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Indian Journal of Medical Sciences
Medknow Publications on behalf of Indian Journal of Medical Sciences Trust
ISSN: 0019-5359
EISSN: 0019-5359
Vol. 60, No. 12, 2006, pp. 506-513
Bioline Code: ms06075
Full paper language: English
Document type: Research Article
Document available free of charge

Indian Journal of Medical Sciences, Vol. 60, No. 12, 2006, pp. 506-513

 en Newborn care practices in an urban slum of Delhi
Rahi Manju, Taneja DK, Misra Amrita, Mathur NB, Badhan Suresh


BACKGROUND: Despite efforts by government and other agencies, neonatal morbidity and mortality continues to be high in India. Among other reasons, newborn care practices are major contributors for such high rates.
AIMS: To find out the newborn care practices including delivery practices, immediate care given after birth and breast-feeding practices in an urban slum of Delhi.
SETTINGS AND DESIGN : Community based, cross-sectional survey in a resettlement colony (a type of urban slum).
MATERIALS AND METHODS : Semi-structured, pre-tested schedule was used to interview 82 mothers of newborns in the study area.
STATISTICAL ANALYSIS : Data was analyzed using Epi - info version 6.04. Fischer exact test and c2 test were applied. A P value of less than 0.05 was considered significant.
RESULTS AND CONCLUSION : More than half i.e. 26 (56.1%) of home deliveries, which were mostly conducted by dais (24, 91.3%) or relatives in 4 (8.7%) of home deliveries. Bathing the baby immediately after birth was commonly practiced in 38 (82.6%) of home deliveries. Finger was used to clean the air passage in most of the home deliveries (29, 63%). About 61% (28) of home delivered newborns were not weighed at birth. Rooming in was practiced in majority of the cases. A few of home delivered neonates (12) were given injection tetanus toxoid by unqualified practitioners. Use of clip, band or sterile thread to tie the cord and no application to the cord was significantly higher in institutional deliveries. Breast milk as the first feed was significantly more in institutional deliveries. There is an urgent need to reorient health care providers and to educate mothers on clean delivery practices and early neonatal care.

Home deliveries, newborn care, slum

© Copyright 2006 Indian Journal of Medical Sciences.
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