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  • Perinatal care practices in home deliveries in rural Bangalore, India: a community-based, cross-sectional survey / N Ramakrishna Reddy;CT Sreeramareddy
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Perinatal care practices in home deliveries in rural Bangalore, India: a community-based, cross-sectional survey / N Ramakrishna Reddy;CT Sreeramareddy

Tác giả : N Ramakrishna Reddy;CT Sreeramareddy

Nhà xuất bản : World Health Organization. Regional Office for South-East Asia

Năm xuất bản : 2017

Chủ đề : 1. home delivery. 2. India. 3. neonatal mortality. 4. perinatal care. 5. Journal / periodical articles.

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AbstractBackground A slowing in the decline in neonatal mortality in India has hindered progress made in reducingoverall child mortality. The persisting use of unsafe home deliveries and harmful neonatal care practices maycontribute to this stagnation in neonatal mortality rates.Methods A community-based cross-sectional study of mothers residing in rural Bangalore, India, who hadgiven birth within 42 days of the day of home visit was done during 2013–2014. Trained health workersinterviewed women who delivered at home about perinatal care practices. The questionnaire used wasadapted from previous studies assessing perinatal care practices according to World Health Organizationguidelines. Descriptive analyses of perinatal practices were reported as frequencies. The association ofvarious factors with the outcomes clean cord care, thermal care and early initiation of breastfeeding wereassessed using multivariate logistic regression analyses.Results Of a total of 2230 deliveries, 945 (42.4%) took place in hospitals, while the remainder were at home(57.6%). Among home deliveries, only 30.6% were attended by a skilled worker; a safe-delivery kit wasused in 40.6% and 47.1% of attendants had washed their hands before delivery. In most cases (94.6%), theumbilical cord was cut after delivery of the placenta and a non-sterile instrument was used in 26.6% of births.Harmful practices of applications on the cord stump (35.0%), bathing within 6 h (61.6%), pre-lacteal feeding(30.8%) and delayed initiation of breastfeeding (73.3%) were reported. Wrapping was usually delayed, andmost (64.7%) neonates were wrapped between 10 min and 60 min after birth. Being Hindu was positivelyassociated with good perinatal care practices, and attending antenatal care at least once was associatedwith clean cord care and early breastfeeding. Having a trained birth attendant at delivery was associated onlywith clean cord care. Having a medical doctor/nurse in attendance was associated with only early initiation ofbreastfeeding. Being a member of a scheduled caste/tribe was positively associated with clean cord care andthermal care.Conclusion Appropriate and culturally acceptable behaviour-change communication strategies are neededto improve delivery and neonatal care practices in Bangalore.
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https://iris.who.int/handle/10665/329606