Published Paper Details:

Antenatal care (ANC) is widely recognized as an accessible and cost-effective method to improve maternal and perinatal health outcomes. It offers the opportunity to connect women to the health system, and improve maternal and child health outcomes through prevention, health promotion and treatment during pregnancy. ANC can increase access to and chances of using a skilled attendant at birth around labor and delivery - which is when most maternal and newborn deaths occur - through a birth and emergency preparedness plan. However the present study has conducted to determine the socio-economic & demographic factors of the respondents, to identify the indicators that affect the ANC care, to differentiate ages of pregnant women and to evaluate the outcome about pregnant women care among the respondents within the period of time. The study was conducted at Pabna city in Bangladesh. It was a Descriptive type of Cross-Sectional Study. The study place was selected Government-250 bedded general hospital at pabna city in Bangladesh. Purposive sampling method will be used for the study. Total 200 respondents were selected for the Study. Data were collected from primary and secondary sources. Primary data were collected from the respondents of the study area. Secondary data were collected from books, research reports, journals, annual reports, Website of Ministry of Health and family planning internet etc. A pre-designed semi-structured questionnaire was used for data collection. Collected data were analyzed by computer program Statistical Package for the Social Sciences (SPSS). From the result it was found that the women's were lack of decision-making ability about their health and every day affairs, unfavourable attitudes towards antenatal care by family members', insufficient funds for prenatal care, heavy family workload, no permission to go to hospital without a guardian, and inconvenient transportation. Financial constraint was the main reason for not seeking antenatal care from qualified providers during pregnancy. In some cases the respondents did not take antenatal care due to distance of hospital is far from their home. Lack of knowledge is also one of the most important cause of not seeking antenatal care. Some husband did not want to take their wife to the Doctor for check medical checkup and this is one of the most important reason for not seeking antenatal care. Due to low uptake of antennal care the pregnant mothers face delayed, got still birth death, they got perineal tear got delayed and perineal tear due to low uptake of antenatal care. People should be aware about antenatal care. Government, print and electronic media can play vital role in creating awareness about antenatal care among mass people. Government should establish more hospitals, more community clinic, more Ma o Shishu Kendro so that people can reach those medical centers to receive antenatal care. Government should appoint more employees for providing antenatal care and disseminating antenatal care related knowledge among mass people. Private hospitals and private clinics providing antenatal care should be liberal to the poor people in our society. Many poor people cannot receive antenatal care due to lack of money. Private hospitals and private clinics owners should reduce different cost of services related to antenatal care.