Modification of Delivery Practice in Rajbanshi Mothers of Nepal

ByDr. Nawa Raj
 

Nawa Raj Subba, Shishir Subba.

To cite the article: Nawa Raj Subba, Shishir Subba. (2014) Modification of Delivery Practice in Rajbanshi Mothers of Nepal. Journal of Nobel Medical College. Vol. 3, No.1 Issue 5, pp10-15.

Corresponding Author: Nawa Raj Subba, Email Id: [email protected]

Abstract

Introduction: This is a cross-sectional study with the objective of identifying modification in delivery practice in Rajbanshi mothers of Nepal.

Methodology: Both qualitative and quantitative tools were used. Semi-structured questionnaires covering 375 samples of its resident districts Morang, Jhapa, and Sunsari districts and checklists for in-depth interviews were used in the study.

Results: People were adopting both traditional and modern care practices concurrently. Among 375 households; 40% adopted local clinic/ hospital/ traditional healer concurrently. Similarly 31.20% adopted local clinic/ traditional healer/ hospital, 10.67% adopted hospital/traditional healer. There were 11.47% (urban 0.54% and rural 10.93%) respondents were having a traditional care system as a first choice. During the first delivery among 375 mothers, 265 (70.67%) had traditional home delivery and 110 (29.33%) had hospital delivery. During the last delivery, this was 115 (30.67%) in traditional home delivery and 260 (69.33%) in-hospital delivery. Therefore the trend of hospital delivery was increasing whereas the trend of traditional home delivery was decreasing. It was statistically highly significant (p=<0.0001). There was also a remarkably increased in using trained Health Worker/Nurse/Doctor at hospitals is 66.4% during the last delivery which was only 6.13%
during the first delivery. It is statistically highly significant (p= <.0001).

Conclusion: The trend of hospital delivery was increasing (from 30.67% to 69.33%) and the trend of
home delivery was decreasing (from 69.33% to 29.23%) in between first and last child delivery. There was a remarkably increased in using trained HW/Nurse/Doctor at hospitals is 66.4% during the last delivery which was only 6.13% during the first delivery. Traditional care was more practiced in rural than in the urban population.

Keywords: Traditional home delivery, Modern hospital delivery, Rajbansi, Nepal
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