Abstract
Background: A skilled birth attendant and the place of delivery have significant effects on child
growth.
Aims: The present paper aims to examine the mode of delivery and its impact on child health
among children (0 – 59 months) in India.
Methods: The life table estimation of mortality and both bivariate and multivariate logistic
regressions were used to identify the association between child health and mode of delivery using
data from the National Family Health Survey conducted in 2015 – 2016.
Results: After adjusting for socioeconomic and biodemographic factors, poor child growth
(measured through Z-scores for stunting, wasting, and underweight categories) was more significant
in cesarean delivery compared to normal delivery. In contrast, live birth for different groups of
women was reportedly higher in normal vaginal delivery than in cesarean delivery. Neonatal and
infant mortality rates were lower for normal delivery than cesarean delivery, particularly in public hospitals. The risk of child death was also higher in cesarean delivery, particularly in the neonatal
period.
Conclusion: The findings from this study could inform the development of health-care policies
and the implementation of strategies aimed at improving the quality of painless labor and prompt
delivery in health-care facilities, particularly public hospitals.
Relevance for Patients: The present study may help pregnant women and their providers decide
whether a cesarean delivery is appropriate.
DOI: https://doi.org/10.36922/jctr.22.00239
Author affiliation
1Department of Geography, Fakir Mohan University, Balasore, Odisha, India
2Department of Geography, School of Environmental Science,
Rajiv Gandhi University, Itanagar, Arunachal Pradesh, India
*Corresponding author:
Ujjwal Das
Department of Geography, Fakir Mohan
University, Balasore, Odisha, India
Email: ujjwal.das@rgu.ac.in
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