 high-risk pregnant women.
Selected antennal interventions include video assisted teaching on antenatal care and prevention of
preterm delivery, daily monitor sheets for antenatal interventions and exercise, telephonic confirmation
for follow up, information booklet on antenatal care and prevention of preterm delivery, minimum eight
antenatal visits and measurement of cervical length. Pregnant women were selected from the 20th weeks
of gestation. Results: Findings of the study include 32 high-risk pregnant women such as teenage
pregnancy (9), maternal anemia (11), teenage pregnancy and anemia (10) and previous history of
abortion with anemia were (2). Socio-demographic variables show that 44% of them belong to less than
19 years old, 44% of them had completed high school education and higher secondary, 53% of them
were unskilled workers, 75% of them were having salary between Rs. 2092 and 6213/-, all were from
urban area, 90% of them were adivasis, 56% of them were in joint family, 47% of them were engaged
and 94% of them gained knowledge on preterm prevention was ANM, School health programme. It also
shows that selected antenatal interventions are effective in reducing the preterm delivery
(t(32,0.05)=3.649; 0.000547) and reducing the hospital stay (t(32,0.05)=6.971; 0.000). Findings of the study
suggests antenatal interventions can reduce the occurrence of preterm delivery.


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References


Preterm birth. World Health Organization. 2018 [cited 8 August 2018]. Available from:

http://www.who.int/news-room/fact-sheets/detail/preterm-birth

WHO. The worldwide incidence of preterm birth: a systematic review of maternal mortality and

morbidity. Available from: http://www.who.int/bulletin/volumes/88/1/08-062554/en/

Tellapragada C, Eshwara V, et al. Risk Factors for Preterm Birth and Low Birth Weight Among

Pregnant Indian Women: A Hospital-based Prospective Study. J Prev Med Public Health. 2016;

(3): 165–175.

Quinn J, Munoz F, et al. Preterm birth: Case definition and guidelines for data collection, analysis,

and presentation of immunisation safety data. Vaccine. 2016; 34(49): 6047–6056.

Gwin K, Schrader R, et al. An exploratory study of the variables impacting preterm birth rates in

New Mexico. BMC Pregnancy Childbirth. 2012; 12(1): 53.

Pérez Jonathan H. Regulation of vernal migration in Gambel’s white-crowned sparrows: role of

thyroxine and triiodothyronine. Elsevier, Horm Behav. 2016; 84: 50–56.

Robert L, Jennifer F, et al. Epidemiology and causes of preterm birth. Lancet. 2008; 371(9606):

–84.

Irmal L, Coria-Soto J, Bobadilla F. The Effectiveness of Antenatal Care in Preventing Intrauterine

Growth Retardation and Low Birth Weight Due to Preterm Delivery. Int J Qual Health Care. 1996;

(1): 13–20.

Hanna P, Milart C, et al. Detection of high-risk pregnancies in low-resource settings: a case study

in Guatemala. Reprod Health. 2019; 16: 80.

Andersen HF. Effectiveness of patient education to reduce preterm delivery among ordinary risk

patients. Am J Perinatol. 1989; 6(2): 214–7.

Bowers J, Cheyne H. Reducing the length of postnatal hospital stay; implications for cost and

quality of care. BMC Health Serv Research. 2016; 16: 16.




DOI: https://doi.org/10.37628/jopnn.v7i2.1972

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