Conclusion On Maternal Health Seeking Health And Social Care Essay

Conclusion On Maternal Health Seeking Health And Social Care probeThe objectives of this study are to describe matriarchal wellness-seeking practices of jejune and adult mothers during gestation and child bring forth and to determine the do of maternal health-seeking practices on their pregnancy outcomes. This study used the secondary data from a cross sectioned survey named Survey of Pregnancy, Birth and Early Life (SPBEL) which was conducted in Kanchanburi province, 2003. A total of 117 nulliparous adolescent mothers corned 15-19 and 193 nulliparous adult mothers come ond 20-29 who have delivered singleton live births within two years were included in this study. binary program logistic regression was used to determine the effects of maternal health-seeking practices on pregnancy outcomes.Our study effect that the adolescent pregnancy rate (15-19 years) in Kanchanaburi province was 13%. Regarding their background characteristics, adolescent mothers tended to complete co rrespondent educational activity level like adult mothers. A high proportion of adolescent mothers were unemployed in comparison with adult mothers in this study. Concerning with health-seeking practices, a high level utilization of antepartum business concern was run aground in both adolescent and adult mothers and most of them received four or much antenatal visits. However, delayed and less frequent antenatal visits among adolescent mothers were found compared with adult mothers. Delivery rate at health facilities was very high and the rate did not differ between adolescent and adult mothers. With wish to pregnancy outcomes, adolescent mothers were found to have a higher incidence of preterm and LBW deliveries. Overall, pregnancy outcomes of adolescent mothers were more(prenominal) adverse than adults.Bivariate analysis showed maternal health-seeking practices had no significant effects on pregnancy outcomes of adolescent and adult mothers. pass on adjustment of socio-dem ographic factors did not change the observed associations. On the other hand, we observed that age was a significant fortune factor for adverse pregnancy outcomes. Nulliparous adolescent mothers had two times higher risk of adverse pregnancy outcomes than adults. In our study, we found the associations between pregnancy outcomes and their residence. The risk of adverse pregnancy outcomes for mothers from urban stratum was higher than that of mothers from rice fields, cash crops and upland strata after controlling age, health-seeking factors, level of education and employment status.RecommendationOn the basis of our findings, some recommendations for policy implications and future studies are formulated in this section.Recommendations for policy implicationHigh adolescent pregnancy rate calls for policy makers to give greater emphasis on sex education and promotion of contraceptive use among adolescents in schools as well as in the community. These interventions depart help in del aying the initiation of sexual intercourse and improving use of birth control among adolescent women. Effective interventions to reduce either intended or unintended pregnancies among adolescents could improve adolescents maternal and child health.Despite the overall high use of maternal health thrill, adolescent mothers were less in all likelihood to use maternal health services compared with adult mothers. It was suggested that physical and friendly barriers accessing maternal health fright for adolescent mothers need to be addressed by the government to improve maternal health attention utilization among adolescent mothers. It is also recommended to initiate teenage specific antenatal clinic with youth friendly musical mode which could provide multidisciplinary care by detecting and managing biological and social risk factors for pregnant adolescents.Adolescent mothers were more likely to deliver preterm and LBW babies who are at higher risk of neonatal death. Moreover, neo natal morbidity among babies born(p) to adolescent mothers was relatively higher than babies born to adult mothers. Provision of better antenatal and delivery care for pregnant adolescents could minimize the risk of adverse pregnancy outcomes. It is crucial to provide training for health providers to deduct more about the higher risks of adolescent pregnancy to achieve better pregnancy outcomes. In addition, health providers should be encouraged to pay special attention to postnatal contraception for adolescent mothers to postpone succeeding(a) pregnancy until they are biologically, psychologically and financially able to care for another baby.5.2.2 Recommendations for future researchFurther research is needed to elucidate the relationship between adolescent pregnancy outcomes and health-seeking practices. We suggest a prospective cohort study with a large sample size that includes information about potential risk factors of adverse pregnancy outcomes such as genital tract infect ion, pregnancy complications such as pregnancy induced hypertension and premature rupture of membrane, maternal malnutrition, anemia, and social problems faced by adolescent mothers to confidently conclude the effects of health-seeking practices on outcomes of adolescent pregnancy.Access to quality antenatal and delivery care will also be needed to consider as one important factor to determine the effects of maternal health care on pregnancy outcomes. Hence, it is recommended to include quality of maternal health care as one confounding factor of pregnancy outcomes.Our results provide a starting point to explore the reasons for relatively poor health-seeking practices of adolescent mothers. Qualitative study focusing on health-seeking behavior of adolescent mothers and social problems they encountered during pregnancy and delivery should be conducted for more in-depth understanding of adolescent pregnancy outcomes.