ABSTRACT
Background: Use of tobacco and new products is increasing not only among men but also among children, teenagers, women of reproductive age group. Mishri (ST) is one among them. Smoking is an established cause of adverse pregnancy outcome. There are indications that using smokeless tobacco could be as detrimental to fetal health as cigarette smoking. Objective: To compare the outcome of pregnancy among women who were using Mishri during pregnancy and those not using it at Krishna hospital, Karad. Materials and Methods: Pregnant women using Mishri during pregnancy were selected for study from Krishna hospital, Karad and equal numbers of pregnant women not using tobacco were selected as comparison group after matching for age and parity. Observations: The proportion of pregnant women using Mishri during pregnancy was 12%. A significant number of users was found to be anemic (69.8%). Significantly higher number of Mishri users experienced complications like Oligohydramnios, fetal distress, delivery before EDD (91.9%) and birth of Low birth weight babies (81.7%) with short stature and increased Ponderal Index. Conclusion: Special attention should be given to avoid or at least reduce the use of Mishri during pregnancy as a part of routine antenatal care to reduce the adverse perinatal outcome.
ABSTRACT
Background : Breast feeding, the most natural way of infant feeding to satisfy nutritional, metabolic and psychological needs of the baby. Objectives : To assess the knowledge of breast feeding among primi- gravida mothers attending ante-natal clinic and to determine the association between socio-demographic variables with their knowledge. Materials and Methods : Hospital based cross sectional study was conducted at Ante-natal clinic of Krishna Hospital and Medical Research Center, Karad district Satara. Pre-tested structured proforma used to collect information from 590 married primi gravid mothers attending anti-natal clinic during study period by utilizing personal interview method. Statistical Analysis : socio-demographic frequency percentage distribution, knowledge scoreing and statistical association was analysed by using chi-square test. Results: Out of 590 primi gravida mothers,59.66% showed fair quality of knowledge about breast feeding. knowledge about rooming in, family support for breast feeding & burping after breast feeding was 97.7%, 95.4% , 93.5% however weaning, colostrums feed, hazards of bottle feeding and prelactal food was 84%, 82.7%,75.5% and 54% respectively. Statistical association was existed between age, education, religion, socio-economic status & occupation of respondents with their knowledge about breast feeding (?2=151.52, p < 0.0001*; ?2=211.27,p<0.0001*; ?2=133.91,p < 0.0001*; ?2=35.59,p < 0.0001* and ?2=131.04,p<0.0001*) respectively. Conclusion: knowledge of breast feeding among primi gravida mothers attending ANC clinic was of fair in quality.