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Indian Journal of Community Medicine

A Study of IEC Activity in RCH at PHC

Author(s): Y. R. Kadam, A.J. Jadhav, P.M. Durgavale, S.V. Kakade

Vol. 31, No. 3 (2006-07 - 2006-09)

A pregnant woman must know few things before her delivery, which will affect her decision making regarding place of delivery, breast feeding practices, immunization, weaning, spacing and various anticipated problems. Study was planned to know knowledge and practices of pregnant mothers in the third trimester

The study was conducted from Jan 2000 to June 2000. All the pregnant mothers in 3rd trimester upto attended clinic at least 3 times were included in this study. The information from 78 respondents (pregnant mothers) was collected as per pre-tested proforma by a trained medical social worker under supervision of authors. The information related to socio-demographic characteristics, breast-feeding and weaning practices, arrangements for place of delivery, spacing methods, marriage practices (eg. age, consanguinity) and anemia were collected.

Only 3 women had higher education and they got married above the age of 18 years, 29 of 50 women who had education up to high school were married below the age of 18 years and all illiterate women (8) were married before age of 18 years. Out of total 78 antenatal women 62 (79.48%) had pregnancy before the age of 20 years. Only 16 (20.5%) had pregnancy at the age 20 or more than that. In this study 15 (19.23%) marriages were consanguineous. They are not aware of consequences of such type of marriages. Out of total 78 pregnant women 38 (48.7%) were primigravidas, 21 were second gravida.

Out of 13 third gravidas, 12 women were eligible for permanent contraception. There were four fourth gravida, one out of them had 2 abortions with only lone living child. While two fifth gravidas were with only one living issue. That means all 15 mothers missed the opportunity of accepting permanent contraception just after their last delivery. Their decision of non-acceptance of permanent contraception or to have one more child was mainly determined by want of male child. In this study total 7 women had already done sex determination during present pregnancy.

Out of 78 antenatal women 32(41.02%) have shown strong preference for male child. Their family size will depend on sex of newborn. While 46 women have shown liberal attitude towards sex of child. But 13 women out of these 46(59%)already had one son. 6 out of 9(66.7%) illiterate women and all women with education up to primary were in favor of male child. While the women having education up to high school or more are much liberal. A girl who has been educated has opened her mind to new ideas and, the possibility of change.

All multigravidas were decided about place of delivery giving preference for hospital delivery i.e. only 8 had given preference for home delivery. Out of 38 primigravidas 36 were decided about place of delivery in favor of hospital delivery. Almost all were able to mention their choice probably it may be because this decision may be considered as less important by other family members, as it has no effect on family size. Only one primi had given preference for single child. Out of 40 only 10 multigravid women showed positive attitude towards 2 children norm. This situation is more alarming and, it also indicates that decision will be confirmed only after delivery where husband and other family members will have more decisive role.

For spacing methods or sterilization decision seems to be difficult for both primi and multi. Only one primi and five multigravida women had given a thought for spacing methods. Only 5 (12.5%) multigravid women were willing for sterilization. For this decision also above mentioned social factors play a dominant role. Pregnant mothers both multi and primi had failed to decide about their family size and methods of contraception except place of delivery. Strengthening of IEC activity held at PHC is required for such decisions. About 55% multigravid women had wrong concept about colostrom feeding. That means their previous children were not given colostrom and the same wrong concept has continued inspite of regular ANC. The study conducted at Wardha reveals that 41.08% multigravid women have given prelacteal feed and no colostrom2. For weaning 62:5% multigravidas either did not have correct ideas or did not know at all about weaning. This means their earlier siblings must have suffered due to lack of proper knowledge.

About 71% of women were in favor of giving breast-feeding more than one year. Similar findings were observed by others3. About 51% women were anemic, inspite of regular ANC. Only dispensing iron tablet is not sufficient but along with that mother has to be made aware about its consumption, importance and dietary advice. Only 46 women (59%) had shown willingness for female education.


  1. Reports of the Subcommittee On Reproductive Health Research Needs Assessment-June- 1997.Page 6,49,10,27,18.
  2. Pratice of prelacteal Feeding In Rural Community. S. Kishore And B.S.Gaxg. Indian Journal Of Public Health. Vol. – xxxxiii, No-4, Oct-Dec-1999 page. 144-148.
  3. Mrs.Rama Ram, M N. Ghosh, J. B. Saha, S, K. Bhattacharya, Anima Halder (Biswas), Chitra Chatterjee. Breast-feeding practices in the rural Community of district Darjeeling, West- Bengal. Indian journal of Community Medicine, Volm.xxv, No.2 April-June 2000,Page. 79-82.

Y. R. Kadam, Associate Professor, Deptt. of PSM.
A.J. Jadhav, Professor and HOD, Deptt. of OBG.
P.M. Durgavale, Professor and HOD, Deptt. of PSM,
S.V. Kakade Statistician cum Lecturer
Krishna Institute of Medical Sciences, Karad.

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