Pregnancy outcome study between Pradhan mantri surakshit matriva abhiyan service utilization group and pradhan mantri surakshit matriva abhiyan service non-utilization group: a comparative study
Keywords:PMSMA, IUGR, HDP, ANC
Background: Safe pregnancy has become a social movement in our country. Almost 15 % of all pregnant women can develop potentially life-threatening complications. As a result, identification of high-risk pregnancies at earliest stage will be useful in directing appropriate intervention. Hence this study was done to evaluate the betterment of pregnancy outcome of the women who had taken the adequate service of Pradhan Mantri Surakshit Matriva Abhijyan service (PMSMA) than who had not.
Method: A longitudinal study was conducted at Malda medical college during January 2019 to June 2019. 385 women selected who had taken at least three antenatal checkups (from record analysis) at PMSMA designated clinic and another 385 women selected who had not taken PMSMA services. Women of both groups were followed up their delivery events and puerperal days till discharge from hospital. Pregnancy outcomes were compared and statistical analysis of both groups were done by SSPS software.
Results: A significant outcome difference of PMSMA service utilized and non-utilized groups in respect to fetal and maternal parameters including moderate to severe anemia, (12.98% vs 26.49%), intra uterine growth retardation (IUGR, 20.0% vs 29.87%), hypertensive disorders in pregnancy (HDP, 8.31% vs 13.50%), low-birth-weight (21.30% vs 31.16%) and stillborn (1.29% vs 2.89%) were observed.
Conclusions: This study showed positive pregnancy outcome of PMSMA utilized group than non-utilized group. Improving the availability and accessibility of quality antenatal and delivery care through PMSMA services in all our institutions, will improve pregnancy outcome.
Managing Complications in pregnancy and childbirth: A Guide for midwives and Doctors. 2nd ed Geneva: World Health Organization. 2017.
United nation New York. The Sustainable Developmental Goals Report. 2017;21.
Ansary R, Anisujjama M. Factors Determining Patterns of United Need for Family Planning in Uttar Pradesh, India. Int Res J Social Sci. 2012;1(u):16-23.
Ekele BA, Audu LR. Gestational age at first antenatal attendance in Sokoto. Northern Nigeria. Tror J obste Gnaecol. 1998;15:39-40.
Abonzehar C, Royston E. Maternal mortality: a Global text book Geneva; World Health Organization. 1991;9-602.
Abonzahr C, Wardlaw T, Stanton C, Hill K. Maternal mortality. World Health StatQ. 1996;49:77-87.
Ogunniyi SO, Faleyimu BL. Trends in maternal deaths in Ilesa, Nigeria, 1977-1988. West Afr J Med. 1991;10:400-4.
Maternal Health Division, Ministry of Health and Family Welfare, Government of India, Pradhan Mantri Surakshit Matriva Abhiyan. 2016;2.
Mattews Z, Mahendra S, Kilaru A, Ganapathy S. Antenatal care servicing and morbidity in rural Karnataka, India. Result of a prospective study Assia Oacific Pop J. 2001;16(2):11-8.
Sinha S. Outcome of Antenatal Care in an Urban Slum of Delhi: Indian J. Commun Med.2006;21:111-5.
Onwudiegwu U. The of a depressed economy to the utilization of maternal health services. The Nigerean experience. J Obstet Gynaecol. 1993;13:311-4:11.
Fawcus SR, Crowther CA, Van Baelen P, Marumakhoke J. Booked and un-booked mothers delivery at Harare Maternity Hospital Zimbabwe. A comparison of maternal characteristic and fetal outcome. Cent Afr J Med 1992;38(1):402-8.
Sodje JDK, Ande AAB. Socio demographic characteristics and pregnancy Outcome of booked and un-booked women at the University of Benin Teaching hospital JMBR. 2016;15(1):109-20.
Chibu B, Onwere S, Kamaru CL, Aluks C, Okoro O, Adibe E. Pregnancy outcome in booked and un-booked mothers in South Estern Nigeria. East Afr Med J. 2009;68(6):267-71.