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Do maternal obstetric morbidity and its concomitants differ between sedente and migrant groups? The case of the Oraon populations of Eastern India

Published online by Cambridge University Press:  23 January 2023

Joyeeta Thakur Open the ORCID record for Joyeeta Thakur [Opens in a new window] ,
Monali Goswami  and
Subho Roy
Joyeeta Thakur*
Affiliation:
Department of Anthropology, University of Calcutta, India
Monali Goswami
Affiliation:
Department of Anthropology & Tribal Studies, Maharaja Sriram Chandra Bhanja Deo University, Odisha, India
Subho Roy
Affiliation:
Department of Anthropology, University of Calcutta, India
*
*Corresponding author: Email joyeetat@gmail.com
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Abstract

The state of pregnancy and child birth is a stretch of intense vulnerability and incurs reproductive cost, which is governed within a specific socio-ecological context. We asked in our research whether the obstetric morbidities at three stages: antepartum, intrapartum and postpartum, and their concomitants differed significantly between sedente and migrant populations. 403 Oraon indigenous women [203 sedente and 200 migrants] living in Eastern India were selected. Data on socio-demographic, reproductive, maternal health care services and obstetric morbidities were collected using semi structured schedules. We applied Categorical Principal Component Analysis (CATPCA) on the first three variables; PC1 and PC4 were loaded with “socio-demographic and maternal health care services” and PC2 and PC3 loaded with “socio-demographic and reproductive” variables. We applied Poisson regression to examine the determinants of obstetric morbidities. Bivariate analyses showed significant (p ≤ 0.05) sedente-migrant differences in variables related to socio-demographic, reproductive, maternal health care and obstetric morbidities. Poisson regression showed migrants were more likely (p ≤ 0.001) to experience ante and intrapartum morbidities than the sedentes, after controlling the confounders. PC1, PC2 and PC3 could significantly (p ≤ 0.05) predict ante and intrapartum morbidities. For postpartum morbidities, barring the variables related to availing of maternal health care services at the time of child delivery and post delivery, neither migration status nor any of the PCs was a significant predictor. For example, participants who delivered their child in health institutions and had episiotomy and/or caesarean delivery (p ≤ 0.01); and those who availed first PNC within the 24 hours of delivery, stayed under medical supervision after delivery for more than 48 hours and received higher coverage of PNCs were more and less likely respectively (p ≤ 0.05) to have experienced postpartum morbidities. We conclude that the maternal obstetric morbidities and their concomitants differed between sedente and migrant Oraon populations owing to their living in differential socio-ecological contexts.

Keywords

Obstetric morbiditysedente-migrantcategorical principal component analysisOraon populationsEastern India
Type
Research Article
Information
Journal of Biosocial Science , Volume 55 , Issue 6 , November 2023 , pp. 1044 - 1063
Copyright
© The Author(s), 2023. Published by Cambridge University Press

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