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The Journal of Community Health Management


‘Bleeding Mothers’ A Sequel to Underutilization of ANC Package – A Community Based Cross Sectional Study from Central India


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Author Details: Akash Ranjan Singh, Ashok Madhukarrao Mehendale, Pradeep Ramrao Deshmukh, Abhishek V Raut, Arun Maha

Volume : 3

Issue : 1

Online ISSN : 2394-2738

Print ISSN : 2394-272X

Article First Page : 5

Article End Page : 10


Abstract

Background: Despite the large numbers of women who are estimated to have suffered maternal hemorrhage, little is known about their health effects, psychological, social and economic consequences. This study was carried to find out the magnitude and epidemiological determinants of Maternal hemorrhage through a community based cross sectional study.
Method: This cross sectional study was conducted in field area of a Primary Health Center of Central India. The study subjects were mothers who delivered a live baby or still birth, within the past one year from the date of interview. Thirty clusters of individuals recruited through cluster sampling method. From every cluster 12 subjects were selected using random walk method giving a total sample size of 360. Data collection was done by using pre-tested and pre-designed questionnaire. ANC card and/or any medical record if available were used to retrieve the relevant data. The data was entered and analysed by using Epi_info (Version 6.04d) software package.
Results: The prevalence of maternal hemorrhage was found 15% among study subjects. Out of those who suffered Maternal hemorrhage 30% suffered from Antepartum and 70% from postpartum hemorrhage. Maternal hemorrhage was significantly associated with ANC package utilization however, it was not found to be associated with age, caste, parity and birth order of mothers.
Conclusion:  Maternal hemorrhage is significantly associated with the ANC services utilization. ANC services, in spite of being easily accessible to the mothers, are poorly utilized and this might be an important determinant of maternal hemorrhage and subsequently ‘continuum of care’.

Key words
: ANC package, Cluster sampling, Maternal hemorrhage