Postnatal and neonatal care after home birth: A community-based study in Nepal.
BACKGROUND
In Nepal, the majority of women who give birth at home do not visit a health facility for postnatal and neonatal care.


OBJECTIVE
This study investigated postnatal and neonatal care practices of women who give birth at home in a central hills district of Nepal.


METHODS
This study is a part of community-based prospective study in the Kaski district of Nepal. Postnatal and neonatal care practices were collected via structured questionnaires.


METHODS
Kaski district of Nepal.


METHODS
92 postpartum women who gave birth at home.


METHODS
Postnatal care at a health facility and neonatal care practices.


RESULTS
Approximately 90% (83/92) of women who gave birth at home were assisted by non-skilled birth attendants, and 67% (62/92) received no postnatal care at a health facility within a week post delivery. The main reason for not having postnatal care at a health facility was 'no perceived need' (52/62, 83.9%). With regard to neonatal care practices, 67% (62/92) used a delivery kit, 79% (73/92) washed their hands before handling their babies, 70% (64/92) bathed their babies on the second day of birth, while all dried and wrapped their babies with a cloth within half an hour of the birth. However, only 46% (42/92) reported skin-to-skin contact within one hour after birth.


CONCLUSIONS
The results suggest that there is great scope to strengthen community-based postnatal and neonatal care to screen for and identify postnatal and neonatal problems, especially at home birth.
School of Public Health and Community Medicine, BP Koirala Institute of Health Sciences, Dharan, Nepal. Electronic address: rkarkee@gmail.com.
Rajendra
R
Karkee
School of Public Health, Curtin University, WA, Australia.
Vishnu
V
Khanal
D000293:Adolescent; D000328:Adult; D036861:Delivery, Obstetric / Q000706:statistics & numerical data*; D005260:Female; D006700:Home Childbirth / Q000706:statistics & numerical data*; D006801:Humans; D007231:Infant, Newborn; D009390:Nepal; D011181:Postnatal Care / Q000379:methods*; D049590:Postpartum Period; D011247:Pregnancy; D011446:Prospective Studies; D055815:Young Adult
Home birth; Neonatal care; Nepal; Postnatal care