Submitted:
11 January 2023
Posted:
19 January 2023
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Abstract
Keywords:
1. Introduction
2. Materials & Methods
Inclusion Criteria
- 1.
- All the mothers who gave birth within the last six months to a live baby
- 2.
- Mothers willing to participate in the study
Exclusion Criteria
- 3.
- Mothers who delivered and stayed outside of the study area.
- 4.
- Mothers who were seriously ill and hospitalized.
Methodology of Data Collection
Statistical Analysis
Ethical Consideration
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Acknowledgment
Conflict of Interest
References
- Neonatal mortality [Internet]. UNICEF DATA. UNICEF headquarters 2023. [cited 2023 Jan 18]. Available from: https://data.unicef.org/topic/child-survival/neonatal-mortality/.
- Bhalotra S, Arulampalam W. Sibling Death Clustering in India: State Dependence vs. Unobserved Heterogeneity. IZA Discussion Paper No. 2251. 2006.
- Ministry of Health & Family Welfare. Government of India. India Newborn Action Plan: Child division, New Delhi India. September 2014.
- Darmstadt GL, Bhutta ZA, Cousens S, Adam T, Walker N, Bernis L. Evidence-based, cost-effective interventions: how many newborn babies can we save? Lancet 2005;365:977-88. [CrossRef]
- Bang AT, Paul VK, Reddy HM, Baitule SB. Why do neonates die in rural Gadchiroli, India?: primary causes of death assigned by neonatologist based on prospectively observed records. Int J Perinatol 2005; 25:S29–S34. [CrossRef]
- Dutta AK. Home-based newborn care how effective and feasible. Indian J. Pediatr 2009;46:835-40.
- Marsh DR, Darmstadt GL, Moore J, Daly P, Oot D, Tinker A. Advancing newborn health and survival in developing countries: a conceptual framework. J Perinatol 2002;22:572-6. [CrossRef]
- Mishra DK, Qamra SR. An anthropological study of health seeking behavior among the Tribals of Madhya Pradesh: a case study of Bhils and Bhilals of Dhar. Jabalpur: Regional Medical Research Center for Tribals, 1989.
- Rahi M, Taneja DK, Misra A, Mathur NB, BadhanS.Newborn care practices in an urban slum of Delhi. Indian Journal Of Medical Sciences; 2006;60: 506-513.
- Sartaj A, Goel K, Agarwal G, Goel P, Kumar V, Prakash A. Assessment of the Newborn Care Practices in Home Deliveries among Urban Slums of Meerut, UP India. J Community Med Health Educ.2012; 2:171. [CrossRef]
- Sandberg J, OdbergPettersson K, Asp G, Kabakyenga J, Agardh A. Inadequate Knowledge of Neonatal Danger Signs among Recently Delivered Women in Southwestern Rural Uganda. A Community Survey.PLoS ONE 9(5) 2014; e97253. [CrossRef]
- Singh MB, Haldiya KR, Lakshminarayana J. Infant feeding and weaning practice in some semi-arid rural areas of Rajasthan. J Indian Med Assoc 1997;95:576-8,590.
- Deshpande SG, Zodpey SP, Vasudeo ND. Infant feeding practices in a tribal community of Meghlat region in Maharashtra state. Indian J Med Sci 1996; 50:48.
- Puri S, Bhatia V, Sharma M, Swami HM, Magnet C. Comparison of Prevalent Newborn Rearing Practices, In Urban And Slum Population Of Chandigarh, Ut, India. The Internet Journal of Pediatrics and Neonatology. 2008; 9(1):25-27.

| Socio-Demographic Variables | Number | Percentage | |
|---|---|---|---|
| Age (in years) | |||
| 18-23 | 23 | 7.6 | |
| 24-29 | 212 | 70.8 | |
| 30-35 | 58 | 19.3 | |
| Above 35 | 7 | 2.3 | |
| Total | 300 | 100.0 | |
| Type of family | |||
| Joint | 204 | 68.0 | |
| Nuclear | 96 | 32.0 | |
| Religion | |||
| Muslim | 87 | 29.0 | |
| Hindu | 213 | 71.0 | |
| Total | 300 | 100.0 | |
| Caste | |||
| OBC | 168 | 56.0 | |
| General | 132 | 44.0 | |
| Education | |||
| Illiterate | 134 | 44.7 | |
| Primary | 38 | 13.6 | |
| Junior High | 51 | 17.0 | |
| High school | 63 | 21.0 | |
| Intermediate | 11 | 3.6 | |
| Graduate or above | 3 | 01 | |
| Total | 300 | 100.0 | |
| Occupation | |||
| Unskilled labor | 21 | 7.0 | |
| Semi-skilled labor | 217 | 72.3 | |
| Skilled | 48 | 16.0 | |
| Shopkeeper/Clerical | 14 | 4.7 | |
| Semi-Professional | 0 | 0.0 | |
| Professional | 0 | 0.0 | |
| Total | 300 | 100.0 | |
| Socio-economic status | |||
| Lower class | 70 | 23.4 | |
| Lower middle class | 193 | 64.4 | |
| Middle class | 26 | 8.6 | |
| Upper middle class | 6 | 2.0 | |
| Upper class | 5 | 1.6 | |
| Total | 300 | 100.0 | |
| Parity | |||
| 1 | 89 | 29.6 | |
| 2 | 129 | 43.2 | |
| 3 | 56 | 18.6 | |
| >4 | 26 | 8.6 | |
| Total | 300 | 100.0 | |
| New-borns according to practices | Number of Home Deliveries n=66 |
Number of Institutional delivery n=234 |
Chi-square value, df | p-value | |
|---|---|---|---|---|---|
| Cord carez | |||||
| Safe cord care (n=285) | New Blade/ sterilized scissors | 51(77.4) | 234(100) | - | - |
| Unsafe cord care(n=15) | Old Blade | 10(15.1) | 0(0.0) | ||
| Knife | 3(4.5) | 0(0.0) | |||
| Scissor | 2(3.0) | 0(0.0) | |||
| Bathing practice | |||||
| Early bathing(n=123) | within 1 hour | 18(27.3) | 0(0.0) | 15.60, df-1 |
- |
| 2-24 hours | 14(21.3) | 0(0.0) | |||
| 24-48 hours | 9(13.6) | 82(35.0) | |||
| Delayed bathing(n=177) | >48 hours | 25(37.8) | 152(65.0) | ||
| The first feed of baby | |||||
| Safe first feed(n=196) | Breast milk | 18(27.3) | 178(76.0) | 54.11, df-1 |
0.00 |
| Unsafe first feed (n=104) | Water | 11(16.7) | 15(6.4) | ||
| Honey | 11(16.7) | 5(2.3) | |||
| Ghutti | 10(15.1) | 2(0.8) | |||
| Cow milk | 16(24.2) | 34(14.5) | |||
| Timing of Initiation of breastfeeding | |||||
|
Early breastfeeding (n=149) |
Within an hour of birth | 10(15.1) | 46(19.8) | 0.04, df-1 |
0.82 |
| Within 1-4 hours | 22(27.5) | 71(30.0) | |||
|
Delayed breastfeeding (n=151) |
Within a day | 17(25.7) | 57(24.3) | ||
| After a day | 12(18.2) | 40(17.0) | |||
| After three days | 5(7.5) | 20(8.5) | |||
| Socio-demographic variables | Cord Care | |||||
|---|---|---|---|---|---|---|
| Safe cord care n=285 | Unsafe cord care n=15 |
p-value |
Chi-square value, degree of freedom |
|||
|
Age of mother (in years) |
No. | (%) | No. | (%) |
0.003 |
13.86, df-3 |
| 18-23 | 20 | 7.2 | 3 | 20.0 | ||
| 24-29 | 206 | 72.1 | 6 | 40.0 | ||
| 30-35 | 54 | 18.9 | 4 | 26.7 | ||
| >35 | 5 | 1.8 | 2 | 13.3 | ||
| Total | 285 | 100.0 | 15 | 100.0 | ||
| Type of family | No | (%) | No | (%) | ||
| Nuclear | 88 | 30.8 | 8 | 53.4 |
0.06 |
3.30, df-1 |
| Joint | 197 | 69.2 | 7 | 46.6 | ||
| Total | 285 | 100.0 | 15 | 100.0 | ||
| Religion | No | (%) | No | (%) |
0.001 |
15.07, df-1 |
| Hindu | 209 | 73.3 | 4 | 26.6 | ||
| Muslim | 76 | 26.7 | 11 | 73.4 | ||
| Total | 285 | 100.0 | 15 | 100.0 | ||
| Caste | No | (%) | No | (%) |
0.74 |
0.10, df-1 |
| General | 126 | 44.2 | 6 | 40.0 | ||
| OBC | 159 | 55.8 | 9 | 60.0 | ||
| Total | 285 | 100.0 | 15 | 100.0 | ||
| Educational status | No | (%) | No | (%) | ||
| Illiterate | 126 | 44.2 | 8 | 53.3 |
0.192 |
7.39, df-5 |
| Primary | 36 | 12.6 | 2 | 13.3 | ||
| Junior high | 49 | 17.2 | 2 | 13.3 | ||
| High school | 62 | 21.7 | 1 | 6.7 | ||
| Intermediate | 10 | 3.5 | 1 | 6.7 | ||
| Graduate and above | 2 | 0.8 | 1 | 6.7 | ||
| Total | 285 | 100.0 | 15 | 100.0 | ||
| Occupation | No | (%) | No | (%) |
0.001 |
31.81, df-3 |
| Unskilled labor | 15 | 5.3 | 6 | 40.0 | ||
| Semi-skilled labor | 213 | 74.7 | 4 | 26.7 | ||
| Skilled | 45 | 15.7 | 3 | 20.0 | ||
| Shopkeeper/ Clerical | 12 | 4.3 | 2 |
13.3 | ||
| Total | 285 | 100.0 | 15 | 100.0 | ||
|
Socioeconomic Status |
No | (%) | No | (%) | ||
| Upper class | 4 | 1.4 | 1 | 6.7 |
0.001 |
20.84,df-4 |
| Upper middle class | 4 | 1.4 | 2 | 13.3 | ||
| Middle class | 22 | 7.8 | 4 | 26.7 | ||
| Lower middle class | 188 | 65.9 | 5 | 33.3 | ||
| Lower class | 67 | 23.5 | 3 | 20.0 | ||
| Total | 285 | 100.0 | 15 | 100.0 | ||
| Parity | No | (%) | No | (%) | ||
| 1 | 86 | 30.2 | 3 | 19.9 |
0.04 |
7.92, df-3 |
| 2 | 125 | 43.8 | 4 | 26.7 | ||
| 3 | 52 | 18.3 | 4 | 26.7 | ||
| ≥ 4 | 22 | 7.7 | 4 | 26.7 | ||
| Total | 285 | 100.0 | 15 | 100.0 | ||
|
Socio-demographic variables |
Initiation of Breastfeeding | |||||
|---|---|---|---|---|---|---|
| Early breastfeeding n=149 | Delayed breastfeeding n=151 |
p-value |
Chi-square value, degree of freedom |
|||
|
Age of mother (in years) |
No | (%) | No | (%) |
0.001 |
49.60,df-3 |
| 18-23 | 19 | 12.7 | 4 | 2.6 | ||
| 24-29 | 78 | 52.3 | 134 | 88.7 | ||
| 30-35 | 48 | 32.3 | 10 | 6.7 | ||
| >35 | 4 | 2.7 | 3 | 2.0 | ||
| Total | 149 | 100.0 | 151 | 100.0 | ||
| Type of family | No | (%) | No | (%) | ||
| Nuclear | 37 | 24.8 | 59 | 39.0 |
0.008 |
6.98, df-1 |
| Joint | 112 | 75.2 | 92 | 61.0 | ||
| Total | 149 | 100.0 | 151 | 100.0 | ||
| Religion | No | (%) | No | (%) | ||
| Hindu | 125 | 83.9 | 88 | 58.3 |
0.001 |
23.89,df-1 |
| Muslim | 24 | 16.1 | 63 | 41.7 | ||
| Total | 149 | 100.0 | 151 | 100.0 | ||
| Caste | No | (%) | No | (%) | ||
| General | 122 | 81.8 | 10 | 6.6 |
0.001 |
172.38,df-1 |
| OBC | 27 | 18.2 | 141 | 93.4 | ||
| Total | 149 | 100.0 | 151 | 100.0 | ||
| Educational status | No | (%) | No | (%) | ||
| Illiterate | 72 | 35.4 | 62 | 47.2 |
0.001 |
38.44,df-5 |
| Primary | 31 | 26.1 | 7 | 8.9 | ||
| Junior high | 18 | 10.7 | 33 | 18.7 | ||
| High school | 17 | 10.7 | 46 | 23.8 | ||
| Intermediate | 9 | 13.8 | 2 | 0.8 | ||
| Graduate and above | 2 | 3.0 | 1 | 0.4 | ||
| Total | 149 | 100.0 | 151 | 100.0 | ||
| Occupation | No | (%) | No | (%) |
0.03 |
8.67,df-3 |
| Unskilled labor | 9 | 6.0 | 12 | 8.0 | ||
| Semi-skilled labor | 102 | 68.5 | 115 | 76.1 | ||
| Skilled | 26 | 17.5 | 22 | 14.5 | ||
| Shopkeeper/Clerical | 12 | 18.0 | 2 | 1.4 | ||
| Total | 149 | 100.0 | 151 | 100.0 | ||
| Socioeconomic status | No | (%) | No | (%) |
0.08 |
8.22,df-4 |
| Upper class | 4 | 2.6 | 1 | 0.6 | ||
| Upper middle class | 4 | 2.6 | 2 | 1.3 | ||
| Middle class | 18 | 12.2 | 8 | 5.3 | ||
| Lower middle class | 87 | 58.5 | 106 | 70.3 | ||
| Lower class | 36 | 24.1 | 34 | 22.5 | ||
| Total | 149 | 100.0 | 151 | 100.0 | ||
| Parity | No | (%) | No | (%) |
0.007 |
11.97, df- 3 |
| 1 | 31 | 20.8 | 58 | 38.4 | ||
| 2 | 69 | 46.3 | 60 | 39.8 | ||
| 3 | 33 | 22.2 | 23 | 15.2 | ||
| ≥ 4 | 16 | 10.7 | 10 | 6.6 | ||
|
Socio-demographic variables |
Bathing Practices | |||||
|---|---|---|---|---|---|---|
|
Early bathing (n=123) |
Delayed bathing (n=177) |
p value |
Chi-square value, degree of freedom |
|||
| Age of mother (in years) | No | (%) | No | (%) |
0.11 |
5.91,df- 3 |
| 18-23 | 5 | 4.0 | 18 | 10.4 | ||
| 24-29 | 87 | 70.7 | 125 | 70.1 | ||
| 30-35 | 29 | 23.6 | 29 | 16.8 | ||
| >35 | 2 | 1.7 | 5 | 2.7 | ||
| Total | 123 | 100.0 | 177 | 100.0 | ||
| Type of family | No | (%) | No | (%) | ||
| Nuclear | 31 | 25.2 | 65 | 36.4 |
0.03 |
4.426,df- 1 |
| Joint | 92 | 74.8 | 112 | 62.6 | ||
| Total | 123 | 100.0 | 177 | 100.0 | ||
| Religion | No | (%) | No | (%) | ||
| Hindu | 51 | 41.4 | 162 | 91.5 |
0.00 |
88.332,df- 1 |
| Muslim | 72 | 58.6 | 15 | 8.5 | ||
| Total | 123 | 100.0 | 177 | 100.0 | ||
| Caste | No | (%) | No | (%) | ||
| General | 35 | 28.5 | 97 | 54.8 |
0.001 |
20.44,df-1 |
| OBC | 88 | 71.5 | 80 | 45.2 | ||
| Total | 123 | 100.0 | 177 | 100.0 | ||
| Educational status | No | (%) | No | (%) |
0.00 |
69.51,df-5 |
| Illiterate | 87 | 70.7 | 47 | 26.5 | ||
| Primary | 12 | 9.7 | 26 | 14.7 | ||
| Junior high | 9 | 7.4 | 42 | 23.8 | ||
| High school | 7 | 5.8 | 56 | 31.6 | ||
| Intermediate | 6 | 4.8 | 5 | 2.9 | ||
| Graduate and above | 2 | 1.6 | 1 | 0.5 | ||
| Total | 123 | 100.0 | 177 | 100.0 | ||
| Occupation | No | (%) | No | (%) |
0.001 |
15.81, df-3 |
| Unskilled labor | 10 | 8.1 | 11 | 6.2 | ||
| Semi-skilled labor | 88 | 71.6 | 129 | 72.9 | ||
| Skilled | 13 | 10.6 | 35 | 19.8 | ||
| Shopkeeper/ Clerical |
12 | 9.7 | 2 | 1.1 | ||
| Total | 123 | 100.0 | 177 | 100.0 | ||
| Socioeconomic status | No | (%) | No | (%) | ||
| Upper class | 1 | 0.8 | 4 | 2.2 |
0.30 |
4.83,df-4 |
| Upper middle class | 2 | 1.7 | 4 | 2.2 | ||
| Middle class | 10 | 8.2 | 16 | 9.0 | ||
| Lower middle class | 74 | 60.1 | 119 | 67.3 | ||
| Lower class | 36 | 29.2 | 34 | 19.3 | ||
| Total | 123 | 100.0 | 177 | 100.0 | ||
| Parity | No | (%) | No | (%) |
0.01 |
10.64,df- 3 |
| 1 | 25 | 20.3 | 64 | 36.1 | ||
| 2 | 56 | 45.5 | 73 | 41.2 | ||
| 3 | 27 | 22.0 | 29 | 16.5 | ||
| ≥ 4 | 15 | 12.2 | 11 | 6.2 | ||
| Total | 123 | 100.0 | 177 | 100.0 | ||
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