Knowledge and Attitudes on Fetal Anomalies among Pregnant Women in Teaching Hospital Mahamodara, Galle

Abstract

Fetal anomalies significantly contribute towards neonatal mortality worldwide. In Sri Lanka major cause for neonatal deaths is fetal anomalies 41%. A Descriptive cross-sectional study was conducted in Antenatal clinic, Teaching Hospital, Mahamodara. An interviewer-administered, pretested questionnaire was used. Hundred and fifty pregnant women participated in this study. Majority; 105 (70%) were found in the age of below 30 years, and 80 (53.3%) educated up to G.C.E. Ordinary Level. 83 (53.3%) were multigravida and 93(62%) were planned pregnancies. Higher proportion of the participants; 92(61%) , 88(56.7%) and 123(82%) had good knowledge on the risk factors, pre conception care and on preventive actions related to birth defects respectively. Significant proportion (26.7%) had poor knowledge regarding birth defects. There are 143 (95.3%) of the participants interested to know more information on birth defects, 72% believed birth defects were due to evil spirits. Even though 52% of women did not want to terminate their pregnancy if they had a fetus with anomalies, 80.7% of them opined that the termination of pregnancy with birth defected should be legalized. The educational level, parity and planning of current pregnancy of the participants were significantly correlated (p < 0.05) with their knowledge on pre conception care, preventive actions, knowledge on risk factors on birth defects.