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Delivery Practices and their Determinants in Urban Slums of Amritsar City, Punjab, India


Affiliations
1 Department of Community Medicine, Sri Guru Ram Das Institute of Medical Sciences and Research, Amritsar, 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

Delivery Practices, Determinants, Slums
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  • 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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  • Delivery Practices and their Determinants in Urban Slums of Amritsar City, Punjab, India

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Authors

K P Gill
Department of Community Medicine, Sri Guru Ram Das Institute of Medical Sciences and Research, Amritsar, Punjab, India
P Devgun
Department of Community Medicine, Sri Guru Ram Das Institute of Medical Sciences and Research, Amritsar, Punjab, India
S L Mahajan
Department of Community Medicine, Sri Guru Ram Das Institute of Medical Sciences and Research, Amritsar, Punjab, India
A Chopra
Department of Community Medicine, Sri Guru Ram Das Institute of Medical Sciences and Research, Amritsar, Punjab, India

Abstract


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


Delivery Practices, Determinants, Slums

References