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A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
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Risk factors for maternal mortality in Delhi slums: a community-based case-control study.

Abha Aggarwal1, Arvind Pandey, B N Bhattacharya

  • 1National Institute of Medical Statistics, Indian Council of Medical Research, Ansara Nagar, New Delhi, India. aabha54@rediffmail.com

Indian Journal of Medical Sciences
|September 6, 2007
PubMed
Summary
This summary is machine-generated.

Maternal deaths in Delhi slums are linked to illiteracy, lack of antenatal care, and home births by untrained attendants. Educating women and training birth attendants can reduce maternal mortality.

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Area of Science:

  • Public Health
  • Epidemiology
  • Maternal Health

Background:

  • Understanding risk factors for maternal mortality is crucial for policy development.
  • Maternal deaths remain a significant public health challenge globally and in urban settings.

Purpose of the Study:

  • To identify epidemiological risk factors and causes of maternal deaths in Delhi slums.
  • To inform targeted interventions for maternal mortality reduction.

Main Methods:

  • A community-based case-control study was conducted in Delhi slums.
  • Snowball and systematic random sampling identified 70 maternal death cases and 384 controls.
  • Logistic regression analysis was used to determine risk factors.

Main Results:

  • Most deliveries occurred at home, attended by untrained traditional birth attendants ('dais').
  • Maternal death cases were predominantly illiterate, young, with high parity, and received no antenatal care.
  • Lack of antenatal care was a significant risk factor (P < 0.001).

Conclusions:

  • Educating women on the importance of antenatal registration and regular checkups is vital.
  • Training traditional birth attendants to recognize and refer high-risk cases can improve outcomes.
  • Implementing these preventive measures can contribute to reducing community-level maternal mortality.