DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20205437

Time trend, prevalence and factors affecting place of delivery in rural area: a comparative study among two sub centers in field practice area of tertiary care center, Aurangabad, Maharashtra

Mahavir P. Nakel, Prakash L. Gattani

Abstract


Background: In the developing world, even today, perhaps delivery is the commonest event where life and death stand side by side for both, the expectant mother and her forthcoming newborn. India being second most populous country in the world, women and pre-school children constitute about one third of total population; any neglect or delay in care can adversely affect the wanted outcome. The aim of the study was to assess factors affecting institutional and home delivery in rural areas under field practice area of tertiary care center in Aurangabad city. The objectives of the study were as follows: to estimate the prevalence of home and hospital delivery in rural area and to study and analyze the factors affecting place of delivery i.e. home or hospital

Methods: Present study was undertaken in the two sub centers under one of the primary health cares in field practice area under tertiary care hospital in Aurangabad city. A total of 659 respondent women were interviewed to collect information regarding first and last delivery.

Results: Total 58.27% women were delivered in private hospitals and only 18.66% delivered in Government institutions while prevalence of Home delivery was 23.06%.

Conclusions: Early antenatal care (ANC) registration from the first pregnancy of the women with recommended visits should be encouraged since ANC registration has greater influence in selection of place of delivery.


Keywords


Prevalence, Time trend, Home delivery, Institutional delivery

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References


World Health Organization. The World Health Day 2005 - Make every mother and child count. Geneva: WHO; 2005. Available at: https://www.who.int/whr/ 2005/whr2005_en.pdf. Accessed on 3 October 2020.

Satish Kumar. Reducing maternal mortality in India: Policy, equity, and quality issues. Indian Journal of Public Health, 2010;54(2):57-64.

Varma GR, Kusuma YS, Babu BV. Antenatal care service utilization in tribal and rural areas in a South Indian district: an evaluation through mixed methods approach. J Egyptian Public Health Association. 2011;86(1-2):11-5.

Reproductive and Child Health II – Ministry of Health and Family Welfare; Available at: http://www.mohfw.nic.in/showlink.php?id=1. Accessed on 11 October 2020.

Government of India. National Population Policy 2000, Ministry of Health and Family Welfare, New Delhi 2000. Available at: http://www.nhp.gov.in/ national-population-policy-2000_pg. Accessed on 3 October 2020.

Government of India. National Rural Health Mission. Accredited Social Health Activist (ASHA) Guidelines, Ministry of Health and Family Welfare, New Delhi. Available at: https://nhm.gov.in/index1. php?lang=1&level=1&sublinkid=150&lid=226. Accessed on 3 October 2020.

IIPS and Macro international, National Family Health Survey 2005-2006 (NFHS-3). Mumbai: Ministry of Health and Family Welfare, Government of India and International Institutes for Population Sciences; 2006. Available at: http://rchiips.org/nfhs/ nfhs3.shtml. Accessed on 3 October 2020.

Lwanga SK, Lemshaw S. Sample size determination in health studies: A practical manual. World Health Organization, Geneva, 1992. Available at: https://apps.who.int/iris/handle/10665/40062. Accessed on 3 October 2020.

Deepthi S Varma, M E Khan, Hazra Avishek. Increasing institutional delivery and access to emergency obstetrics care services in rural Uttar Pradesh. The J Family Welfare. 2010;56:23-30.

Punia Anita, J RB, P MS, R Vidya, Kalhan M. Pattern of Deliveries in Rural Areas of a District in Haryana, India. Internet J Epidemiol. 2010;9(1):1-8.

IIPS and Macro international, National Family Health Survey 2005-2006 (NFHS-3). Mumbai: Ministry of Health and Family Welfare, Government of India and International Institutes for Population Sciences; 2006. Available at: http://rchiips.org/nfhs/ nfhs3.shtml. Accessed on 3 October 2020.

Ansari MA, Z Khan. Antenatal care services in rural areas of Aligarh, India: A cross-sectional study. J Public Health Epidemiol. 2011;3(5):210-6.

Rajesh G, Deepti S, Tejbir S, Avtar SP. Study on delivery practices among women in rural Punjab. Health and Population: Perspectives and issues. 2010;33(1):23-33.

Sanjay P, Ravi S, Rawat CMS, Gupta VM. Socio-economic factors and delivery practices in an urban slum of district Nainital, Uttaranchal. 2007;32(3):210-1.

Kotnis SD, Gokhale RM, Rayate MV. Why still home deliveries in urban slum dwellers? National Journal of Community Medicine 2012;3(1):85-8.

Datta M, Manna N. A study on socio-demographic correlates of maternal health care utilization in a rural area of West Bengal, India. Global Journal of Medicine and Public Health. 2012;1(4):7-12.

Mumbare SS, Rege R. Ante natal care services utilization, delivery practices and factors affecting them in tribal area of north Maharashtra. Indian J Community Med. 2011;36(4):287-90.

Srijana P. Domicile or Hospice? Choices for the site of delivery. Journal of Community Medicine and Health Education. 2012;2(4):1-5.

Das S, Bapat U, More NS, Chordhekar L, Joshi W, Osrin D et al. Prospective study of determinants and cost of home births in Mumbai slums. BMC Pregnancy Childbirth. 2010;10:38.

Khatib N, Zahiruddin QS, Gaidhane AM, Waghmare L, Srivatsava T, Goyal RC et al. Predictors of antenatal care services and pregnancy outcome in a rural area: A prospective study in Wardha district, India. Indian J Med Sci. 2009;63(10):436-44.

Pardeshi GS, Dalvi SS, Pergulwar CR, Gite RN, Wanje SD. Trends in choosing place of delivery and assistance during delivery in Nanded district, Maharashtra, India. J Health Popul Nutr. 2011;29(1):71-6.

Tuladhar H. Determinants of home delivery in a semi urban settings of Nepal. Nepal J Obstetr Gynaecol. 2009;4(1):30-7.