Background: Maternal and child health are critically important in a country that is experiencing high infant mortality and maternal mortality. Research all over the world has suggested that one of the major solutions to this problem is availability of Emergency Obstetric Care services within the reach of people. Objectives of the study were to examine profile of mothers who have delivered in health facility during a year and the interplay of various factors in child birth and newborn outcome.Methods: Retrospective cross sectional study conducted by collecting information in predesigned format from medical records. Appropriate statistical methods and test of significance performed for qualitative and quantitative variables.Results: Out of 539 women, the majority of 42.9% were in the age group 20-25 years, the mean age (SD) of mother was 24.1 years (±4.09). Out of total 539 vaginal deliveries, 56.6% cases episiotomy was performed. 41.6% deliveries occurred from 8 AM to 4 PM. The mean birth weight was 2.830 kg SD 0.439 and low birth prevalence 16.0%. Parity with time to delivery after admission in different age groups revealed significant association (X2=66.456, p=0.000). Women aged less than 20 years are 12 times more at risk of episiotomy performed. The multivariate logistic regression analysis shows 60.67% specificity and 85.59% sensitivity in predicting episiotomy.Conclusions: From study it is evident that women report to hospital late in labor hence there is urgent need to provide quality antenatal care services at village and PHC level and augment awareness among the community for promotion of safe motherhood.

No abstract

BACKGROUND India is one of the countries with very high prevalence of anaemia in the world. In India, almost 59% of pregnant women are anaemic and it accounts for 20-40% of total maternal deaths. Anaemia in pregnancy is one of the major risks and associated with abortions, premature births, postpartum haemorrhage and low birth weight. In view of the above, the present study was carried out to find out the prevalence of anaemia amongst pregnant women and sociodemographic factors associated with anaemia in pregnancy. MATERIALS AND METHODS A community-based cross-sectional study was carried out among 200 pregnant women with gestational period 12-20 weeks attending the antenatal sessions in 4 tea garden areas under Dholai BPHC, Cachar District, for 6 months from April 2016 to September 2016. Data were presented in proportion, mean and standard deviation. Association was seen by using Chi-square test and Fischer's exact test. RESULTS Among 200 pregnant women, majority (38.5%) were in 20-24 years of age, 98% Hindu by religion and 56% from class IV socioeconomic class. Regarding the educational status, 34.5% were educated up to primary school, while 33.5% were illiterate. Majority, i.e. 45.5% and 31.5% were having parity 0 and 1, respectively. Prevalence of anaemia in the present study was found to be 81% and among which 77.2% were moderately anaemic. The study showed significant association of anaemia among pregnant women with lower socioeconomic status and high parity.

BACKGROUNDA baby's weight at birth is the key determinant for its survival and development. It reflects the health and nutritional status of the mother during reproductive period and particularly in pregnancy. The objective of this study is to know the proportion of low birth weight neonates and the effect of maternal age and parity on birth weight.