Is essential newborn care provided by institutions and after home births? Analysis of prospective data from community trials in rural South Asia

Pagel, Christina; Prost, Audrey; Hossen, Munir; Azad, Kishwar; Kuddus, Abdul; Roy, Swati Sarbani; Nair, Nirmala; Tripathy, Prasanta; Saville, Naomi; Sen, Aman; Sikorski, Catherine; Manandhar, Dharma S; Costello, Anthony; Crowe, Sonya

doi:10.1186/1471-2393-14-99

Table 7 Proportion of deliveries with protective postnatal practices for mothers who delivered at home with or without a traditional birth attendant

From: Is essential newborn care provided by institutions and after home births? Analysis of prospective data from community trials in rural South Asia

Care practice	Ekjut (Eastern India)			PCP (Bangladesh)			Makwanpur (Nepal)			Dhanusha (Nepal)
Care practice	41%of home non-SBA deliveries were by TBA			83%of home non-SBA deliveries were by TBA			3%of home non-SBA deliveries were by TBA			23%of home non-SBA deliveries were by TBA
Proportion of postnatal newborn care in non-SBA home deliveries with 95%confidence intervals (%)
	No TBA	TBA	All non-SBA home	No TBA	TBA	All non-SBA home	No TBA	TBA	All non-SBA home	No TBA	TBA	All non-SBA home
Clean cloth used for wrapping	77 [66-78]	82 [73-91]	79 [69-90]	97 [91-100]	99 [96-99]	98 [95-100]
Immediate wiping (within 10 minutes)	22 [10-14]	23 [12-34]	23 [11-35]	18 [9-26]	29 [16-51]	27 [15-39]
Skin-to-skin contact between mother and baby within 30 minutes	12 [5-8]	15 [6-24]	13 [5-21]	26 [8-44]	33 [15]	32 [20-44]
Thermal care (wrapping or skin-to-skin contact within 10 minutes)	8 [1-4]	8 [2-13]	8 [2-15]	17 [7-27]	25 [8-33]	23 [7-39]	28 [17-40]	33 [12-54]	29 [17-40]	66 [59-72]	56 [50-62]	65 [58-71]
Delayed bathing (baby not bathed for at least 6 hours)	54 [47-58]	53 [46-60]	53 [46-61]	61 [55-67]	75 [69-97]	72 [67-77]	12 [7-18]	31 [19-43]	13 [8-18]	30 [23-37]	28 [22-35]	30 [23-37]
Colostrum not discarded							65 [56-75]	66 [46-86]	66 [56-75]	59 [53-66]	56 [48-63]	59 [52-66]
No pre-lacteal feed (breast milk first food)	72 [62]	68 [59-78]	71 [62-80]	74 [68-80]	83 [79-84]	81 [77-85]	89 [84-94]	76 [56-97]	89 [84-94]	43 [38-48]	39 [33-45]	42 [37-47]
Immediate breastfeeding (within 1 hour)	21 [10-14]	26 [14-39]	22 [11-34]	59 [49-70]	64 [34]	63 [53-74]	48 [36-61]	58 [36-80]	49 [36-61]	8 [6-11]	8 [6-11]	8 [6-10]
Only breast milk in first 24 hours	76 [65]	71 [64-78]	73 [67-80]	81 [73-90]	81 [77-80]	81 [76-86]

Proportion of deliveries with protective postnatal care practices for mothers who delivered at home without skilled birth attendance, separated by whether there was a traditional birth attendant (TBA) present. Values in bold font show practices where there was at least a 10 percentage point difference between TBA and non-TBA deliveries (whether positive or negative).

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ISSN: 1471-2393

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