Institutional deliveries and perinatal and neonatal mortality in Southern and Central India

Background: Despite proven cost effective intervention, there has been little change in neonatal mortality. In Bangladesh neonatal mortality accounts for two third of infants death. About 90% deliveries take place in home and majority of neonatal death are taking place within 7 days of birth. Information about reasons for delivering at home and newborn care practices will be useful to undertake simple intervention measures by policy makers.Aims and objective: To see the knowledge, perception and behaviour of mothers towards their normal and sick newborn.Methods: A cross sectional study was carried out in Dhaka Shishu Hospital from June to November, 2007. A semistructured, pretested questionnaire was used to interview mothers attending inpatient (IPD) and outpatient department (OPD) of hospital.Results: A total 198 mothers were interviewed. Home deliveries were 35.5% and Institutional were 64.5%. Among the Institutional deliveries 35% (44 out of 127) were planned and tried first at home, but when failed mothers were taken to hospital. Majority (86%) of home deliveries were conducted by Dai/relatives. Umbilical cord was cut with new/boiled blade in 85% of home deliveries and household knife was used in 4% cases. Birth place were not at all heated in all home deliveries. In 32 % of home deliveries babies were given bath within 1 hour of birth and it was 15% in case of hospital deliveries. Forty-eight percent babies of home deliveries were wrapped within 10 minutes. Prelacteal feed was given in 51% of home deliveries in comparison to 23% of institutional deliveries. The rate of initiation of breast feeding within one hour of birth was 52% in home and 35% in institutional deliveries. In all cases breast milk was given within 48 hours. Main reasons cited for delivering at home were preference (43%) and fear about hospital (39%). In case of educated (graduate) mothers 72% deliveries took place at hospital. Less feeding (56%), vomiting (42%), less movement (32%), fever (29%) and cough (27%) could be recognized by mothers as signs of sickness.Conclusion: Home deliveries and poor newborn care practices are commonly found in this study. Traditional birth attendants should be adequately trained as they are conducting majority of home deliveries. Female education is very important to reduce home delivery as it is seen that deliveries of educated mothers are taking place in hospital. High risk traditional newborn care practices like delayed wrapping, early bathing, use of oil in umbilical stump and prelacteal feeding need to be addressed. This study also found that knowledge to identify sickness in newborn is still poor.DOI: http://dx.doi.org/10.3329/bjch.v35i3.10497 Bangladesh J Child Health 2011; Vol 35 (3): 90-96

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Institutional deliveries and stillbirth and neonatal mortality in the Global Network's Maternal and Newborn Health Registry

Reproductive Health ◽

10.1186/s12978-020-01001-x ◽

2020 ◽

Vol 17 (S3) ◽

Author(s):

Shivaprasad S. Goudar ◽

Norman Goco ◽

Manjunath S. Somannavar ◽

Avinash Kavi ◽

Sunil S. Vernekar ◽

...

Keyword(s):

Neonatal Mortality ◽

Institutional Delivery ◽

Newborn Health ◽

Mortality Rates ◽

Trial Registration ◽

Live Births ◽

Link Type ◽

Institutional Deliveries ◽

Health Registry ◽

The Relationship

Abstract Background Few studies have shown how the move toward institutional delivery in low and middle-income countries (LMIC) impacts stillbirth and newborn mortality. Objectives The study evaluated trends in institutional delivery in research sites in Belagavi and Nagpur India, Guatemala, Kenya, Pakistan, and Zambia from 2010 to 2018 and compared them to changes in the rates of neonatal mortality and stillbirth. Methods We analyzed data from a nine-year interval captured in the Global Network (GN) Maternal Newborn Health Registry (MNHR). Mortality rates were estimated from generalized estimating equations controlling for within-cluster correlation. Cluster-level analyses were performed to assess the association between institutional delivery and mortality rates. Results From 2010 to 2018, a total of 413,377 deliveries in 80 clusters across 6 sites in 5 countries were included in these analyses. An increase in the proportion of institutional deliveries occurred in all sites, with a range in 2018 from 57.7 to 99.8%. In 2010, the stillbirth rates ranged from 19.3 per 1000 births in the Kenyan site to 46.2 per 1000 births in the Pakistani site and by 2018, ranged from 9.7 per 1000 births in the Belagavi, India site to 40.8 per 1000 births in the Pakistani site. The 2010 neonatal mortality rates ranged from 19.0 per 1000 live births in the Kenyan site to 51.3 per 1000 live births in the Pakistani site with the 2018 neonatal mortality rates ranging from 9.2 per 1000 live births in the Zambian site to 50.2 per 1000 live births in the Pakistani site. In multivariate modeling, in some but not all sites, the reductions in stillbirth and neonatal death were significantly associated with an increase in the institutional deliveries. Conclusions There was an increase in institutional delivery rates in all sites and a reduction in stillbirth and neonatal mortality rates in some of the GN sites over the past decade. The relationship between institutional delivery and a decrease in mortality was significant in some but not all sites. However, the stillbirth and neonatal mortality rates remain at high levels. Understanding the relationship between institutional delivery and stillbirth and neonatal deaths in resource-limited environments will enable development of targeted interventions for reducing the mortality burden. Trial registration The study is registered at clinicaltrials.gov. ClinicalTrial.gov Trial Registration: NCT01073475.

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398 Is ignorance really bliss? Effect of parental awareness on neonatal mortality in central India

10.1136/bmjpo-2021-rcpch.219 ◽

2021 ◽

Author(s):

Amruta Phatak ◽

Abhimanyu Niswade ◽

Dipty Jain ◽

Khushboo Khubchandani

Keyword(s):

Neonatal Mortality ◽

Central India ◽

Parental Awareness

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BREAST FEEDING PRACTICES AND LACTATIONAL COUNSELLING AT A TERTIARY CARE CENTRE OF CENTRAL INDIA.

10.36106/ijar/8005428 ◽

2020 ◽

pp. 57-59

Author(s):

Ankur Singhai ◽

Swadesh Kumar Verma

Keyword(s):

Tertiary Care ◽

Central India ◽

Cross Sectional Study ◽

Child Rearing ◽

Care Centre ◽

Sectional Study ◽

Tertiary Care Centre ◽

Cross Sectional ◽

Institutional Deliveries ◽

Breastfeeding Rates

Breast milk is the most ideal and valuable food for the growing infant since it suffices most of the nutritional requirements if given adequately and in appropriate manner. The aim of the study is to assess the knowledge, attitude and practices of mother regarding lactation and impact of counselling to mothers. A questionnaire based cross sectional study was planned and the patients were divided in groups. Statistical analysis was done using IBM SPSS version 22 software.Chi square/Fisher Extract/Student t test and ANOVA test had been used. Most of the ladies had initiated early breastfeeding in both the groups.Hospital staff and family support were the key components influencing the knowledge of breastfeeding.Successful breastfeeding is an important child rearing skill to be learnt and practiced. More IEC activities targeted to promote institutional deliveries will give more opportunity for lactation counselling besides various other advantages like reducing MMR, NMR thus marching towards achieving millennium development goals.We recommend that in every hospital where deliveries are happening, employment of trained lactation counsellors should be made mandatory to improve breastfeeding rates.

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