Community-based study investigates pregnancy outcomes and delivery modes in remote villages, suggesting significant health implications.
Background Choice, safety, availability of different birth settings is important for healthy maternity of women around the world. Studies of births planned at home, birth centers and hospitals have revealed better and poorer outcomes. So it has become a research agenda. Objective Community-based study was conducted to know about birth outcomes in relation to place, mode of delivery in women of remote villages. Material Methods Information was collected about pregnancy outcomes in relation to place of birth, mode of delivery in women of remote villages. Pregnancy outcome details were recorded by asking women, seeing records, whatever they had. Results Many illiterate women gave birth at Subcenters(SC)/Primary healthcentres(PHC)(76.6%)and those with secondary/higher secondary education mostly delivered at DH/SDH (67.4%). Homemakers, agricultural laborers had the highest percentage of births at SC/PHC 52.2% and 50.5% respectively. As such more than 50% births occurred at SCs or PHCs.Of all the births at SDH 0.8% and at PHC 1.3% were stillbirths, home births had higher numbers of SBs 9.2%. However, the highest stillbirths were at district hospitals (DH), probably because of delayed, multiple referrals.
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Shakuntala Chhabra (2024) studied this question.
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