Pradhan P M S, Bhattarai S, Paudel I S, Gaurav K, Pokharel P K
School of Public Health and Community Medicine, B.P. Koirala Institute of Health Sciences (BPKIHS), Dharan, Nepal.
Kathmandu Univ Med J (KUMJ). 2013 Jan-Mar;11(41):60-5. doi: 10.3126/kumj.v11i1.11029.
Proper antenatal care and good delivery practice helps to prevent the complications of childbirth and ensures a wholesome maternal and child health in the future. Almost half of the births in the developing countries take place without a skilled birth attendant.
To assess the antenatal care (ANC) and delivery practices in the Village Development Committees (VDC) of Ilam district, Nepal and to identify the relationship with the socio-demographic factors.
Cross sectional study of 262 mothers of reproductive age group having at least one child of less than five years of age, selected by simple random sampling, was carried out over different VDCs of Ilam by face to face interview using semi-structured questionnaire.
Among 262 mothers, 34.7% were married before the age of 18 years. 69.5% of the mothers had attended four antenatal care visits. Nearly 47% of the deliveries were conducted at home out of which only 33.6% were conducted by skilled birth attendant. Number of children and maternal education were found to significantly affect the ANC visit and place of delivery. Age at marriage and age at first pregnancy were significantly associated with the place of delivery.
Large proportion of mothers still do not have adequate antenatal visits and this is supported by the fact that nearly half of the deliveries were conducted at home. Motivation and incentives are required for pregnant mothers especially in rural areas regarding importance of adequate antenatal visits and delivery in health institutions. Population policies should be aimed at reducing proportion of women marrying and giving birth in their teens.
适当的产前护理和良好的分娩操作有助于预防分娩并发症，并确保未来母婴健康。在发展中国家，几乎一半的分娩是在没有熟练助产人员在场的情况下进行的。
评估尼泊尔伊拉姆地区乡村发展委员会（VDC）的产前护理（ANC）和分娩操作情况，并确定其与社会人口学因素的关系。
通过简单随机抽样，选取伊拉姆不同乡村发展委员会中262名有至少一名5岁以下子女的育龄母亲，采用半结构化问卷进行面对面访谈，开展横断面研究。
在262名母亲中，34.7%在18岁之前结婚。69.5%的母亲进行了四次产前检查。近47%的分娩在家中进行，其中只有33.6%由熟练的助产人员接生。子女数量和母亲受教育程度被发现对产前检查次数和分娩地点有显著影响。结婚年龄和首次怀孕年龄与分娩地点显著相关。
很大比例的母亲仍然没有进行足够的产前检查，这一点从近一半的分娩在家中进行这一事实得到了佐证。对于怀孕母亲，尤其是农村地区的母亲，需要激励措施来让她们认识到进行足够产前检查以及在医疗机构分娩的重要性。人口政策应旨在减少青少年结婚和生育的女性比例。
