Obstetric and neonatal outcomes in women who live in an urban resettlement area of Delhi, India: a cohort study.

Full Abstract

AIM:
To study the pregnancy outcome, namely mode and place of delivery, attendant at birth and perinatal mortality in an urban resettlement area of Delhi, India, and to determine factors that affect the outcome.

METHODS:
All the pregnant women (n = 909) in the area were enrolled and followed until 7 days after delivery. We calculated the crude and adjusted odds ratios for predictors of pregnancy related obstetric and neonatal outcomes, using logistic regression analysis.

RESULTS:
A total of 884 (97.3%) women could be followed up. Approximately two-thirds of deliveries took place at home. Primigravida, more educated mothers and mothers with non-cephalic presentation or complications were more likely to deliver in a health facility (P < 0.05). Most deliveries (97%) were vaginal, 2.5% were cesarean and 0.5% forceps deliveries. Primigravida mothers, mothers with short stature, mothers with non-cephalic presentation or complications had cesarean and forceps delivery more often (P < 0.05). A perinatal mortality rate of 74.5 per 1000 live births was observed. Presentation of the fetus and complications in the mother remained important factors.

CONCLUSION:
The majority of deliveries in the under-privileged sections in urban Delhi take place at home and the perinatal mortality remains high.

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Author information

Author/s: Chhabra, Pragti (P); Sharma, Arun Kumar (AK); Tupil, Kannan Anjur (KA);

Affiliation: Department of Community Medicine, University College of Medical Sciences and GTB Hospital, Delhi, India. pragschhabra(-atsign-)yahoo.co.in

Journal and publication information

Publication Type: Journal Article

Journal: The journal of obstetrics and gynaecology research (J Obstet Gynaecol Res), published in Japan. (Language: eng)

Reference: 2006-Dec; vol 32 (issue 6) : pp 567-73

Dates: Created 2006/11/14; Completed 2007/01/09;

PMID: 17100818, status: MEDLINE (last retrieval date: 12/26/2008)

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MeSH headings (categories)

This article was linked to the MESH Headings shown below.

Adolescent
Adult
Cesarean Section - statistics & numerical data
Cohort Studies
Delivery, Obstetric - classification; statistics & numerical data
Extraction, Obstetrical - statistics & numerical data
Female
Fetal Mortality
Home Childbirth - statistics & numerical data

Home Childbirth - statistics & numerical data
Humans
India - epidemiology
Infant Mortality
Infant, Newborn
Odds Ratio
Pregnancy
Pregnancy Outcome - epidemiology
Urban Population

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