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ABSTRACTBackground: World Health Organization has defined low birthweight (LBW) as birth weight less than 2,500 grams. LBW is animportant indicator of reproductive as well as general healthstatus of a given population. The aetiology of LBW ismultifactorial. The current study was conducted to find out thematernal risk factors associated with LBW delivered in V.S.SMedical College& Hospital, Burla.Materials and Methods: It was hospital based cross -sectionalstudy comprising of 1030 postnatal women and their newbornswho delivered single live baby in V.S.S Medical College&Hospital, Burla. Selection of study participants done bysystematic random sampling. The study was conducted fromOct 2012 to September 2014.Results obtained was expressedin simple number and percentages. Chi-square test was usedto measure the association between LBW and variousmaternal risk factors.Results: The proportion of LBW was found to be 27.76%. Theproportion of LBW was found high and significant in Primimothers (31.09%), birth spacing < 36 months (28.93%),gestational age < 37 weeks (62.94%), obstetric complications(31.12%), major medical illness (44.07%), Haemoglobin<11gms (34.32%), weight gain <10 kg during pregnancy(41.60%), late registration (33.62%), < 4 ANC visit (52.79%),<100 IFA tab. Consumption (44.70%) and without calciumsupplementation (33.60%).Conclusions: The finding of the present study indicates thatLBW can be tackled by maternal education, socioeconomicdevelopment and providing adequate antenatal care topregnant women in time.
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Introduction: Rupture uterus is an uncommon and frequentlycalamitous circumstance. It is connected with a highoccurrence of fetal and maternal mortality and morbidity.Objective: Our primary objective of this investigation is toassess results of uterine rupture among women with earliercesarean section.Method: This cross-sectional study was done at JalalabadRagib Rabeya Medical College Hospital, Sylhet from January2016 February to 2019 February. All out 63 instances ofruptured uterus were recorded in this investigation and everyone of the instances of ruptured uterus who were eitherconceded with complain or who developed it in medical clinicwere incorporated into the examination.Results: During the examination most events of ruptureduterus was the gestational age 37-40 weeks, (66.67%) andamong 63 patients, most (65.08%) had no antenatal checkup.(34.92%) had unpredictable antenatal checkup. Likewise therupture was bound to lower segment in the abdominal uterus.Conclusion: Lack of antenatal care, misuse of oxytocin, andinappropriate counseling of patients with history of previouscaesarian section for hospital delivery are the main causes fora ruptured uterus in this study.
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Background: Globally approximately 830 women die from pregnancy and child birth every day. Most of deaths can be prevented by proper planning like birth preparedness and complication readiness (BPCR). The aim of study was to assess awareness and practice regarding BPCR among pregnant women and recently delivered women and to identify socio-demographic factors affecting it.Methods: A community based cross sectional study was conducted from September to December 2018 in villages of Chhatrapur block of Ganjam District among pregnant women (completed 24 weeks) and recently delivered women (12 months) regardless of newborn outcome. Sample size was calculated to be 96. Multi stage random sampling was adopted and PPS (Probability proportional to size) method was used. A questionnaire was used which contained socio-demographic information and set of 11 indicators to determine BPCR index. All data were analysed in SPSS.Results: BPCR index was 44.6% and it was higher (61%) in recently delivered women. 26% can be said to be well prepared and 45.8%, 27%, 32.3%, 37.5% knew at least one key danger sign in pregnancy, delivery, post partum and about new born respectively. A significant association was found between maternal education, age and pregnancy with awareness regarding BPCR.Conclusions: BPCR index in study area was low and a low proportion of participants were well prepared. Awareness about danger signs was quite low. So health workers at grassroots level should be encouraged to explain BPCR components to women and educational activities should be carried out to promote women to make plan a priori.
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Background: Early or timely initiation of breastfeeding, specifically within 1 hour of birth has benefits for survival and beyond and it is recommended by the World Health Organization. Breastfeeding initiation after the first hour of birth doubles the risk of neonatal mortality. The present study has been conducted to estimate the prevalence and determine the factors affecting early initiation of breastfeeding in rural areas of Dibrugarh, district, Assam. Methods: Community based cross sectional study from May 2017 to April 2018 among mothers having children in the age group 0 to 23 months in the rural areas of Dibrugarh district. The sample size calculated for the study was 360 children. Results: The results were analyzed for 334 children. Prevalence of early initiation of breastfeeding was found to be 54.8%. On multivariate regression analysis the occupation and education of mothers, number of antenatal checkup visits, type of delivery and religion were found to be independently associated with early initiation of breastfeeding. Conclusions: This study reveals that the early initiation of breast feeding is lower in rural areas of Dibrugarh district. The findings clearly highlight the importance of imparting health education to family members and mothers right from antenatal period on infant and child feeding practices.
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The knowledge and practice of mothers and CHWs will strengthen quality of antenatal care. Objectives: To describe knowledge, practice of mothers and practice of CHWs on antenatal care in Tien Du district, Bac Ninh province in 2003. Methods: 150 mothers and 16 CHWs were included in a cross-sectional study using interviews and check lists. Results: (a) The knowledge of mothers on antenatal care including: the necessary of antenatal check up is 63.1%; vaccination of tetanus: 61.3%; use acid folic and iron: 37.3%; good nutrition: 58.7%. (b) The practice of mothers on prenatal care: get antenatal check up 3 times or more are 70.7%; vaccination of tetanus is 98.7% but the pregnant women who completed two doses get up 90.7%. The mothers had been provided iron supplementation is 64%. 62% of mothers had been supplied a good nutrition during pregnancy. 36.7% pregnancies had decrease in working time and 36% had withdrawn from work just before delivery. (c) The quality and practice skills of CHWs is no attained yet according to the National Standard on RH servies, in particular all pregnant women had not tested for proteinuria. Conclusion: It is needed to strengthen knowledge, practice of mothers and practice of CHWs on antenatal care according to the National standard on RH servies.