Profile of pregnancy wastages among women in the rural area of andhra pradesh, india: cross sectional study.

Authors:Dr K N Prasad, Dr G S Ravi, Mr J Kishore Kumar
Int J Biol Med Res. 2013; 4(4): 3673-3678  |  PDF File

Abstract

Pregnancy wastage is an indicator of Maternal and Child Health (MCH) care services and is variable in urban and rural areas. The problems are not exactly known about this biological event in the population. The aim of this study was to know the pattern and type of pregnancy wastages among women in the rural community of Andhra Pradesh, India. Methods: Community based, descriptive and cross sectional study was conducted during the period January 2008 to December 2008 and data was collected among 1053 women on pre tested, semi open questionnaire by interviewing them at their doorstep based on eligibility criteria. Questionnaire contained the information on their age, religion, education, socio economic status; number of times pregnancy, type of pregnancy outcome of each pregnancy. Data was analysed using SPSS and SAS statistical soft wares. Results: The total number of 2715 pregnancies reported among 1053 subjects and 924 were high risk pregnancies for pregnancy wastages. The pregnancy wastages experienced among 280 women was 400. One third of the total pregnancy wastage was in the age group of 20-29 years and at least one pregnancy wastage was reported in 19.4% of the subjects. The mean number of pregnancies and pregnancy wastages among high risk women was 3.3(+0.8) and 1.43(+0.5) respectively. Pregnancy wastage rate was observed to be 171 per 1000 pregnancies, whereas abortion, stillbirth and neonatal death rates were 96, 6 and 1.3 per 1000 pregnancies respectively. Conclusion: The proportions of pregnancy wastages are less among recent pregnancies reflecting the better quality obstetric care at different referral levels. However there is further scope for improvement in reducing the pregnancy wastages among women in this rural community.