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High-risk childbirth practices in remote Nepal and their determinants
N Thapa1, V Chongsuvivatwong, A F Geater
1Birendra Hospital, Kathmandu, Nepal. narbada@mail.com.np
Women & Health
|April 20, 2001
Summary
High-risk childbirth practices were common in Nepal due to customs and poor hygiene knowledge. Educating husbands significantly reduced these unsafe practices, improving maternal and infant health outcomes.
Area of Science:
- Maternal and Child Health
- Public Health
- Sociology
Background:
- Birth-related practices significantly impact maternal and infant health outcomes.
- Understanding determinants of these practices is crucial for targeted interventions.
Purpose of the Study:
- To describe birth-related practices in Nepal's Jumla district.
- To identify factors influencing these practices among women.
Main Methods:
- Household survey of 657 women who gave birth in the preceding five years.
- Qualitative data from traditional birth attendants, mothers-in-law, community leaders, and pregnant women.
Main Results:
- High-risk birth practices were prevalent, linked to local customs and lack of cleanliness knowledge.
- Husband's education beyond fifth grade was a significant factor in reducing high-risk practices.
Conclusions:
- Local customs and insufficient knowledge contribute to unsafe childbirth practices.
- Husband's education is a key determinant in mitigating high-risk birth practices.
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