FREQUENCY OF FACTORS DELAYING THE MANAGEMENT OF ANTENATAL PATIENTS
Objective: To determine frequency of factors delaying the management of antenatal patients. To determine the frequency
of maternal morbidity due to delay in seeking care.
Material and Methods: This descriptive study was conducted at Gynae Department, Khyber Teaching Hospital, Pe-
shawar from 1st
May 2015 to 30th
April 2016 in which 300 patients including primi and multigravidas with gestational
age of 37 completed weeks or more,who had received antenatal care on regular or occasional basis or not at all and
who got delayed in seeking appropriate care.
Results: In this study mean age was 30 years with standard deviation SD ± 2.45. Most of the patients 85% were un-ed-
ucated, 60% patients were mismanaged by doctors/nurses/LHVs / Dais and TBAs, 7% patients found poor medical
facilities at primary level,4% patients had delay in realizing the problems, 12% patients had poor road infrastructure,
6% patients had transport problems, 2% patients had social/culture problems and pardah system, 7% patients had
security / safety issues, 40% patients didn’t received antenatal care, 20% patients received antenatal care on and off,
40% patients had received antenatal care but were mismanaged.
Conclusion: The lack of obstetrical knowledge in the medical staff, poor antenatal care,poor facilities,family taboos,illit-
eracy,poverty,poor roads,transport and security problems are the factors contributing to increased maternal morbidity
and mortality rates.
Key Words: Maternal mortality and morbidity,obstructed labor, antenatal,postpartum haemmorage