Document Detail


Birth practice patterns in urban slums of Dhaka, Bangladesh.
MedLine Citation:
PMID:  8883370     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This study describes the patterns of birth related practices amongst women from an urban slum population in Dhaka city during December 1988 to May 1989. A household census identified all resident women of childbearing age in Rajabazar ward of Dhaka city. Of the 1017 women so identified, 289 women who had given birth to their last child over the previous five years were randomly selected for interview using a structured interview schedule. To observe actual birth practices, sixteen women pregnant for six months or more at the time of the census were followed-up to the immediate post-natal period. Eight local traditional birth attendants (TBAs) were interviewed informally to obtain insights about birthing techniques. A case study for a typical 'normal' delivery is presented and discussed.
This study is based on interviews among 753 women who lived in the urban slums of Razabazar ward of Dhaka City, Bangladesh, during 1988-89, and who gave birth within 5 years preceding the survey. In-depth interviews were conducted among 50 women. The household census of 1017 women 15-45 years old included 58 pregnant women, of whom 16 who were due within 3 months of the survey date and delivered in the study area were followed up. The 8 local traditional birth attendants (TBAs) were also interviewed. There were 178 live births and 34 infant deaths in the last year before the survey. Infant mortality was an estimated 191/1000 live births. Among the sample of 289 women with a birth within the 5 years preceding the survey, there were 30% who were pregnant 5-8 times, 6% who were pregnant 9-12 times, and few stillbirths. Most women did not know the cause of neonatal death. 46% of the 289 mothers experienced a perinatal or postneonatal death during their entire reproductive life. The strongest predictor of previous infant loss was maternal education. Findings from an analysis of data from the 174 mothers who gave birth within the last 2 years indicate that most women were under 25 years old, had no schooling, lived over 4 years in the slum, and had limited household income. 69% had no prenatal care. 96% delivered outside the hospital, and 57.9% delivered at home. Over 75% had deliveries performed by an untrained attendant. 8% delivered the infant by themselves. 3% had a doctor-assisted delivery. 95% reported that the umbilical cord was cut with a razor blade, and 5% used a strip of bamboo. 13% reported boiling the razor blade for sterilization. 71% applied nothing to the umbilical cord. Breast feeding delays over 24 hours occurred more frequently among traditional birth attendant deliveries. This article includes a case study of a typical normal delivery.
Authors:
A Hoque; B J Selwyn
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Women & health     Volume:  24     ISSN:  0363-0242     ISO Abbreviation:  Women Health     Publication Date:  1996  
Date Detail:
Created Date:  1997-01-14     Completed Date:  1997-01-14     Revised Date:  2009-05-20    
Medline Journal Info:
Nlm Unique ID:  7608076     Medline TA:  Women Health     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  41-58     Citation Subset:  IM; J    
Affiliation:
School of Public Health, University of Texas Health Science Center, Houston 77225, USA.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Bangladesh
Breast Feeding
Delivery, Obstetric* / mortality,  statistics & numerical data
Female
Humans
Income
Infant Mortality
Infant, Newborn
Maternal Mortality
Midwifery
Parity
Poverty Areas*
Pregnancy
Socioeconomic Factors
Umbilical Cord

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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