Determinants of maternal care in a region of South India

Abstract

A cross-sectional survey was conducted during 1993 in urban and rural areas of Karnataka State, India. The survey included 3595 currently married women aged under 35, who had at least one child under five. Nine out of ten women had at least one antenatal consultation during their most recent fertile pregnancies. Most consultations were with doctors and there was minimal use of the services provided by paramedical staff of the primary health care system. Of all respondents, 38 per cent (57% urban and 29% rural) delivered in a hospital, and a majority of institutional deliveries were in private hospitals. Surgical interventions were made in more than one-third of hospital deliveries. There was a marked imbalance between antenatal and postnatal care as fewer than one-fifth of the mothers had a postnatal checkup. The educational level, economic status and religion of the mother are significant predictors of use of maternal health services. The relationship of problems during pregnancy and delivery with subsequent health-related behaviour is also examined.