Exploring factors influencing post-partum length of hospital stay among women residing in two high priority districts of Uttar Pradesh: a quantitative study


  • Anuj Kumar Pandey Department of Monitoring and evaluation, Uttar Pradesh technical support unit- Ihat, Lucknow, Uttar Pradesh, India
  • Shalu Pachouri Department of Monitoring and evaluation (Family planning), Uttar Pradesh technical support unit- Ihat, Lucknow, Uttar Pradesh, India
  • Anvita Pandey Department of Psychology, Gorakhpur University, Gorakhpur, Uttar Pradesh, India




High priority district, Hospital care, Length of stay, Postnatal care, Postpartum


Background: The first hour and day following childbirth is a period of rapid change within child and mother, with a potential for immediate crises as more than half of global maternal deaths occur during the postnatal period, of which 45 percent maternal and three- quarters of neonatal deaths occur within one day after deliver. Despite of the importance of this period, less than half of mother and newborn get the checkup done in first 24 hours in the state of Uttar Pradesh in India. This quantitative study explored the factors associated with early postpartum hospital discharge.

Methods: This was a hospital-based study in which exit interviews were done using structured questionnaire from 278 recently delivered women at two randomly selected Community Health Centres of Gonda and Bareilly districts each, from Uttar Pradesh. The outcome variable was duration of hospital stay. Descriptive results were presented with comparison of factors within district, followed by bivariate analyses and linear regression was done to adjust for confounders.

Results: Longer distance of house from facility (0.07; 95 percent CI 0.04, 0.01; p<0.001), if informed about new-born care (0.49; 95 percent CI 0.01, 0.85; p 0.01), if ASHA had fewer visits to women house (-0.06; 95 percent CI -0.12, -0.1; p 0.01) were found to be the determinant of longer stay after adjusting for all variables that were found significant in bivariate analysis and were biologically plausible.

Conclusions: The present study concludes that there is lack of awareness among women and their relatives. Inadequate information provided by front line workers were some of the major factors influencing hospital stay pattern.


WHO, 2008. Technical Consultation on Postpartum and Postnatal Care. Available at: https://apps.who.int/iris/bitstream/handle/10665/70432/WHO_MPS_10.03_eng.pdf?sequence=1. Accessed 15 September 2017.

Iyengar K. Early postpartum maternal morbidity among rural women of Rajasthan, India: a community-based study. J Health, Populat, Nutrit. 2012 Jun;30(2):213-25.

INAP- MOHFW, India Newborn Action Plan, September 2014. Available at: https://www.newbornwhocc.org/INAP_Final.pdf. Accessed 15 September 2017.

Maternal and newnorne health toolkit, MHFW, Govt. of india, November 2013. Available at: Accessed 15 September 2017.

Maternal, newborn, child and adolescent health, WHO recommendations on postnatal care of the mother and newborn, 2013. Available at: https://www.who.int/maternal_child_adolescent/documents/postnatal-care-recommendations/en/. Accessed 18 September 2017.

National Family Health Survey 2015-16 (NFHS-4): India fact sheet. Available at: http://www.indiaenvironmentportal.org.in/content/440396/national-family-health-survey-2015-16-nfhs-4-india-fact-sheet/. Accessed 28 August 2017.

National Family Health Survey-4, 2015-16. State Fact Sheet-Uttar Pradesh. Available at: http://rchiips.org/NFHS/pdf/NFHS4/UP_FactSheet.pdf. Accessed 28 August 2017.

The National Institution for Transforming India Aayog (NITI) aayog. NITI Aayog: Government of India. Available at: https://pib.gov.in/newsite/PrintRelease.aspx?relid=118620 Districts.pdf. Accessed 25 June 2019.

Gupta P, Malhotra S, Singh DK, Dua T. Length of postnatal stay in healthy newborns and re-hospitalization following their early discharge. Ind J Pediatr. 2006 Oct 1;73(10):897-900.

Campbell OM, Cegolon L, Macleod D, Benova L. Length of stay after childbirth in 92 countries and associated factors in 30 low-and middle-income countries: compilation of reported data and a cross-sectional analysis from nationally representative surveys. PLoS Medi. 2016 Mar;13(3).

Borkowski W, Mielniczuk H. Length of postpartum women hospital stay. Przeglad Epidemiol. 2006;60(1):163-70.

Nilsson IM, Kronborg H, Knight CH, Strandberg-Larsen K. Early discharge following birth–What characterises mothers and newborns?. Sexua Reproduct Healthc. 2017 Mar 1;11:60-8.

Weiss M, Ryan P, Lokken L, Nelson M. Length of stay after vaginal birth: Sociodemographic and readiness‐for‐discharge factors. Birth. 2004 Jun;31(2):93-101.

Malagon‐Maldonado G, Connelly CD, Bush RA. Predictors of readiness for hospital discharge after birth: Building evidence for practice. Worldviews Evidenc Based Nurs. 2017 Apr;14(2):118-27.

Margolis LH, Kotelchuck M, Chang HY. Factors associated with early maternal postpartum discharge from the hospital. Arch Pediatr Adolesc Medi. 1997 May 1;151(5):466-72.




How to Cite

Pandey, A. K., Pachouri, S., & Pandey, A. (2020). Exploring factors influencing post-partum length of hospital stay among women residing in two high priority districts of Uttar Pradesh: a quantitative study. International Journal of Research in Medical Sciences, 8(6), 2180–2187. https://doi.org/10.18203/2320-6012.ijrms20202263



Original Research Articles