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Delivery practices in west Uttar Pradesh

D Nandan1, S K Mishra

  • 1Department of S.P.M., S.N. Medical College, Agra.

Indian Journal of Public Health
|January 1, 1996
PubMed
Summary

This study found many rural Indian delivery practices, like unsterilized cord cutting tools and non-antiseptic applications, deviate from national safe motherhood guidelines. Improving these essential newborn care practices is crucial for reducing infection risks.

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Area of Science:

  • Public Health
  • Maternal and Child Health
  • Infectious Disease Prevention

Background:

  • Safe delivery practices are critical for maternal and neonatal health.
  • The national Child Survival and Safe Motherhood (CSSM) programme recommends five essential "cleans" to prevent infections.
  • Understanding current practices in rural areas is vital for targeted interventions.

Purpose of the Study:

  • To assess adherence to recommended safe delivery practices in rural Uttar Pradesh.
  • To identify prevalent unhealthy practices concerning the "five cleans" during childbirth.
  • To provide data for improving the national Child Survival and Safe Motherhood (CSSM) programme.

Main Methods:

  • A cross-sectional study was conducted interviewing 120 women post-delivery.
Keywords:
AsiaDeliveryDeveloping CountriesHealthHygieneIndiaPregnancyPregnancy OutcomesPublic HealthReproductionResearch ReportSouthern Asia

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  • Data collection focused on practices related to delivery hygiene, cord care, and immediate newborn care.
  • Practices were compared against the national "five cleans" recommendations.

    • Main Results:

    • Only 3.1% of deliveries involved proper floor washing.
    • A significant 43% of deliveries used non-sterilized instruments for cord cutting.
    • In approximately 65% of cases, traditional substances like mustard oil or ghee were applied to the umbilical cord stump.

    Conclusions:

    • Current delivery practices in rural Uttar Pradesh show low compliance with national safe motherhood guidelines.
    • High rates of unhygienic cord care practices pose a substantial risk for neonatal infections.
    • Interventions are urgently needed to promote and enforce the "five cleans" and improve newborn survival rates.