Maternal Health Perceptions and Practices: Results From a Discovery Study in Western India

Monday, 18 November 2013

Sarah E Oerther, MSN, BSN, MEd, RN
Missouri EDGE, LLC, Rolla, MO
Daniel B Oerther, PhD, MS, BS, BA
Missouri University of Science and Technology, Rolla, MO

Learning Objective 1: The learner will be able to describe maternal challenges faced by women in developing countries such as India.

Learning Objective 2: The learner will be able to initiate a program for discovery adapting existing survey instruments for target populations.

Among the Millennium Development Goals, MDG 5 Maternal Health has as its dual objectives: (a) reduce by three quarters the maternal mortality ratio; and (b) achieve universal access to reproductive health.  As part of collaboration between the authors and staff of Hinduja Hospital, Mumbai, India, existing maternal health survey instruments were evaluated, modified, adapted, and used to assess perceptions and practices by mothers in villages located in the state of Gujarat in western India.

Women who had recently given birth were asked a series of questions regarding maternal attitudes and behaviors before, during, and shortly after pregnancy including basic health data (i.e., height and weight), basic health care data (i.e., antenatal, delivery, and postnatal visits by health care professionals), and basic reproductive health practices (i.e., the knowledge of, use, and availability of birth control methods).   The project’s aim is to establish a robust collaboration among nurses from the USA and India to better understand how the attitudes and behaviors of pregnant mothers actually impact upon their own health and the ultimate health of their infants.

The results from surveys will ultimately be used to assess the efficacy of an IT- based intervention wherein pregnant moms will register with an SMS text message thereafter receiving reminders about health, simple questions, and follow-up to improve health outcomes during and immediately following pregnancy.