新冠肺炎大流行对印度北阿坎德邦哈里德瓦区Bahadabad区块产前和产前护理的影响

IF 0.2 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Indian Journal of Community Health Pub Date : 2023-03-31 DOI:10.47203/ijch.2023.v35i01.017
Rajeev Bijalwan, Ruchira Nautiyal, N. Yadav
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引用次数: 1

摘要

背景:如果提供产前护理(ANC),产妇发病率和死亡率会降低,因为它侧重于提供分娩准备、良好的健康维护措施以及对妊娠并发症和危险迹象的认识。方法:本研究在Haridwar(北阿坎德邦)Bahadabad区块选定的10个村庄进行。580名孕妇中有479人(去过产前保健营)对问卷做出了回应,回复率为82.8%。大多数受访者,即96%(n=461),年龄在21-30岁之间。结果:在461名孕妇中,只有45%的人去了产前保健营,58%的人被发现贫血。该研究还表明,在这段时间内访问产前保健营的孕妇中,超过72%的妇女在不到两年的时间内分娩。在研究期间,只有15%的女性获得了完整的ANC(4次就诊),仅为前一年同期覆盖率(31%)的一半。研究发现,在封锁期间,送货上门的人数显著增加。2020年4月至6月,在家分娩的比例为41%,而2020年7月至12月为24%。结论:研究表明,在疫情期间,ANC服务的利用率降低,重要因素是女性的年龄、居住地、教育状况、产妇保健服务的重新利用、对新冠肺炎传播的恐惧以及交通中断。因此,应当努力加强孕产妇保健服务。
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Repercussions of COVID-19 Pandemic on prenatal and antenatal care in Bahadarbad block of Dist Haridwar Uttarakhand, India
Background: The incidence of maternal morbidity and mortality gets reduced if antenatal care (ANC) is provided since it focuses on providing birth preparedness, good health maintenance measures, and awareness regarding pregnancy complications as well as danger signs. Methodology: The present study was conducted in the selected 10 villages in the Bahadarbad block of Haridwar (Uttarakhand). 479 out of 580 pregnant women (who had visited Antenatal Health Camps), responded to the questionnaire thus, leading to a response rate of 82.8%. Most respondents, i.e. 96% (n=461), were 21–30 years old. Result: Out of 461 pregnant women, only 45% visited Antenatal Health Camps and 58% were found anemic. The study also indicated that of the pregnant women who visited Antenatal Health Camps during this period, more than 72% of women gave their previous birth in less than two years. Only 15% of women obtained complete ANC (4 Visits) during the study period, just half of the previous year’s coverage (31%) for the same duration. The study found that home deliveries increased significantly during the lockdown period. From April to June 2020, the percentage of home deliveries was 41% while from July to December 2020 it was 24%. Conclusion: The study suggested reduced utilization of ANC services during the pandemic and significant factors were women’s age, residence, educational status, repurposing of maternity healthcare services, fear of COVID-19 transmission, and transportation disruptions. Thus, efforts should be taken to enhance maternal health services.
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来源期刊
Indian Journal of Community Health
Indian Journal of Community Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
0.60
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89
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