The Status of Birth Preparedness and Complication Readiness among Rural Indian Mothers

A cross-sectional study was conducted with the aim to explore the present status of birth preparedness and complication readiness in rural area of West Bengal and determine the possible factor(s) influencing their knowledge and practice regarding this concern. Thirty villages with homogenous characteristics were identified by cluster sampling methods from a rural block (Bhatar, Burdwan district, West Bengal) of India on April 2013 to November 2013. From every cluster 7 mothers who had delivered baby within the last year and were available first, interviewed consecutively using a guided questionnaire adapted from JHPIEGO Maternal and Neonatal Health Programme survey tools. Multivariate logistic regression was applied in analysis to predict how much the independent variables influenced the birth preparedness of mothers. 62.4% mothers were found to be well prepared. Trained birth attendants and health facilities were identified before delivery in 81.9% and 78.1% cases respectively. Mode of transportation for complication management or delivery was pre-decided by about 60% of family. Only 35.7% family saved money for the same purpose. Logistic regression revealed that well preparedness increased 11 times with every new pregnancy, but it did not depend on caste and education status of the mothers. The overall birth preparedness status of the rural mothers is poor and they acquire more knowledge regarding birth preparedness from their self experience rather than from existing health system. ​

Factors associated with quality of life of patients with epilepsy attending a tertiary care hospital in Kolkata, India

Epilepsy is one of the most important neurological diseases with prolonged morbidity and disability leading to profound fi nancial loss. There have not been many studies investigating factors infl uencing the quality of life in an epilepsy patient in India. This study was conducted among the epilepsy patients attending a tertiary care hospital in West Bengal, India. Two hundred and four epilepsy patients attending the Outpatient Clinic of the Department of Neuromedicine, Medical College, Kolkata were interviewed with the Bengali version of QOLIE 9 (i.e. Quality of life in Epilepsy 9 questionnaire). The mean of total QOLIE score was 18.02 ± 4.87, the range being 10 to 30. Multiple linear regression analysis revealed that workdays lost due to epilepsy in last three months, use of two or more antiepileptic drugs, higher frequency of seizure, and longer time gap between onset of seizure and consultation with neurologist were signifi cant predictors for poorer quality of life score in the epilepsy patient.