Repercussions of COVID-19 Pandemic on prenatal and antenatal care in Bahadarbad block of Dist Haridwar Uttarakhand, India


  • Rajeev Bijalwan Himalayan Institute Hospital Trust, Swami Ram Nagar Dehradun
  • Ruchira Nautiyal Himalayan Institute Hospital Trust, Swami Ram Nagar Dehradun
  • Nikku Yadav Himalayan Institute Hospital Trust, Swami Ram Nagar Dehradun



Humans, Female, Pregnancy, Male, Pregnant Women, Pandemics, Incidence, COVID-19, Surveys and Questionnaires


Background: The incidence of maternal morbidity and mortality gets reduced if antenatal care (ANC) is provided since it focuses on providing birth preparedness, good health maintenance measures, and awareness regarding pregnancy complications as well as danger signs.

Methodology: The present study was conducted in the selected 10 villages in the Bahadarbad block of Haridwar (Uttarakhand). 479 out of 580 pregnant women (who had visited Antenatal Health Camps), responded to the questionnaire thus, leading to a response rate of 82.8%. Most respondents, i.e. 96% (n=461), were 21–30 years old.

Result: Out of 461 pregnant women, only 45% visited Antenatal Health Camps and 58% were found anemic. The study also indicated that of the pregnant women who visited Antenatal Health Camps during this period, more than 72% of women gave their previous birth in less than two years. Only 15% of women obtained complete ANC (4 Visits) during the study period, just half of the previous year’s coverage (31%) for the same duration. The study found that home deliveries increased significantly during the lockdown period. From April to June 2020, the percentage of home deliveries was 41% while from July to December 2020 it was 24%.

Conclusion: The study suggested reduced utilization of ANC services during the pandemic and significant factors were women’s age, residence, educational status, repurposing of maternity healthcare services, fear of COVID-19 transmission, and transportation disruptions. Thus, efforts should be taken to enhance maternal health services.


Download data is not yet available.


WHO recommendations on antenatal care for a positive pregnancy experience. . Geneva: World Health Organization. 2015. ( WHO-RHR-16.12-eng.pdf?sequence=1accessed on 20 September 2022.)

Tadesse E, Antenatal Care Service Utilization of Pregnant Women Attending Antenatal Care in Public Hospitals During the COVID-19 Pandemic Period. Int JWomen’s health. 2020 8 December;12:1181-1188.

Hoyert DL, Maternal Mortality Rates in the United States. Health E State.2020. Feb 20,1:1-6

JoshiC, Torvaldsen S, Hodgson R &Hayen A.Factors associated with the use and quality of antenatal care in Nepal: a population-based study using the demographic and health survey data. BMC Pregnancy Childbirth. 2014 Mar 03; 14(1): 94.

Kotlar B, Gerson E, Petrillo S, Langer A& Tiemeier H. The impact of the COVID-19 pandemic on maternal and perinatal health: a scoping review. Rep Health, 2021 Jan 18; 18(1):1-39

Kimani, RW, Maina R, Shumba C & Shaibu S. Maternal and newborn care during the COVID-19 pandemic in Kenya: re-contextualising the community midwifery model.Hum. Resour. Health, 2020 20 October; 18(1):75-75.

House, SJ, Tripathi SP, Knight BT, Morris M, Newport DJ, Stowe ZN. Obsessive-compulsive disorder in pregnancy and the postpartum period: course of illness and obstetrical outcome. Arch Womens Ment Health, 2016 19 February; 19(1):3-10.

Bonde PE, Hovedstaden R, Jørgensen KT, Bonzini LM. Miscarriage and occupational activity: a systematic review

and meta-analysis regarding shift work, working hours, lifting, standing, and physical workload. ScandJW, Enviorn&Health, 2013 July. 39(4): 325-334.

Miltenburg AS, Eem LV, Nyanza EC, Pelt SV, Ndaki P, Basinda N et al. Antenatal care and opportunities for quality improvement of service provision in resource limited settings: A mixed methods study. PloS one, 2017 Dec 13. 12(12): p. e0188279-e0188279.

Raru TB, Ayana GM, Zakaria HF, Merga BT. Association of Higher Educational Attainment on Antenatal Care Utilization Among Pregnant Women in East Africa Using Demographic and Health Surveys (DHS) from 2010 to 2018: A Multilevel Analysis. Int J Womens Health, 2022 1 February; 14: 67-77.

ArianiN, Antenatal care services utilization during COVID-19 second wave attack in Pasuruan, Indonesia. J Med Life, 2022 Jan;15(1): 7-14.

12. Chmielewska B, Barratt I, Townsend R, Kalafat E,Meulen JVD, Urganci IG. Effects of the COVID-19 pandemic on maternal and perinatal outcomes: a systematic review and meta-analysis. Lancet Glob. Health. 2021 Jan 01; 9(6): 759-772.

Saeed BA,Shabila NP, andAziz AJ. Stress and anxiety among physicians during the COVID-19 outbreak in the Iraqi Kurdistan Region: An online survey. PLOS ONE. 2021 June 29; 16(6): 0253903-08.




How to Cite

Bijalwan R, Nautiyal R, Yadav N. Repercussions of COVID-19 Pandemic on prenatal and antenatal care in Bahadarbad block of Dist Haridwar Uttarakhand, India. Indian J Community Health [Internet]. 2023 Mar. 31 [cited 2023 Nov. 30];35(1):94-8. Available from:



Original Article

Most read articles by the same author(s)