Motappa Rohith, Shetty Pratham, Acharya Srivatsa
Department of Community Medicine, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal, India.
Department of Community Medicine, Kasturba Medical College, Mangalore, Karnataka, India.
J Educ Health Promot. 2024 Apr 29;13:161. doi: 10.4103/jehp.jehp_1071_23. eCollection 2024.
Neonatal outcomes and perinatal mortality are directly and significantly impacted by the use of appropriate antenatal care (ANC) during pregnancy. The objective of this study is to evaluate the association between the use of prenatal services and maternal and newborn outcomes in both public and private healthcare settings.
This study was carried out in two tertiary healthcare setups in Mangaluru, Karnataka: Government Lady Goschen Hospital (LGH) and Kasturba Medical College Hospital (KMCH) Attavar. Data were collected from 150 women who were a part of the study. Microsoft Excel was used to compile the data, and SPSS version 25 was used to analyze it.
We found that 58 out of 90 women admitted to LGH went for ANC check-ups at least four times during their gestation period and the rest of them went eight times or more, compared to just 3 out of the 60 women admitted at KMCH who went at least four times, whereas the rest went eight or more. The number of checks the mother takes appears to affect the term of the gestation with fewer preterm seen in patients who have come for a minimum of eight ANC visits, a higher risk of abnormal weight gain during pregnancy, and a lower risk of giving birth to preterm babies.
The study reveals that private healthcare setups offer more antenatal services, including hospital visits, routine testing, supplements, and doctor advice. The number of antenatal visits is a significant difference between public and private healthcare setups. The public setup requires a minimum of four antenatal care visits, while the updated 2016 version requires eight. The number of antenatal visits affects both mother's and neonatal outcomes. A higher number of visits leads to fewer preterm births and a higher risk of abnormal weight gain. Education also influences the frequency of antenatal visits. The study suggests increasing the frequency of prenatal care visits and improving public education on this matter.
孕期使用适当的产前护理（ANC）会直接且显著地影响新生儿结局和围产期死亡率。本研究的目的是评估在公共和私立医疗环境中使用产前服务与孕产妇和新生儿结局之间的关联。
本研究在卡纳塔克邦芒格洛尔的两个三级医疗设施中进行：政府夫人戈申医院（LGH）和阿塔瓦尔的卡斯图尔巴医学院医院（KMCH）。从参与研究的150名女性中收集数据。使用Microsoft Excel汇编数据，并使用SPSS 25版进行分析。
我们发现，LGH收治的90名女性中，有58名在妊娠期至少进行了4次ANC检查，其余的进行了8次或更多次检查；相比之下，KMCH收治的60名女性中只有3名至少进行了4次检查，其余的进行了8次或更多次检查。母亲进行检查的次数似乎会影响妊娠期，至少进行8次ANC就诊的患者早产情况较少，孕期体重异常增加的风险较高，早产风险较低。
该研究表明，私立医疗设施提供更多的产前服务，包括医院就诊、常规检查、补充剂和医生建议。公共和私立医疗设施在产前检查次数上存在显著差异。公共设施要求至少进行4次产前护理检查，而2016年更新版要求进行8次。产前检查次数会影响母亲和新生儿的结局。检查次数越多，早产情况越少，但体重异常增加的风险越高。教育也会影响产前检查的频率。该研究建议增加产前检查的频率，并在此问题上改善公众教育。
