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Increase in home births in Delhi due to Covid scare | India News

NEW DELHI: The latest birth registration data from municipal agencies has revealed that in recent months, the steady trend of increasing institutional births (less than 10% of non-institutional births were registered in 2019) was reversed due to Covid.
Compared with a progressive increase in institutional deliveries in the last two decades, between 35% and 42.5% of deliveries in home they have been registered in the areas under the jurisdiction of the three municipal corporations in recent months.
The new corporate portal on birth and death certificates automatically divides birth certificates into categories of home birth and hospital / institutional, and experts have been surprised by what it has shown.
During the last week in South Delhi, the South Corporation recorded 3,658 births, of which more than 42% (1,565 cases) were home births. Likewise, during the last two months, 23,780 births have been registered in the four zones of the southern corporation, of which 8,258 cases were home births – around 35% of the women gave birth at home and 56% opted for births institutional. In the six administrative areas of the northern corporation, the home delivery rate in February was even higher, at 42.5%, with 4,763 out of 11,202 cases of non-institutional births.
A senior official at a corporate-run maternal and child welfare center said the rise in non-institutional births is cause for concern, as the rise in institutional births was the key factor behind the overall decline in maternal mortality rates. and neonatal. According to Delhi’s annual vital statistics reports of births and deaths, the percentage of institutional births in 2001 was 62.11%, which increased to 73.72% in 2005; 78.51% in 2010; and 84.41% in 2015. Hospital / institutional deliveries constituted 89.1% births in 2017 and 91.15% in 2019.
Delhi-specific studies on home births state that fear of surgical procedures, unfamiliarity with the hospital environment, financial reasons, and loss of wages have traditionally been some of the reasons that led women to choose births. domiciliary. It has been mostly prevalent in homes with low literacy levels, a high number of pregnancies and immigration status.
Dr. Suneeta Mittal, former head of AIIMS ‘gynecology department, said financial reasons have been addressed through various government schemes. “The Covid pandemic and its aftermath may be the main reason behind this increase in home delivery cases, as there was a sudden 20% decrease in institutional deliveries when the lockdown was imposed. Hospitals were addressing the increase in corona cases, while people were also afraid to go to hospitals. There has also been a drop in patients from the remote station due to movement restrictions, ”he added.
A senior municipal doctor said they too had to create dedicated teams, who would visit homes in the event of complicated deliveries during the shutdown and then part of the pandemic. “Since the largest hospitals were declared to be exclusive Covid facilities, the burden on MCHs also multiplied,” the doctor said.

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