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   1997| January-March  | Volume 22 | Issue 1  
    Online since July 17, 2009

 
 
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Utilization Of Antenatal Care Services In Periurban Area Of East Delhi
O.P Aggarwal, Rakesh Kumar, Anita Gupta, R.S Tiwari
January-March 1997, 22(1):29-32
Research question: What are the health care facilities availed by the antenatal mothers in a rural community. Objective: To assess the utilization of ante-natal care services in periurban areas of East Delhi. Design: Cross- sectional study. Participants: Mothers of 276 live born children during 1991. Results: Three quarters of mothers were aged between 20-30 years. 75% of them went for registration at one of the medical care centers. Around 27.5% of the births were of first birth order and 46% of the total live births were of 3+-birth order. Every 7th child born in the study area belonged to 5+ birth order. Around 70% of the deliveries took place at homes and 81.9% of these home deliveries were conducted by village-untrained dais. Conclusion: Mothers who do not register at any of the medical care centers are mostly illiterate, coming from poorer strata of population, below 25 years of age and bearing 3 or more children. Most of these unregistered mothers did not receive iron and folic acid tablets and TT immunization and finally delivered at home by untrained dais.
[ABSTRACT]   Full text not available   
  1,113 124 -
Breast Feeding Practices In Rural And Urban Communities In A Hilly District Of North India
Anmol K Gupta, Rajesh K Sood, Ajay Vatsayan, Dineshwar K Dhadwal, Surendra K Ahluwalia, Rajesh K Sharma
January-March 1997, 22(1):33-37
Research question: What are the breast feeding practices in urban and rural communities of a hilly district? Objectives: 1. To study breast feeding practices. 2. To find out the influence of mother’s education on these practices. Study Design: Cross-sectional Setting: Urban and Rural Participants: Mothers of under 3 years children Sample size: 994 subjects(489 from urban and 505 from rural areas) Study variables: Prelacteal feed, initiation of breast feeding, complimentary feed introduction, continued breast feeding, material literacy, urban and rural subjects. Statistical analysis: Proportions and chi-square test. Results: A high exclusive breast feeding rate was observed which was 0.74 in urban and 0.72 in rural children less than 4 months of age. Timely complementary feeding rate was 0.84 and 0.70 in urban and rural areas respectively. Continued breast feeding rates at 1 and 2 years were 0.44 to 0.65 and 0.15 to 0.36 in urban and rural areas respectively.
[ABSTRACT]   Full text not available   
  1,062 81 -
Maternal Morbidity And Mortality Patterns in Uttar Pradesh
Deoke Nandan, Badri N Saxena
January-March 1997, 22(1):10-15
Research question: What is the extent of maternal morbidity and mortality in the community? Objectives: To know the extent and pattern of maternal mortality in the community. Study area: The districts of Uttar Pradesh namely Agra and Farrukhabad, covering 206 villages in 15 blocks. Sample Size: 51, 186 households and 292,496 population. Participants: Married women in reproductive age group. Setting: Rural community Development Blocks. Study variables: Menstrual problems, gynaecological problems, general morbidity and maternal deaths. Outcome variables: Maternal morbidity and mortality. Study Design: Community based cross- sectional study. Analysis: Simple proportions. Results: Over 47.5% of women reported excessive discharge, 15-16% complained of foul smelling discharge besides other problems like urinary infections, incontinence, prolapse, vesico-vaginal fistula etc. Around 22-27% of women suffered general morbidity, predominant being fever/cough/cold, malaria, diarrhoea and anemia’s. Overall, high level of (703 per 100,000) maternal mortality was reported in the area. Respective fingers for Agra and Farrukhabad being 582 and 992 per lakh live births. Over 50% of these deaths occurred at home, 22% in government hospitals, 12% in private hospitals and 15% in transit. Leading causes of maternal mortality were; haemorrhage, retained placenta, sepsis, anemia, jaundice and tetanus.
[ABSTRACT]   Full text not available   
  802 96 -
Rapid Survey For Measuring The Level And Causes Of Maternal Mortality
Rajesh Kumar, Arun K Aggarwal
January-March 1997, 22(1):16-21
Research question: What is the extent of problem of maternal mortality in a given population? Objective: 1. To evolve a rapid survey methodology aimed at measuring maternal mortality ratio. 2. To find out the probable medical causes of maternal deaths and behavioural factors associated with them. Study Design: cross- sectional. Setting: Urban and rural areas of district Mohindergarh, Haryana. Participants: Members of families in which a maternal death had taken place in last 12 months. Sample size: All 275 deaths among women 15-44 years occurring in the district from 1st April 95 to 31st March 96. Study variables: Age, gravida, parity, literacy, caste, land holding, health care facilities, distance from health centers, mode of conveyance. Statistical Analysis: Rates and ratios. Results: Maternal mortality ratio was estimated to be 275 per 100,000 live births (298 rural and 82 urban). Major causes of death were – sepsis(30%), haemorrhage (21%), abortion(5%), eclampsia (3%) and obstructed labour(3%). Twenty-nine causes of deaths occurred at home and 26% on way to hospital. Out of 59(93.7%) cases who could avail medical consultation, 61% arranged it within five hours after onset of symptoms, and 78% availed two, 21% three, and 11% four consulations. The survey was completed in three months at a cost of Rs. 54,000. Recommendations: Such rapid surveys should be carried out periodically (every 4-5 years) to monitor the progress in maternal health. Staff of heath deptt. Should be involved in carrying out these surveys. This will not only help in reducing cost of the survey but information about specific problems of maternal mortality in the area can be utilized by health staff for taking appropriate action to improve maternal health care.
[ABSTRACT]   Full text not available   
  647 42 -
Mothers' Perceptions & Ambitions About Their Daughters in Rural Area
Sunder Lal
January-March 1997, 22(1):22-28
Research question: What are the perceptions and ambitions of mothers about their daughters in relation to critical areas like literacy, age of marriage & child bearing, health risk due to early marriage etc. Objectives: To raise the level of awareness of mothers through ongoing programmes focused on women. Design: Before and after study in population. Participants: Mothers of girls aged 7-19 years. Study variables: Literacy, caste, communication, menstruation, food distribution in the family, age of marriage & childbirth, health risks, sources of information. Outcome variables: Raised level of awareness on critical areas as mentioned above. Statistical analysis: Simple proportions. Results: A little less than half (48%) of mother’s felt that their daughters could study as long as they desired. Though 73-82% of mothers knew the health risk of early marriage yet 67% of girls were married below the age of 18 years. Only 15% of mothers educated their daughters on the subject of menstruation. Female children were considered the last priority for nutritious food. The results of this study necessitate strengthening of women programmes for better awareness; favorable attitudes and sound practices.
[ABSTRACT]   Full text not available   
  537 31 -
Health Issues Related To Women In Reproductive Age Group
Sunder Lal
January-March 1997, 22(1):3-5
Full text not available   
  402 36 -
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  2007 - Indian Journal of Community Medicine | Published by Wolters Kluwer - Medknow
  Online since 15th September, 2007