Delivery Practices and their Determinants in Urban Slums of Amritsar City, Punjab, India
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Objective: The study was conducted to explore the delivery practices and various factors influencing these practices in various slum areas of Amritsar city in Punjab.
Methods: It was a cross-sectional study conducted in slums of Amritsar City. By adopting cluster sampling, thirty clusters of seven units each were taken to make a sample of 210 units. The women who had delivered within one year before the interview were taken as study units. They were interviewed with the help of a pretested proforma with a view to study their delivery practices. In order to evaluate the effect of various socio-demographic factors on choice of place of delivery, multivariate regression was applied.
Results: About one third (63.3%) of women delivered at home, 8% were taken to hospital for delivery because of some complication during labour and only 28.7% were planned hospital deliveries. Less than half of the home deliveries (48.5%) were conducted by skilled birth attendant. On multivariate regression analysis socio-economic status, parity and minimum three antenatal checkups during pregnancy emerged as significant determinants affecting the place of delivery.
Conclusion: Overall socioeconomic status of the families needs to be improved and every opportunity of contact of health facility with the mother should be utilized to promote institutional deliveries.
Keywords
- Hazarika I. Women’s reproductive health in slum populations in India: evidence from NFHS-3. J Urban Health. 2010; 87(2):264-77.
- Census of India. Metadata and brief highlights on slum population. Government of India: 2001.
- http://www.uhrc. in/index.php? name= Cmeds Downloads&files=index&req=view downloads & cid=1&min=10&orderby=dateD&show=10
- World Health Organization. Making pregnancy safer. Skilled birth attendant [Cited 2012 Oct 28]. Available from: http://www.who.int/ making_pregnancy_safer/topics /skilled_birth/ en/index.html
- UHRC. Key indicators for urban Poor in India from NFHS 3 and NFHS 2. Urban Health Resource Centre. Available from: http://uhrc.in/ downloads/factsheet-India.pdf
- International Institute for Population Sciences. District Level Household and Facility Survey 2007-08, Punjab. Ministry of Health and Family Welfare; 2010.
- Census of India. Punjab population data at a glance. Government of India; 2011.
- NFHS III. Health and living conditions in eight Indian cities. Ministry of health and family welfare. Government of India: 2006.
- Das S, Bapat U, Shah N, Chordhkar L, Wasundhara J, Osrin D. Prospective study of determinants and costs of home births in Mumbai slums. BMC Pregnancy Childbirth. 2010 [cited 2012 Dec 23]; 10 (38). Available from: http:// www.ncbi.nlm.nih.gov/pmc/articles/ PMC2928174/.
- UHRC. Maternal and newborn care practices among the urban poor in Indore. India: Gaps, reasons and potential program options. Urban Health Resource Centre (New Delhi); 2007.
- Pandey S, Shankar R, Rawat C, Gupta V. Socioeconomic factors and delivery practices in an urban slum of district Nainital, Uttaranchal. Indian J Community Med [serial online]. 2007 [cited 2013 feb 20]; 32:210-1. Available from: http://ijcm.org.in/text.asp?2007/32/3/210/ 36832
- International Institute for Population Sciences and Macro International. National Family Health Survey (NFHS 3) 2005-06: India: Volume I. Mumbai: IIPS 2007.(Endnotes)
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