Factors Influencing Institutional Delivery and Its Associates among Antenatal Women in Surat city: A Cross Sectional Study

Abstract

Background: India has focused to incentivize institutional delivery. Skilled care is key for reducing maternal
and neonatal mortality. We examined the determinants influencing institutional delivery, its associates among
antenatal women and birth preparedness among 310 pregnant women attending an urban health centre.
Methods: A facility based cross-sectional study conducted among 310 antenatal women at Urban Health Training
Centre attached to Government Medical College, Surat, Gujarat. Predesigned, semi- structured, pretested
questionnaire was used for data collection after informed written consent.
Results: This study was conducted among 310 pregnant women attending an urban health centre. Mean age of
participants was 22.9+3.6 years. Highest educational level for most of participants (38.4%) was higher secondary.
Around three-fourth 238 (76.7%) of participants were satisfied with institutional delivery whereas one-tenth
(9.7%) participants were not ready for institutional delivery out of 72 (23.2%) unsatisfied participants. Majority
196 (63.2%) participants were aware about Janani Suraksha Yojana. Time required to reach health facility was
significantly associated with birth preparedness.
Conclusion: Study results shows that 23.2% participants were unsatisfied with institutional delivery and some
9.7% were opting for home delivery. Institutional delivery can be increased by promoting awareness about
government schemes and fulfilling the need of participants.