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If the definition of non-EBF was revised to be non-EBF before 1 month of age, there remained no association with intrauterine transmission (RH = 1.09 95% CI: 0.50 2.42), but there was a slight, non-significant, increase in intrapartum transmission (RH = 1.75 95% CI: 0.89 3.44) suggesting a small proportion of postnatal transmission may have been misclassified as intrapartum.
The proportion of postnatal care, as well as the proportion of ≥3 postnatal visits, was 42.5% and 22.1% in 2006 and 48.4% and 27.9% in 2008 2009.
The generalised estimating equation model indicated a significant difference in the proportion of postnatal depression between groups from baseline to 12 weeks.
The proportion of postnatal care (or ≥3 times) was calculated as the number of women who received postnatal care (or ≥3 times) divided by all delivered women in the survey.
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In addition, the same condition was observed for use of attending ≥5 antenatal visits and partaking in postnatal care, as well as the proportion of ≥3 postnatal visits attended.
Studies from SSA have shown that in a high proportion of cases, postnatal CMD was preceded by antenatal CMD: 73.2% of cases in Nigeria (Aderibigbe et al. 1993), 81.5% in Zimbabwe (Nhiwatiwa et al. 1998), although only 29% in Uganda (Cox 1983).
The sample size would have 80%% power to detect a 10%% difference in the proportion of women using postnatal care between two groups with a type 1 error of 0.05, assuming an intra class correlation (ICC) of 0.1.
Significant improvements were made to health services including statistically significant improvements in maternal record keeping; ANC (fewer women had no ANC and more had >5 visits), antenatal screening tests and smoking cessation advice; a reduction in fetal distress in labour; and, a higher proportion of women received postnatal contraception advice [ 30].
Therefore, the objective of our study is to assess the proportion of the utilisation of postnatal care among women in Nepal.
The study found a decrease in the proportion of mothers who attended postnatal care and immediate postnatal care services with increasing age.
For the small proportion of women who received postnatal care, the quality of care was poor.
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