Original Research Article
Year: 2019 | Month: January | Volume: 9 | Issue: 1 | Pages: 1-5
Length of PPA and its Determinants in Slum Community of Varanasi
Payal Singh1, R N Mishra2
1Research Scholar, 2Professor,
Division of Biostatistics, Department of Community Medicine, Institute of Medical Science, Banaras Hindu University, Varanasi -221005, (U.P.), India
Background: Duration of post partum amenorrhoea (PPA) is amongst one that regulates fertility process; and can be substantially longer among prolonged breast feeding women. The determinants of PPA are similar to those of breast feeding and are associated with age of mother at child's birth, social status, level of income, religion and caste, and residential status.
Objective: To assess the length of PPA, risk of resumption of menstruation after a birth and the determinants of PPA in slums which is socially disadvantaged society of urban.
Data and methods: A cross sectional survey was carried on 590 slum women of reproductive age group (15-49 years) selected following two stages stratified random sampling; at first stage slums and women at second stage. The analysis carried on 268 women given last birth within 5 years since the survey date. Distribution and median PPA was obtained; Cox (PH) was used to identify the determinant. The statistical significance was judged at α = 0.05.
Observation and results: Nearly half (45.15%) of the women had very small length of PPA of 1-2 months; while in about one third (33.58%) of was 3-4 months. Median duration of PPA was almost 3 months and almost similar irrespective of women’s age, religion, caste, type of family, and education & occupation of women; while differed significantly with number of children born.
Conclusion: In this socially disadvantaged community, duration of PPA is shorter and family planning acceptance is poor; so need motivation on accepting spacing methods of contraception for adequate birth spacing.
Key words: Slum, Post partum, Determinants