scholarly journals Diversities in the Place of Delivery Choice: A Study Among Expectant Mothers in Ghana

2021 ◽  
Author(s):  
Mahama Ibrahim Baba ◽  
Kofi Adesi Kyei ◽  
Justina Baaba Kyei ◽  
Joseph Daniels ◽  
Isaac Justice Kobina Biney ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Group Discussion ◽  
Hospital Staff ◽  
Educational Background ◽  
Home Delivery ◽  
Place Of Delivery ◽  
Individual Interviews ◽  
Rural And Urban ◽  
Expectant Mothers ◽  
Study Participants

Abstract Background: In this study, the factors that influence the choice of place of delivery among expectant mothers in both rural and urban settings in the northern part of Ghana were identified and compared using the conceptual framework provided by Thaddeus and Maine. Methods: A mixed-method study was used to examine expectant mothers and their responses related to factors that affect their choice of place of delivery through a concurrent triangulation using health professional interviews and a detailed participant survey. The sample consisted of 552 expectant mothers between the ages of 15 and 49 years. Individual interviews were held with 8 health professionals and a focus group discussion with randomly selected pregnant women and lactating mothers. Themes were generated through open coding of the interview data, while multiple regression was performed to identify the factors associated with choice of place of delivery, rural area.Results: Preference (60.1%) was for home delivery compared to 20.7% for urban participants. Statistically significant variables affecting the choice of place of delivery among study participants were found to be educational background, the experience of previous deliveries, the attitude of hospital staff toward pregnant women during labor, and frequency of accessing antenatal careConclusion: The study’s implications may lead to positive change where stakeholders develop and implement policies to promote health facility delivery for expectant mothers in Ghana.

scholarly journals Place of Delivery among Antenatal Clinic Attendees at a Rural Community in North-Western Nigeria

2020 ◽  
pp. 365-374
Author(s):  
IU Takai ◽  
HG Ali ◽  
RA Attah ◽  
IA Yakasai
Keyword(s):  
Pregnant Women ◽  
General Hospital ◽  
Care Delivery ◽  
Short Interval ◽  
Antenatal Clinic ◽  
Home Delivery ◽  
Place Of Delivery ◽  
Birth Attendance ◽  
Socioeconomic And Demographic Factors ◽  
At Home

In developing countries, most deliveries take place without a skilled birth attendance. This lack of skilled birthattendance could be considered as one of the major factors contributing to maternal and neonatal morbidity and mortality. The use of facility-based delivery system helps to reduce various complications during childbirth, which may be affected by social and cultural norms among several other factors. This study was to assess the proportion of pregnant women delivering at home and the role of socioeconomic and demographic factors affecting the choice of place of delivery among pregnant women attending antenatal, postnatal and Immunization clinic at Rano General Hospital, Kano. This is a cross sectional study carried out between September 2018 to November 2018 among 310 pregnant women who had at least delivered once and are attending antenatal care, post-natal or immunization clinic at the General hospital in Rano local government area of Kano state within the study period. Data was collected using interviewer administered questionnaire which was interpreted to those participants who cannot understand English language. Data obtained was entered into excel spread sheet 2018 and subsequently analyzed using SPSS 2016 version 20. Multivariateregression methods were used for measuring the associations between socio-demographic variables and place of delivery. About 310 questionnaires were distributed of which 100% retrieval rate was achieved. A total of 281 (90.6%) received antenatal services at least once during their previous pregnancy among which 183 (59.03%) of them had home delivery. The respondents were between the ages of 18-37 years with the mean age of 24.9 ± 5.1 years. Minimum age of the respondents was 18 years, while the maximum age was 37 years. The main reasons for home delivery were, previous delivery was at home and complication free, short interval between onset of labor and delivery and also husband and mother in-law's decision. This study has shown that there is still high rate of home delivery among antenatal clinic attendees. This home delivery is usually preferred to hospital delivery by their husbands and mother in-laws as they consider it to be safe and more convenient. There is therefore need to educate women on early signs of labor and address the importance of health care delivery to prevent complications which may increase the maternal mortality rate.

Drug use differences in rural and urban opioid-dependent pregnant women

2008 ◽  
Author(s):  
Teresa Scott ◽  
Sarah H. Heil ◽  
Karol Kaltenbach ◽  
Amber Holbrook
Keyword(s):  
Drug Use ◽  
Pregnant Women ◽  
Rural And Urban

scholarly journals High susceptibility to varicella among urban and rural pregnant women in South India: a brief report

2021 ◽  
Vol 149 ◽  
Author(s):  
Leeberk Raja Inbaraj ◽  
Sindhulina Chandrasingh ◽  
Nalini Arun Kumar ◽  
Jothi Suchitra ◽  
Abi Manesh
Keyword(s):  
Pregnant Women ◽  
South India ◽  
Significant Proportion ◽  
Prevalence Ratio ◽  
Epidemiological Studies ◽  
Lethal Outcome ◽  
Factors Associated ◽  
Rural And Urban ◽  
History Of ◽  
Secondary Hospital

Abstract Varicella infection during pregnancy has serious and/or difficult implications and in some cases lethal outcome. Though epidemiological studies in developing countries reveal that a significant proportion of patients may remain susceptible during pregnancy, such an estimate of susceptible women is not known in India. We designed this study to study the prevalence and factors associated with susceptibility to varicella among rural and urban pregnant women in South India. We prospectively recruited 430 pregnant women and analysed their serum varicella IgG antibodies as surrogates for protection. We estimated seroprevalence, the validity of self-reported history of chickenpox and factors associated with varicella susceptibility. We found 23 (95% CI 19.1–27.3) of women were susceptible. Nearly a quarter (22.2%) of the susceptible women had a history of exposure to chickenpox anytime in the past or during the current pregnancy. Self-reported history of varicella had a positive predictive value of 82.4%. Negative history of chickenpox (adjusted prevalence ratio (PR) 1.85, 95% CI 1.15–3.0) and receiving antenatal care from a rural secondary hospital (adjusted PR 4.08, 95% CI 2.1–7.65) were significantly associated with susceptibility. We conclude that high varicella susceptibility rates during pregnancy were noted and self-reported history of varicella may not be a reliable surrogate for protection.

Factors Associated with Distribution of Pre-Eclampsia and Eclampsia Among Rural and Urban Women in Child Bearing Age – A Case of Mbala General Hospital, Northern Province, Zambia

2021 ◽  
Vol 9 (3) ◽  
pp. 81-91
Author(s):  
Daniel Sinkala
Keyword(s):  
Pregnant Women ◽  
Pregnancy Outcomes ◽  
Urban Areas ◽  
Quantitative Methods ◽  
Economic Status ◽  
Demographic Factors ◽  
Socio Economic Status ◽  
Resource Limited ◽  
Rural And Urban ◽  
Socio Demographic Factors

Preeclampsia and eclampsia cases continue to rise in northern Zambia as people search for babies and continuity of clans’ survival. Due to the competitive nature of cultural demands/ myths on pregnancy and maternal socio-demographic factors (low-age, low socio-economic status, and poor health-seeking behaviour), women in rural prefer unprofessional primary health care services that are presumably affordable to them thereby, delaying in seeking for professional healthcare services. High levels of poverty in resource-limited areas have put many female adolescents at risk of falling pregnant. Thus, this study probed on the interaction between these maternal socio-demographic factors and disease distribution in both rural and urban areas with respect to various pregnancy outcomes. The study used retrospective quantitative methods in eliciting information from data sources (women, registers) in Mbala, Mpulungu, Senga, and Mungwi districts covering 3-year period (2017-2019). In all, 202 female respondents from Northern Zambia were interviewed through self-administered questionnaires. Thereafter, data were analysed using a statistical package for the social sciences (SPSS v16). Findings indicate severe; socio-economic status and low maternal age affect pre-eclampsia disease distribution coupled with adverse pregnancy outcomes more in rural than urban areas. The better the socio-demographic conditions, the lower the disease distribution with good pregnancy outcomes. However, worsening maternal socio-demographic conditions may increase the incidence of pre-eclampsia among pregnant women of northern Zambia. The study recommended interventions tarred towards public health programmes such as social behaviour change and communication (SBCC) towards adolescent women and socio-economic empowerment of pregnant women in resource-limited areas. Keywords: Average ANC timing, Preeclampsia, Residency, Socio-economic, Teenage pregnancy.

scholarly journals Watershed regulation and local action: analysis of the Senegal River watershed management by a regional organisation and public participation

2007 ◽  
Vol 4 (3) ◽  
pp. 1917-1946 ◽  
Author(s):  
A. M. Sène ◽  
S. Bonin ◽  
O. Soubeyran
Keyword(s):  
Water Management ◽  
Public Participation ◽  
Group Discussion ◽  
Local People ◽  
Individual Interviews ◽  
Senegal River ◽  
Action Analysis ◽  
Participative Approach ◽  
Regional Organisation ◽  
Set Up

Abstract. Several social scientists have dealt with the usefulness of a participative approach in development plans. The call for sustainable development has increased the focus on this type of approach in a very classical way, which is the case for the creation of new water tanks. Most of these scientists have also pinpointed the major difficulties and failures faced during the execution of this new approach in developing countries. This study is a concrete example which underlines the lack of this type of approach as far as water management in the Senegal River is concerned, mainly in relation to watershed. We base our study on the analysis and criticism of the regional organization OMVS (Organization for the Development of the Senegal River) which is in charge of water management in the Senegal River. The results of the study can, therefore, be summed up as follows: (i) An on-site direct observation, individual interviews, group discussion and information analysis point out the lack of participation of local people in water management in the Senegal River and, in general, the harmful socio-economic impacts resulting from it. (ii) The reasons for this lack of participative approach are mainly due to the model set up by the OMVS in terms of water management in the Senegal River, a model that has excluded or tackled in a very light way the issue of public participation in decision-making through out its juridical and regulation instruments. (iii) Elements of consideration on some measures, which could possibly improve the level of participation of local people in river water management.

scholarly journals Pregnancy-Related Information Seeking and Sharing in the Social Media Era Among Expectant Mothers: Qualitative Study (Preprint)

2019 ◽  
Author(s):  
Chengyan Zhu ◽  
Runxi Zeng ◽  
Wei Zhang ◽  
Richard Evans ◽  
Rongrong He
Keyword(s):  
Social Media ◽  
Pregnant Women ◽  
Information Seeking ◽  
Chinese Culture ◽  
Instant Messaging ◽  
Media Usage ◽  
Related Information ◽  
Expectant Mothers ◽  
Media Channels ◽  
The Impact

BACKGROUND Social media has become the most popular communication tool used by Chinese citizens, including expectant mothers. An increasing number of women have adopted various forms of social media channels, such as interactive websites, instant messaging, and mobile apps, to solve problems and obtain answers to queries during pregnancy. Although the use of the internet by pregnant women has been studied extensively worldwide, limited research exists that explores the changing social media usage habits in China, where the 1 child policy ended in 2015. OBJECTIVE This study aimed to (1) present the status quo of pregnancy-related information seeking and sharing via social media among Chinese expectant mothers, (2) reveal the impact of social media usage, and (3) shed light on pregnancy-related health services delivered via social media channels. METHODS A qualitative approach was employed to examine social media usage and its consequences on pregnant women. A total of 20 women who had conceived and were at various stages of pregnancy were interviewed from July 20 to August 10, 2017. Thematic analysis was conducted on the collected data to identify patterns in usage. RESULTS Overall, 80% (16/20) of participants were aged in their 20s (mean 28.5 years [SD 4.3]). All had used social media for pregnancy-related purposes. For the seeking behavior, 18 codes were merged into 4 themes, namely, gravida, fetus, delivery, and the postpartum period; whereas for sharing behaviors, 10 codes were merged into 4 themes, namely, gravida, fetus, delivery, and caretaker. Lurking, small group sharing, bad news avoidance, and cross-checking were identified as the preferred patterns for using social media. Overall, 95% (19/20) of participants reported a positive mental impact from using social media during their pregnancy. CONCLUSIONS It is indisputable that social media has played an increasingly important role in supporting expectant mothers in China. The specific seeking and sharing patterns identified in this study indicate that the general quality of pregnancy-related information on social media, as well as Chinese culture toward pregnancy, is improving. The new themes that merge in pregnancy-related social media use represent a shift toward safe pregnancy and the promotion of a more enjoyable pregnancy. Future prenatal care should provide further information on services related to being comfortable during pregnancy and reducing the inequality of social media–based services caused by the digital divide.

scholarly journals Developing a comprehensive tool to assess professional attitude among physicians and medical students

2022 ◽  
Author(s):  
Neda Yavari ◽  
Fariba Asghari ◽  
Zahra Shahvari ◽  
Saharnaz Nedjat ◽  
Bagher Larijani
Keyword(s):  
Medical Students ◽  
Group Discussion ◽  
Cross Sectional Study ◽  
Second Phase ◽  
Validity And Reliability ◽  
Cross Sectional ◽  
Individual Interviews ◽  
Professional Attitude ◽  
Final Questionnaire ◽  
Students Attitudes

It appears that up until now, no comprehensive tool has been developed to assess medical students’ attitudes toward the different dimensions of professionalism. The present study aimed to develop a comprehensive quantitative tool to evaluate medical students’ attitudes toward professionalism. This study consisted of two phases: The first phase was item generation and questionnaire design based on literature review and a qualitative survey. The qualitative data were extracted from 49 semi-structured individual interviews and one focus group discussion. In the second phase, the questionnaire was developed and its face, content, and structure validity and reliability were evaluated. To measure the construct validity of the questionnaire, a cross-sectional study was conducted on 354 medical students at different academic levels at Isfahan University of Medical Sciences. The final questionnaire was loaded on five factors. The factors accounted for 43.5% of the total variance. Moreover, Cronbach's alpha was 0.84 for the total scale, and the interclass correlation coefficient was 0.77 for the test-retest reliability. The 17-item questionnaire measuring medical students’ professional attitude had acceptable validity and reliability and can be adopted in other studies on physicians’ and medical students’ professional attitudes.   

scholarly journals Determinants, Treatment and Consequences of Post-Partum Haemorrhage in Osun State, Nigeria

2019 ◽  
Vol 17 (1) ◽  
pp. 133-152
Author(s):  
Nurat Kehinde Adeyemi
Keyword(s):  
Developing Countries ◽  
Post Partum ◽  
Group Discussion ◽  
Dairy Product ◽  
Health Sector ◽  
Home Delivery ◽  
Respiratory Disorder ◽  
Southwestern Nigeria ◽  
Birth Attendants ◽  
Post Partum Haemorrhage

Despite concerted efforts made by United Nations and other health agencies to reduce Maternal Mortality Rate (MMR) through Skilled Birth Attendants (SBAs) and use of healthcare facilities, report reveals that Traditional Birth Attendants (TBAs) still have a place in maternal healthcare in developing countries. This paper examines causes, treatment and consequences of Post-Partum Haemorrhage (PPH) from TBAs’ perspectives in Osun State, Southwestern Nigeria. The study adopted qualitative method of data collection (In-depth Interview and Focus Group Discussion). Results show some similar (Tone, Trauma, Tissue and Thrombin) as obtained from medical literature and some divergent causes of PPH which includes: consumption of Potassium, intoxicants, dairy product, junks and iron tablets at advanced stage of pregnancy. This implies that substance/food consumption has implication on maternal health. TBAs’ treatment techniques for PPH include: use of powdery substances, concoctions, herbs and roots, and sometimes use of animal parts. Consequences of PPH include: organ failure, respiratory disorder, infection, fever, vomiting, anaemia and loss of fertility. WHO has revealed that misoprostol is effective in treating PPH in home delivery in developing countries. Reducing MMR due to PPH and achieving development in health sector in Nigeria therefore, requires training Nigeria TBAs on the proper administration of misoprostol.

scholarly journals Non-pharmacological Interventions of Pain Management Used During Labour; an Exploratory Descriptive Qualitative Study of Puerperal Women in Adidome Government Hospital of the Volta Region, Ghana

2020 ◽  
Author(s):  
Kennedy Diema Konlan ◽  
Agani Afaya ◽  
Eugenia Mensah ◽  
Amos Nawunimali Suuk ◽  
Dahamata Issahaku Kombat
Keyword(s):  
Pain Management ◽  
Management Strategies ◽  
Labour Pain ◽  
Government Hospital ◽  
Individual Interviews ◽  
Breathing Exercises ◽  
Expectant Mothers ◽  
Field Notes ◽  
Labour Pains ◽  
Descriptive Qualitative

Abstract Background: Women have experienced labour pain over the years as various attempts have been made to effectively manage this pain. There is paucity of literature on the experiences and perceptions about labour pain management with the contemporary Ghanaian health system. This study explored the perspective of puerperal women on the use of non-pharmacological labour pain management at Adidome Government Hospital. Methods: The study adopted an exploratory descriptive qualitative approach as data was collected through individual interviews. Informed consent was obtained from all participants who were purposively sampled. Interviews were audio recorded and transcribed immediately. Thematic analysis was engaged in three interrelated stages, namely data reduction, data display, and data conclusion to analyse the transcript and field notes. Results were presented with supporting quotes from the transcripts. Results: The majority (41.2%) of the women described labour pain as very severe, severe (35.3%) and moderate (23.5%) as the pain lasted more than 12 hours (58.8%). The various strategies adopted in managing labour pains included shouting and walking around (47.1%), crying and screaming (35.3%) and staying calm and snapping the fingers (17.6%). Women indicated they were satisfied (52.9%) and very satisfied (23.5%) of the midwives' attitude towards pain management. The pain management strategies adopted during labour included women engaged in deep breathing exercises, chatting with other people and relatives, diversion therapy, reassurance, taking a shower, assuming side lying positions, and receiving intravenous therapy. The presence of the husband of a labouring woman during improved pain bearing ability.Conclusion: It is important that midwives institute pragmatic protocols in the labour ward that ensure a relaxing atmosphere for women in labour, respond to the sensitivity and specificity of labouring women needs and when possible significant others of the labouring women could be allowed to visit. Expectant mothers should be educated more on non – pharmacological pain management to reduce anxieties and improve decision making.

scholarly journals Prevalence and associated factors of home delivery among women at Jimma town, Jimma Zone, Southwest Ethiopia

2020 ◽  
Vol 6 (4) ◽  
pp. 114-119
Author(s):  
Aynalem Yetwale ◽  
Eneyew Melkamu ◽  
Workiltu Ketema
Keyword(s):  
Logistic Regression ◽  
Antenatal Care ◽  
Educational Status ◽  
Home Delivery ◽  
P Value ◽  
Southwest Ethiopia ◽  
Study Participants ◽  
Jimma Town ◽  
Institutional Delivery Service

Background: Maternal and child mortality and morbidity are higher during childbirth in developing countries compared to developed countries. Institutional delivery service utilization is indispensable to improve maternal and child health.However, the proportion of women utilizing institutional delivery service in Ethiopia is very low. In addition, little is known about factors contributing to home delivery. Objectives: To assess the prevalence of home delivery and associated risk factors at Jimma Town, Southwest Ethiopia. Methods: A community-based cross-sectional study was employed on 423 study participants. Data were collected by semi-structured questionnaire through face to face interview. A systematic sampling technique was used to select study participants. After cleaning and checking completeness of collected data, data was entered into Epi data version 3.3.1 software and exported to Statistical Package for the Social Science (SPSS) version 21.0 for analysis. Logistic regression was used to find out the association between explanatory and response variables. Explanatory variables which fulfill the assumption of logistic regression and had a P-value less than 0.25 from bi-variable logistic regression were considered for the multivariable logistic regression model. The strength of association was evaluated using odds ratio at 95% confidence interval (CI) and P-value < 0.05 was considered to declare significant associations. Results: The prevalence of home delivery in this study was 36.64% (n=155/423 and it had significant association with illiteracy AOR=2.7 [(95%CI); (1.37-5.43)], multi-gravida AOR=2.12 [(95%CI); (1.09-4.10)], history of antenatal care (ANC) follow up AOR=4.15 [(95%CI); (2.57-6.70)] and husband educational status AOR=13.5 [(95%CI); (2.86-63.62)]. Conclusion: The prevalence of home delivery in this study was high compared to world health organizational recommendation. Educational status of the mother, gravida, antenatal care follow up and husband educational status were factors that had a significant association. Women empowerment through educational opportunities, increase antenatal care follow up and male involvement in maternal health service are recommended

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