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Table 2 Delivery and post-delivery service provision by the private sector providers in the Indian state of Bihar in 2011, 2016 and 2020–2021

From: Private sector delivery of care for maternal and newborn health: trends over a decade in the Indian state of Bihar

 

Percent of livebirths N = 2259

(% to N)

Percent of livebirths N = 3314

(% to N)

Percent of livebirths N = 1630

(% to N)

Percent change

(95% CI)

Percent change

(95% CI)

 

2011

2016

2020–2021a

2011 to 2016

2016 to 2020–2021

Delivery indicators

 Referred delivery

NA

407 (12.3)

322 (16.5)

NA

34.1 (16.9 to 51.4)

 Oxytocin use in labour

NA

2695 (81.3)

1134 (74.4)

NA

 − 8.5 (− 11.6 to − 5.4)

 Delivery by C-sectionb

441 (19.5)

1413 (42.7)

786 (50.8)

119.0 (106.9 to 131.0)

19.0 (12.1 to 25.9)

 Push/pull during delivery by the health providerc

NA

291 (8.8)

99 (6.0)

 

 − 35.7 (− 52.3 to − 19.2)

Post-delivery indicators

 Birthweight measuredd

1622 (71.8)

2989 (91.5)

1555 (97.2)

27.4 (24.5 to 30.3)

6.3 (4.9 to 7.6)

 Antiseptic cord careb

1227 (54.9)

926 (27.9)

468 (27.2)

 − 49.2 (− 53.8 to − 44.5)

 − 2.5 (− 12.0 to 6.9)

 Skin-to-skin caree

496 (22.0)

626 (19.6)

423 (23.6)

 − 10.9 (− 20.8 to − 1.0)

20.4 (7.8 to 33.0)

 Delayed bathing of the baby (> 2 days)b,f,g

956 (42.7)

2011 (61.7)

1231 (81.6)

44.5 (38.3 to 50.7)

32.3 (28.1 to 36.4)

 Breast-fed within 1-h post-deliveryb,f,h

1005 (44.9)

1391 (42.7)

333 (20.0)

 − 4.9 (− 10.9 to 1.1)

 − 53.2 (− 59.3 to − 47.0)

 Neonate referred elsewhere at birthb

  

293 (15.6)

  
  1. aData missing for 1 case for all indicators in 2020–2021
  2. bData missing for 1 case in 2020–2021
  3. cData missing for 1 case in 2016
  4. dData missing for 46 cases in 2016
  5. eData missing for 9 and 39 cases in 2011 and 2016, respectively
  6. fNot applicable for 20, 56 and 62 neonates who died immediately post-delivery in 2011, 2016 and 2021 respectively
  7. gData missing for 10, and 7 cases in 2011 and 2016, respectively
  8. hData missing for 19 cases in 2016