Dahake Swati, Shinde Ratnendra
Department of Community Medicine, Seth G. S. Medical College and KEMH, Mumbai, Maharashtra, India.
Indian J Community Med. 2020 Jul-Sep;45(3):320-322. doi: 10.4103/ijcm.IJCM_344_19. Epub 2020 Sep 1.
Developing countries continue to have a high maternal mortality ratio. Antenatal care (ANC) has been termed as one of the "four pillars" of safe motherhood by the World Health Organization. Male involvement has been recognized as having a great impact on women's utilization of maternal health-care service.
The objective was to assess husband's knowledge and attitude toward their involvement in ANC and to determine factors that influence husband's attitude toward involvement in ANC.
A community-based observational cross-sectional study on husbands of pregnant women enrolled in an urban health center located in the Malvani slum community of Mumbai with a sample size of 86 was undertaken.
The study findings revealed that majority of the husbands 67.4% had a positive attitude, whereas 32.6% had a negative attitude toward involvement in ANC. Knowledge of the husbands regarding early registration of pregnancy, tetanus toxoid, routine blood investigations, and increased dietary requirements were 35%, 45%, 51%, and 65%, respectively. Husband's level of education, their occupation type, distance of health facility from home, length of time spent at health-care facility, and attitude of health-care providers affect the attitude toward involvement in their wife's ANC.
Changes in husband's knowledge and attitude about ANC are necessary conditions required to detect pregnancy-related complications at the earliest and for prompt referral.
发展中国家的孕产妇死亡率仍然很高。产前保健(ANC)被世界卫生组织称为安全孕产的“四大支柱”之一。男性参与被认为对女性利用孕产妇保健服务有很大影响。
目的是评估丈夫对参与产前保健的知识和态度,并确定影响丈夫对参与产前保健态度的因素。
在孟买马尔瓦尼贫民窟社区的一个城市健康中心,对86名孕妇的丈夫进行了一项基于社区的观察性横断面研究。
研究结果显示,大多数丈夫(67.4%)对参与产前保健持积极态度,而32.6%持消极态度。丈夫对怀孕早期登记、破伤风类毒素、常规血液检查和增加饮食需求的知晓率分别为35%、45%、51%和65%。丈夫的教育程度、职业类型、医疗机构与家的距离、在医疗机构花费的时间以及医护人员的态度会影响其对参与妻子产前保健的态度。
改变丈夫对产前保健的知识和态度是尽早发现与怀孕相关并发症并及时转诊的必要条件。