Community neonatal practices and its association with skilled birth attendance in rural Haryana, India
Article first published online: 7 SEP 2012
© 2012 The Author(s)/Acta Pædiatrica © 2012 Foundation Acta Pædiatrica
Volume 101, Issue 12, pages e535–e539, December 2012
How to Cite
Upadhyay, R. P., Rai, S. K. and Anand, K. (2012), Community neonatal practices and its association with skilled birth attendance in rural Haryana, India. Acta Paediatrica, 101: e535–e539. doi: 10.1111/j.1651-2227.2012.02833.x
- Issue published online: 8 NOV 2012
- Article first published online: 7 SEP 2012
- Accepted manuscript online: 28 AUG 2012 09:29AM EST
- Received 22 July 2012; revised 7 August 2012; accepted 16 August 2012.
- Neonatal care;
- North India;
- Skilled birth attendant
Aim: The study aimed to document home-based neonatal care practices and their association with type of birth attendance.
Methods: This study was conducted in rural Haryana on mothers who had delivered a live baby one to 2 months prior to interview. The study instrument, administered through home visits, had questions related to cord care, breastfeeding, thermal care, baby handling and healthcare seeking. Logistic regression was performed to test for association [OR; 95% CI] of key newborn care practices with skilled birth attendance.
Results: Of the 415 mothers interviewed, 26.7% applied nothing on umbilicus; 15% were kept in skin-to-skin contact with mother; 20.2% were exclusively breastfed in first month. Seeking care in private sector and cost incurred in the treatment for a neonatal illness was significantly higher for male babies. Delivery by skilled birth attendant (68.5%) was associated with applying nothing on the cord [1.8; 1.01–3.25], in skin-to-skin contact with mother for ≥6 h a day [2.21; 1.18–4.13], bathing the baby after third day [14.63; 6.85–31.21] and exclusive breastfeeding [8.84; 3.42–22.8].
Conclusion: The results of this study call for not only upscaling skilled birth attendance but also improving the quality of care currently provided.