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Volume  3 (2025)
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VOLUME 3 , ISSUE 1 ( January-June, 2025 ) > List of Articles

Original Article

Study on the Level of Knowledge and its Associated Factors among Pregnant Women about the Danger Signs of Pregnancy and Childbirth from a Tertiary Care Hospital

Maanasa Palani, Shanthi Ethirajan

Keywords : Antenatal women, Childbirth, Danger signs, Knowledge, Pregnancy

Citation Information : Palani M, Ethirajan S. Study on the Level of Knowledge and its Associated Factors among Pregnant Women about the Danger Signs of Pregnancy and Childbirth from a Tertiary Care Hospital. J Obstet Gynaecol 2025; 3 (1):26-31.

DOI: 10.5005/jogyp-11012-0037

License: CC BY-NC 4.0

Published Online: 12-02-2025

Copyright Statement:  Copyright © 2025; The Author(s).


Abstract

Aim: To evaluate the degree of awareness and its associated factors regarding the danger signs of pregnancy and childbirth among antenatal women in a tertiary care hospital. Introduction: A woman's pregnancy is a natural phase of life that is sometimes considered a significant risk that can lead to negative effects for both the fetus and the mother. There are several warning indicators during pregnancy and childbirth. Awareness regarding these warning signals is necessary in aiding the antenatal women in recognizing the signs and approaching a health care center to reduce the risk of maternal morbidity and mortality. Methodology: The subjects provided written, informed permission. A cross-sectional questionnaire-based study was done on antenatal women visiting the tertiary care hospital. The data were analyzed statistically by SPSS IBM software and evaluated. Results: From the study, nearly 76.8% of the total participants knew that there are danger signs present during pregnancy, and about 57.6% of the total participants knew that there are danger signs present during childbirth, among which they listed excessive vaginal bleeding as the most frequent warning sign. It was found that women who come from urban areas have higher education levels and an increased number of antenatal visits knew more regarding the alarming signs of pregnancy and childbirth. Conclusion: This study shows that a moderately good proportion of women are aware of the risks associated with pregnancy and childbirth, but there is still a significant gap in understanding them. More focused formal antenatal education regarding the danger signs must be emphasized, and improved strategies must be practiced among all healthcare professionals to ensure increased awareness among the antenatal women. This can be done by applying a majority of focus on strengthening health education by mandating health awareness counseling for all the antenatal women and addressing the danger signs.

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  1. Salhan S. Textbook of Obstetrics. 1st ed. New Delhi: Jaypee Brothers Medical Publishers (P) Ltd; 2007, p. 27. ISBN: 81-8061-911-7.
  2. WHO, UNICEF, UNFPA and the World Bank. Trends in Maternal Mortality: 19902013. Geneva: WHO; 2014. Available from: http://www.data.unicef.org/maternalhealth/maternalmortality#sthash. iGwMy79g.dpuf. [Last accessed on 2017 Apr 07].
  3. Obionu CN. Primary Health Care for Developing Countries. 2nd ed. Enugu: Enugu Institute for Development Studies UNEC: 2007, pp. 219–223. DOI: 10.4103/jfmpc.jfmpc_149_19.
  4. Hoque M, Hoque ME. Knowledge of danger signs for major obstetric complications among pregnant KwaZulu-Natal women implications for health education Asia-Pacific. J Publ Health 2011;23:946–956. DOI: 10.1177/1010539511428698.
  5. Alkema L, Chou D, United Nations Maternal Mortality Estimation Inter-Agency Group collaborators and technical advisory group, et al. Global, regional, and national levels and trends in maternal mortality between 1990 and 2015, with scenario-based projections to 2030: A systematic analysis by the UN maternal mortality estimation inter-agency group. Lancet 2016;387(10017):462–474. DOI: 10.1016/S0140-6736(15)00838-7.
  6. Say L, Chou D, Gemmill A, et al. Global causes of maternal death: A WHO systematic analysis. Lancet Glob Health 2014;2(6):e323–e333. DOI: 10.1016/S2214-109X(14)70227-X.
  7. The World Health Report 2005. Make every mother and child count. World Health Organization 2005. Available from: http://www.who.int/whr/2005/whr2005_en.pdf. Accessed on: 09 Jan 2017.
  8. Mubeena H, Pracheth R, Kiran, R, et al. Assessment of knowledge of obstetric danger signs among pregnant women attending a teaching hospital. J Family Med Primary Care 2009;8(4):1422–1426. DOI: 10.4103/jfmpc.jfmpc_149_19.
  9. UNICEF; Levels and trends in child mortality, report of 2018.
  10. Benski AC, Stancanelli G, Scaringella S, et al. Usability and feasibility of a mobile health system to provide comprehensive antenatal care in low-income countries: PANDA mHealth pilot study in Madagascar. J Telemed Telecare 2017;23(5):536–534. DOI: 10.1177/1357633X1665354.
  11. Karkee R, Baral OB, Khanal V, et al. The role of obstetric knowledge in utilization of delivery service in Nepal. Health Educ Res 2014; 29(69):1041–1048. DOI: 10.1093/her/cyu059.
  12. Hailu M, Gebremariam A, Alemseged F. Knowledge about obstetric danger signs among pregnant women in Aleta Wondo district, Sidama zone, southern Ethiopia. Ethiop J Health Sci 2010;20(1):25–32. DOI: 10.4314/ejhs.v20i1.69428.
  13. WHO recommendations on antenatal care for a positive pregnancy experience. WHO 2016. Available from: http://apps.who.int/iris/bitstream/10665/250796/1/9789241549912-eng.pdf?ua=1. Accessed on: 19 Jan 2017.
  14. Nithya R, Dorairajan G, Chinnakali P. Do pregnant women know about danger signs of pregnancy and childbirth? – A study of the level of knowledge and its associated factors from a tertiary care hospital in Southern India. Int J Adv Med Health Res 2017;4:11–17. DOI: 10.4103/IJAMR.IJAMR_68_16.
  15. Hailu D, Berhe H. Knowledge about obstetric danger signs and associated factors among mothers in Tsegedie district, Tigray Region, Ethiopia 2013: Community based crosssectional study. PLoS One 2014; 9:e83459. DOI: 10.1371/journal.pone.0083459.
  16. Tamang ST, Dorji T, Yoezer S, et al. Knowledge and understanding of obstetric danger signs among pregnant women attending the antenatal clinic at the National Referral Hospital in Thimphu, Bhutan: A cross-sectional study. BMC Pregnancy Childbirth 2021;21(1):104. DOI: 10.1186/s12884-021-03580-4.
  17. Mwilike B, Nalwadda G, Kagawa M, et al. Knowledge of danger signs during pregnancy and subsequent healthcare seeking actions among women in Urban Tanzania: A cross-sectional study. BMC Pregnancy Childbirth 2018;18(1):4. DOI: 10.1186/s12884-017-1628-6.
  18. Vallely LM, Emori R, Gouda H, et al. Women's knowledge of maternal danger signs during pregnancy: Findings from a cross-sectional survey in Papua New Guinea. Midwifery 2019;72:7–13. DOI: 10.1016/j.midw.2019.02.001.
  19. Bililign N, Mulatu T. Knowledge of obstetric danger signs and associated factors among reproductive age women in Raya Kobo district of Ethiopia: A community based cross-sectional study. BMC Pregnancy Childbirth 2017;17:70. DOI: 10.1186/s12884-017-1253-4.
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