Volume : 12, Issue : 08, August- 2025
Title:
KNOWLEDGE OF PREGNANT WOMEN ABOUT OBSTETRIC DANGER SIGNS IN A TERTIARY CARE HOSPITAL AT PESHAWAR, KHYBER PAKHTUNKHWA, PAKISTAN
Authors :
Sana Shahab*, Imad-Uddin, Amina Arif, Manal Jamil
Abstract :
1.1. Background
The danger signs of pregnancy are the leading cause of death all over the world. It imposes significant burden on health care system because of high mortality and morbidity rates.
1.2. Objectives
1. To assess the knowledge about pregnancy related danger signs among pregnant women visiting OPD of Khyber Teaching Hospital (KTH).
2. To assess the frequency of pregnancy related danger signs among pregnant women visiting OPD of Khyber Teaching Hospital (KTH).
3. To make recommendations regarding community awareness and reducing morbidity and mortality rates due to pregnancy related danger signs.
1.3. Methodology
It was a cross sectional descriptive study conducted in gynecology ward and OPD of Khyber Teaching Hospital, Peshawar from December 2018 to April 2019. Sample size was taken as 250 through non- probable convenient sampling. Data was collected through a semi-structured questionnaire with open and close ended questions. Face to face interviews were conducted after taking informed verbal consent. Data was analyzed in SPSS for windows version 20. It was presented in the form of percentages and frequencies and was prepared in the form of tables, graphs and texts.
1.4. Results
Knowledge of major obstetric danger signs (61.5%) among pregnant women was found to be better as compared to the minor obstetric danger signs (57.4%). Among major danger signs, the knowledge about vaginal bleeding and lack of fetal movements in pregnant females was the highest, followed by pre- eclampsia and abdominal pain while high percentage of study subjects had knowledge of anemia as minor obstetric danger sign. Women having higher literacy rate, more antenatal visits and having greater number of pregnancies had better knowledge of obstetric danger signs. Anemia 48 (19.2%) was the most commonly occurring danger sign in current pregnancy followed by 25 (10%) pre-eclampsia and 21 (8.4%) hyperemesis gravidarum while lack of fetal movements 9 (3.6%) was the least common.
1.5. Conclusion
Analysis of collected data conclude that knowledge of major obstetric danger signs (61.5%) among pregnant women is found to be better as compared to the minor obstetric danger signs (57.4%). Regarding the frequency of occurrence of obstetric danger signs, it is concluded that anemia is most frequent (19.2%) while lack of fetal movements the least (3.6%).
Keywords: Anemia, vaginal bleeding, pre-eclampsia, abdominal pain, hyperemesis gravidarum, lack of feral movements.
Cite This Article:
Please cite this article in press Sana Shahab et al., Knowledge Of Pregnant Women About Obstetric Danger Signs In A Tertiary Care Hospital At Peshawar, Khyber Pakhtunkhwa, Pakistan., Indo Am. J. P. Sci, 2025; 12(08).
Number of Downloads : 10
References:
1. WHO, UNICEF, Unfpa WBG, Division and the UNP. Trends in maternal mortality 1990 to 2015. [Online] 2015[cited 2019 MARCH 6];
https://data.unicef.org/wp-content/uploads/2015/12/Trends-in-MMR-1990-2015_Full-report_243.pdf
2. Cross S, Bell JS, Graham WJ.What you count is what you target: the implications of maternal death classification for tracking progress towards reducing maternal mortality in developing countries. Bull World Health Organ 2010;88:147-53.
https://iris.who.int/bitstream/handle/10665/270615/PMC2814479.pdf?sequence=1&isAllowed=y
3. Kassebaum NJ, Bertozzi-Villa A, Coggeshall MS, Shackelford KA,Steiner C, Heuton KR, et al. Global, regional, and national levels and causes of maternal mortality during 1990-2013:
https://www.thelancet.com/journals/%20lancet/article/PIIS0140-6736%2814%2960696-6/fulltext
4. WHO,Maternal mortality Fact Sheet No 348; 2015; pp 1-5 https://www.who.int/news-room/fact-sheets/detail/maternal-mortality
5. Say L,Chou D, Gemmill A, Moller AB, Daniels J, A Metin Gülmezoglu, et al. Global causes of maternal death:A WHO systematic analysis. Lancet Global Health 2014;2: 323
https://www.thelancet.com/journals/langlo/article/PIIS2214-109X(14)70227-X/fulltext
6. Thaddeus S,Maine D. Too far to walk:maternal mortality in context. Soc Sci Med 1994;38:1091- 110
https://www.sciencedirect.com/science/article/abs/pii/0277953694902267
7. WHO,UNICEF, UNFPA,World Bank Group and the United Nations Population Division. Trends in maternal mortality in 1990-2015. World Health Organization;2015.
https://iris.who.int/handle/10665/194254
8. Pakistan Demographic and Health Survey, 2012-13.Islamabad and Calverton, MA: National Institute of Population Studies and ICF International. https://dhsprogram.com/pubs/pdf/fr290/fr290.pdf
9. WHO,UNICEF, UNFPA,The World Baık and the United Nations Population Division 2013.Trends in Maternal Mortality:1990-2013 https://iris.who.int/bitstream/handle/10665/112682/9789241507226_eng.pdf
10. Ministry of Health,Community Development, Gender,Elderly and Children MoHCDGEC/ Tanzania Mainland, Ministry of Health – MoH/Zanzibar, National Bureau of Statistics – NBS/Tanzania, Office of Chief Government Statistician -ocGS/Zanzibar, and ICF.2016. Tanzania demographic and health survey and malaria indicator survey (TDHS-MIS) 2015-16. Dares salaam/Tanzania: MoHCDGEC,MoH, NBS,OCGS,and ICF. https://www.scirp.org/reference/referencespapers?referenceid=2581827
11. WHO,UNICEF, UNFPA,World Bank Group and the United Nations Population Division. Trends in Maternal Mortality 1990-2015. WHO Publication
https://iris.who.int/bitstream/handle/10665/193994/WHO_RHR_15.23_eng.pdf
12. https://www.parents.com/pregnancy/my-life/why-isnt-my-baby-moving/
13. https://www.msdmanuals.com/professional/gynecology-and-obstetrics/antenatal- complications/preeclampsia-and-eclampsia
14. https://en.wikipedia.org/wiki/Eclampsia
15. https://americanpregnancy.org/healthy-pregnancy/pregnancy-complications/bleeding-during pregnancy/
16. https://www.mayoclinic.org/healthy-lifestyle/pregnancy-week-by-week/in-depth/anemia-during- pregnancy/art-20114455
17. https://consumer.healthday.com/encyclopedia/pregnancy-33/pregnancy-news-543/warning-signs- in-pregnancy-643992.html
18. https://en.wikipedia.org/wiki/Hyperemesis_gravidarum
19. https://reproductive-health-journal.biomedcentral.com/articles/10.1186/1742-4755-8-21
20. https://www.researchgate.net/publication/313880808_Awareness_Of_Obstetric_Danger_Signs_A nd_Its_Associated_Factors_Among_Pregnant_Women_In_Public_Health_Institutions_Mekelle_C ity_Tigray_Ethiopia
21. Desta Hailu, Hailemariam Berhe Plos one 9 (2),e83459,2014 https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0083459
22. https://www.tandfonline.com/doi/full/10.1080/10641955.2017.1397691
23. https://www.researchgate.net/publication/271260532_Assess_the_Knowledge_Regarding_Preecla mpsia_and_Its_Selfcare_Measures_among_Antenatal_Women_Attending_Antenatal_Outpatient_ Department_of_KLES_Dr_Prabhakar_Kore_Hospital_Belgaum
24. https://pubmed.ncbi.nlm.nih.gov/20860492/
25. https://www.researchgate.net/publication/43554803_Maternal_Knowledge_and_Practices_Related
_to_Anaemia_and_Iron_Supplementation_in_Rural_Malawi_A_Cross-sectional_Study
26. https://pmc.ncbi.nlm.nih.gov/articles/PMC5644086/
27. https://www.researchgate.net/publication/330866843_Women’s_knowledge_of_maternal_danger_ signs_during_pregnancy_Findings_from_a_cross-sectional_survey_in_Papua_New_Guinea
28. https://www.primescholars.com/articles/awareness-of-danger-signs-of-pregnancy-and-its- associated-factors-among-pregnant-women-who-visit-anc-in-mekelle-public-hospitals.pdf




