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Indian Journal of Obstetrics and Gynecology Research


Utilization of antenatal care and its fetomaternal outcome in urban v/s rural at tertiary care centre: a comparative study


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Author Details: Rekha Choudhary, Saroj Choudhary, Priyanka, Divya

Volume : 4

Issue : 3

Online ISSN : 2394-2754

Print ISSN : 2394-2746

Article First Page : 270

Article End Page : 273


Abstract

Objectives: To find out the various risk factors responsible for the high maternal morbidity and mortality and poor perinatal outcome in rural obstetrics cases and to compare them with urban counterparts and also plan to suggest preventive and social measures to reduces maternal and perinatal morbidity and mortality by improving health services, infrastructure and referral system.
Materials and Method: In this prospective comparative study 200 patients admitted in Obst & Gynae department of umaid hospital after 28 weeks of gestations from rural and urban populations & studied till child birth and early puerperium from Jan 2016 to Dec 2016.
Results: In our study maximum number of patients in both rural and urban groups were in age group of 20-30 years. Among postpartum complications in rural group, PPH accounts for 06%, post-partum eclampsia 01%, pyrexia 03%, pelvic hematoma in 01%, episiotomy gaping in 01% & in LSCS delayed wound healing was 07% while in urban group PPH 1%, pyrexia 01%, post LSCS delayed wound healing was 04%. Blood was transfused in 13 patients in rural group and in 04 patients in urban group. Incidence of birth asphyxia was 10.78% in rural as compared to 04% in urban group.
Conclusions: we concluded that rural women had an elevated risk of complications during & after pregnancy and that better utilization of maternal health care, especially for delivery, reduces adverse maternal and perinatal outcome.

Keywords
: ANC, Perinatal, Maternal, Asphyxia, Health institution

Doi No:-10.18231