Chandrashekhar T Sreeramareddy|Hari Shankar Joshi|Binu V Sreekumaran|Sabitri Giri|Neena Chuni
Home delivery and newborn care practices among urban women in western Nepal: a questionnaire survey
Manipal College of Medical Sciences|Manipal College of Medical Sciences|Manipal College of Medical Sciences|Manipal College of Medical Sciences|Manipal Teaching Hospital|Manipal College of Medical Sciences|Manipal Teaching Hospital
98 newborn deaths occur developing countries newborns deaths occur home nepal approximately 90 deliveries take place home information reasons delivering home newborn care practices urban areas nepal lacking information useful policy makersa crosssectional survey carried immunisation clinics pokhara city western nepal january february 2006 two trained health workers administered semistructured questionnaire mothers delivered homea total 240 mothers interviewed planned home deliveries 140 583 100 417 unplanned 62 deliveries skilled birth attendant present 38 158 mothers gave birth alone 46 162 women used clean home delivery kit 92 383 birth attendants washed hands umbilical cord cut expulsion placenta 154 642 deliveries cord cut using newboiled blade 217 904 deliveries mustard oil applied umbilical cord 53 221 deliveries birth place heated throughout delivery 88 642 deliveries 100 458 newborns wrapped within 10 minutes 233 971 wrapped within 30 minutes majority 938 newborns given bath soon birth mustard oil massage newborns common practice 144 60 sixteen 108 mothers feed colostrum babies prelacteal feeds given 37152 newborns initiation rates breastfeeding 579 within one hour 854 within 24 hours main reasons cited delivering home preference 257 ease convenience 214 planned deliveries precipitate labor 51 lack transportation 18 lack escort labor 11 cited unplanned oneshighrisk home delivery newborn care practices common urban population also indepth qualitative studies needed explore reasons delivering home communitybased interventions required improve number families engaging skilled attendant hygiene delivery highrisk traditional newborn care practices like delayed wrapping bathing mustard oil massage prelacteal feeding discarding colostrum need addressed culturally acceptable communitybased health education programmes