Knowledge

1. What do you understand by antenatal care?

1. It is regular medical and nursing care recommended for women during pregnancy
2. It is to treat and prevent potential health problems throughout the course of the pregnancy
3. It helps in promoting healthy lifestyles that benefit both mother and child

2. If antenatal check-up is necessary, then why?

a) To know the condition of baby

b) To know the health of the mother
c) To avoid complication
d) For safe delivery

3. Should the first antenatal checkups be done during the first 3 months?

a) Yes
b) No
c) Can’t say

4. Does a pregnant woman need to come for at least five antenatal check-ups throughout her
pregnancy?

a) Yes
b) No
c) Can’t say

5. Why is injection TT given to pregnant women?

a) To protect child from tetanus

b) To protect mother from tetanus
c) Both
d) Don’t know

6. How many doses of injection TT should be given to pregnant mother?

a) 1
b) 2
c) 3
d) Don’t know

7. Does a pregnant woman need to undergo the following test during her antenatal check-up?

A. Blood screening for hepatitis B infection? 1. Yes 2. No 3. Don’t know

B. Blood screening for HIV infection? 1. Yes 2. No 3. Don’t know
C. Blood screening for hemoglobin level? 1. Yes 2. No 3. Don’t know
D. Blood pressure examination? 1. Yes 2. No 3. Don’t know
E. Blood sugar examination? 1. Yes 2. No 3. Don’t know

8. Can high blood pressure affect the fetal growth?

a) Yes
b) No
c) Can’t say

9. What changes should be made in diet during pregnancy?

A. Intake of diet 1. Increase 2. Decrease 3. No change

B. Intake of green leafy vegetables 1. Increase 2. Decrease 3. No change
C. Intake of milk 1. Increase 2. Decrease 3. No change
D. Intake of fruits 1. Increase 2. Decrease 3. No change
E. Intake of meat 1. Increase 2. Decrease 3. No change
10. Why are iron and folic acid tablets given to pregnant women?

a. To increase blood of mother

b. To allay weakness
c. Both
d. Don’t know

11. In your opinion where should a pregnant woman deliver her baby?

a. Health care facility

b. Home
c. Can’t say

12. Is maternal smoking harmful to the fetus?

a. Yes
b. No
c. Can’t say

13. Can alcohol consumption during pregnancy affect the fetal growth?

a. Yes
b. No
c. Can’t say

14. Are you aware that any infection during pregnancy can cause harm to your baby?

a. Yes
b. No
c. Can’t say

15. Are you aware that any medicines other than those prescribed by doctor can cause harm to your
baby?

a. Yes
b. No
c. Can’t say

16. What are the danger signs of pregnancy? (>1 can be ticked)

a. Excessive vomiting
b. Persistent swelling of limbs
c. Vaginal bleeding/discharge
d. Convulsion
e. Weak or no movement of baby
f. Visual disturbance
g. Pain abdomen

17. What should be done in case of any such problem?

a. Report to health center

b. Home remedies/self-medication
c. Ignore it

Attitude

1. Antenatal check-up is necessary for women after becoming pregnant

a. Strongly agree
b. Agree
c. Neutral
d. Disagree
e. Strongly disagree
2. Antenatal follow-up is good to monitor mother’s and fetus health

a. Strongly agree
b. Agree
c. Neutral
d. Disagree
e. Strongly disagree

3. Who motivated you to go for antenatal check-up during pregnancy?

a. Self
b. Neighbor
c. Family member
d. Health worker
e. Others

4. Antenatal booking should be done before the 3rd month of pregnancy

a. Strongly agree
b. Agree
c. Neutral
d. Disagree
e. Strongly disagree

5. Screening of blood for infections (HIV, HBV, etc.) should be carried out during antenatal check-up

a. Strongly agree
b. Agree
c. Neutral
d. Disagree
e. Strongly disagree

6. Blood pressure should be checked regularly during pregnancy

a. Strongly agree
b. Agree
c. Neutral
d. Disagree
e. Strongly disagree

7. Pregnant women should undergo USG as advised by doctor to monitor fetal growth

a. Strongly agree
b. Agree
c. Neutral
d. Disagree
e. Strongly disagree

8. Pregnant women should change dietary habit as advised by doctor

a. Strongly agree
b. Agree
c. Neutral
d. Disagree
e. Strongly disagree

9. Supplementation of iron and folic acid are good for the mother and fetus

a. Strongly agree
b. Agree
c. Neutral
d. Disagree
e. Strongly disagree
10. How frequently do you miss taking iron & folic acid tablets

a. Strongly agree
b. Agree
c. Neutral
d. Disagree
e. Strongly disagree

11. Home delivery is better than Hospital delivery

a. Strongly agree
b. Agree
c. Neutral
d. Disagree
e. Strongly disagree

12. Smoking does not cause any harm to the fetus

a. Strongly agree
b. Agree
c. Neutral
d. Disagree
e. Strongly disagree

13. Alcohol consumption during pregnancy is good for fetus

a. Strongly agree
b. Agree
c. Neutral
d. Disagree
e. Strongly disagree

14. If you get any problem during your pregnancy, what would you do:-

a. Report to the health center

b. Local dispensary
c. Home remedy
d. Self-medication

Practices

1. At what duration of pregnancy did you visit the health center for ANC check-up?

a. Between 1st and 2nd month

b. 2-3rd month
c. 3-4th month
d. Others

2. Are you regular in your antenatal visits for check-up?

a. Yes
b. No

2. (A) if answer of above question is YES then, what was main factor behind regular visit?

a. For care of baby

b. To know about any medical problem
c. Advised by doctor
(B) if answer of above question is NO then, reason for irregular visit?

a. Transport problem
b. Family refusal
c. Not in station
d. Did not feel like

3. No. of ANC visit you have attended

a. 1
b. 2
c. 3
d. 4
e. 5
f. More than 5

4. No. of TT doses you have received during current pregnancy?

a. 1
b. 2
c. 3
d. None

5. What all changes in diet have you made during pregnancy?

A. Intake of diet 1. Increase 2. Decrease 3. No change

B. Intake of green leafy vegetables 1. Increase 2. Decrease 3. No change
C. Intake of milk 1. Increase 2. Decrease 3. No change
D. Intake of fruits 1. Increase 2. Decrease 3. No change
E. Intake of meat 1. Increase 2. Decrease 3. No change

6. Are you taking iron and folic acid tablets?

c. Yes
d. No

7. If yes then number of iron and folic acid tablets consumed?

a. <50
b. 50-99
c. 100-149
d. 150-200
e. >200

8. How many hours of rest do you take per day?

a. 5-6 hours
b. 7-8 hours
c. More than 8 hours
d. Other

9. Did you ever smoke any kind of smoking product during pregnancy?

e. Yes
f. No

10. Did you ever consume alcohol during pregnancy?

a. Yes
b. No

11. Did you ever take medicine without consulting doctor?

a. Yes
b. No

12. During current pregnancy did you suffer from any of the following health problems?
 Parameter Yes/No If yes, what you did?
Hospital Self-medication Ignored it
A. Swelling of Hand/Feet/Face
B. Giddiness/weakness
C. Visual disturbance
D. Excessive fatigue
E. Convulsion
F. Weak or no movement of fetus
G. Abnormal position of fetus
H. Excessive vomiting (>4-5/day)
I. Hypertension
J. Jaundice
K. Excessive bleeding
L. Vaginal discharge