Birth Preparedness and Complication Readiness among Slum Women in Indore City, India

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Title Birth Preparedness and Complication Readiness among Slum Women in Indore City, India
 
Creator Siddharth Agarwal; Urban Health Resource Center, New Delhi
Vani Sethi; Formerly with Urban Health Resource Center, New Delhi
Karishma Srivastava; Formerly with Urban Health Resource Center, New Delhi
Prabhat K Jha; Urban Health Resource Center, Indore
Abdullah H Baqui; 4International Center for Advancing Neonatal Health, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University, Baltimore
 
Subject Health
Birth preparedness; Complication readiness; Cross-sectional studies; Deliveries; Slums; Urban poor; India
 
Description Three hundred twelve mothers of infants aged 2-4 months in 11 slums of Indore, India, were interviewed to assess birth preparedness and complication readiness (BPACR) among them. The mothers were asked whether they followed the desired four steps while pregnant: identified a trained birth attendant, identified a health facility, arranged for transport, and saved money for emergency. Taking at least three steps was considered being well-prepared. Taking two or less steps was considered being less-prepared. One hundred forty-nine mothers (47.8%) were well-prepared. Factors associated with well-preparedness were assessed using adjusted multivariate models. Factors associated with well-preparedness were maternal literacy [odds ratio (OR)=1.9, (95%) confidence interval (CI) 1.1-3.4] and availing of antenatal services (OR=1.7, CI 1.05- 2.8). Deliveries in the slum-home were high (56.4%). Among these, skilled attendance was low (7.4%); 77.3% of them were assisted by traditional birth attendants. Skilled attendance during delivery was three times higher in well-prepared mothers compared to less-prepared mothers (OR: 3.0, CI 1.6-5.4) Antenatal outreach sessions can be used for promoting BPACR. It will be important to increase the competency of slum-based traditional birth attendants, along with promoting institutional deliveries. Key words: Birth preparedness; Complication readiness; Cross-sectional studies; Deliveries; Slums; Urban poor; India DOI: 10.3329/jhpn.v28i4.6045 J HEALTH POPUL NUTR 2010 Aug;28(4):383-391
 
Publisher International Centre for Diarrhoeal Disease Research Bangladesh (ICDDR,B)
 
Contributor
 
Date 2010-09-06
 
Type Peer-Reviewed Article
 
Format application/pdf
 
Identifier http://www.banglajol.info/index.php/JHPN/article/view/6045
 
Source Journal of Health, Population and Nutrition; Vol 28, No 4 (2010); 383-391
 
Language en
 
Coverage India