Delivery practices in a rural area of North Karnataka A cross sectional study
DOI:
https://doi.org/10.7439/ijap.v4i1.2129Abstract
Background and aims: InIndia, various programs have been launched to provide primary health care to women and children, particularly in the rural areas. Most life threatening obstetric complications require hospital management to prevent maternal mortality. InIndia, most of the rural deliveries are conducted at home. Since Factors affecting non utilization of primary health centre for deliveries are not completely understood hence the present study was undertaken to study the delivery practices in the village and also to know the various reasons for non utilization of primary health centre for deliveries. Methods and Material: This community based cross-sectional study was done during the period of October 1st 2004 to October 1st 2005 among all the women (n=63) who had delivered during this period residing in Vantamuri village which is a rural field practice area of Primary Health Centre (PHC) attached to a Medical College in South India of Belagavi District. Data was collected using predesigned and pretested questionnaire. Statistical analysis was done by using percentages and chi square test. Results: Most of the study participants (53.96%) delivered at home followed by private hospitals (25.39%). In this study among the home deliveries only 23.53% were conducted by trained dais where as remaining 76.47% were conducted by others. When we enquired about reasons for not utilizing Primary Health Centre, Vantamuri for deliveries most (33.33%) of study participants told that they delivered at their mother place, some (22.80%) told that there was no proper facility at Primary Health Centre. A significant association (p 0.001) was found between place of delivery and early initiation of breast feeding. Conclusion: There needs to have an end for home deliveries which can be achieved by Strengthening the information, education and communication (IEC) activities. The facilities in the Primary Health Centre should be improved both in terms of manpower and infrastructure
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