Ujjwal Das
Fakir Mohan University, IndiaTitle: The Impact of Child Health on Mode of Delivery in India
Abstract
Objective: Skilled birth attendance and place of delivery have a significant effect on child growth. The present paper examined the mode of delivery and its impact on child health among children 0-59 months in India.
Methods: The life table estimation of mortality, bivariate, and multivariate logistic regression have been used for identifying the association between child health and mode of delivery by the using fourth round of national family health survey data conducted in 2015-16.
Results: After controlling the socioeconomic and bio-demographic factors, the child nutrition as measured by stunting, wasting, and underweight (Z score standard deviation) was significantly lower in children born through the normal delivery, compared to their counterparts born through the C- section (27%,16%, and 23% vs. 40%, 21% and 36%). Furthermore, the chances of a newborn baby dying in the neo-natal period were higher odds by C-section delivery than the normal delivery by different background characteristics. For example mothers given more than 3rd order birth by C-section delivery the higher risk of the baby dying in the neonatal and infant period than 2nd order birth delivery (OR=1.23*** (1.01 - 1.49) vs. 0.74** (0.63 - 0.88) and 1.32*** (1.11 - 1.56) vs. 0.84** (0.72 - 0.96). Similarly, below the mother's age at birth 20 years, <24 months of preceding birth interval and the rural residence were significantly higher risk of a baby dying by C-section delivery than the normal delivery and also negative impact on child growth.
Conclusion: The findings from this study would help formulate the help policies and implement actions that would improve the quality of painless labor and immediate delivery in health facilities particularly public hospitals and shall reduce the C-section which is beneficial for child health.
Keywords: Child growth, Life-table, Multivariate regression, Stunting, Neo-natal mortality, Infant mortality.
Biography
Ujjwal Das has completed his M.Phil. degree at the age of 25 years from IIPS in Mumbai, India. He is doing PhD. in Geography in Rajiv Gandhi University, Arunachal Pradesh, India. And along with he is working as Assistant professor (Temp.) at Fakir Mohan University, Odisha, India. He has 10 publications that have been cited over 10 times, and his publication h-index is 5. He has been serving as a reviewer many reputed journals. His research interest is Public Health and Mortality including Child health, Elderly health, U5MR and Urban poverty and inequality.
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