Determinants of Home Delivery among Women attending Antenatal Care in Bagwai Town,
            Kano Nigeria

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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Spatial variations of women’s home delivery after antenatal care visits at lay Gayint District, Northwest Ethiopia

BMC Public Health ◽

10.1186/s12889-019-7050-4 ◽

2019 ◽

Vol 19 (1) ◽

Cited By ~ 1

Author(s):

Araya Mesfin Nigatu ◽

Kassahun Alemu Gelaye ◽

Degefie Tibebe Degefie ◽

Abraham Yeneneh Birhanu

Keyword(s):

Antenatal Care ◽

Home Delivery ◽

Northwest Ethiopia ◽

Spatial Variations

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Determinants of home delivery in a semi urban setting of Nepal

Nepal Journal of Obstetrics and Gynaecology ◽

10.3126/njog.v4i1.3329 ◽

1970 ◽

Vol 4 (1) ◽

pp. 30-37 ◽

Cited By ~ 1

Author(s):

Heera Tuladhar

Keyword(s):

Antenatal Care ◽

Family Member ◽

Care Delivery ◽

Post Partum ◽

Tertiary Care ◽

College Teaching ◽

Home Delivery ◽

Urban Setting ◽

Care Hospital ◽

At Home

Aim: To study the effect of various determinants of home delivery in Nepal.Methods: Prospective descriptive study among women who after being delivered at home were admitted inNepal Medical College Teaching Hospital (NMCTH), a tertiary care hospital situated at suburban area ofKathmanduResults: Of 114 women, majority were between the ages of 20-24 yrs. Most of the women were multipara(64%). Majority had no formal education accounting for 68.4 %. Lasheta (Lama, Sherpa , Tamang) was themost common ethnic group. Most (30.1%) of their spouses also were illiterate or had only primary leveleducation. Majority of the husbands of the respondents were laborers (63.2%). Regarding attendance ofantenatal care (ANC); at least 84 (73.7%) women had attended ANC once and half of the women hadattended 4 more visits. Home delivery was planned by 67 (58.8%) women; whereas only 47 (41.2%) hadchosen hospital delivery and delivered at home due to various reasons. Financial problem was the mostcommon reason followed by ignorance and transportation problem. Among all the women, only 5.3% wereattended to by a professionally trained provider (doctor, nurse, and midwife). A disturbingly high proportionof women (87.6%) were attended by an untrained family member, friend or neighbor, and 7% of womendelivered completely unattended. Women were brought to the hospital by family member 59.6% other thanhusband and 8.8% were accompanied by neighbors/friends. Most of these women were brought with retainedplacenta, primary post partum hemorrhage.Conclusion: In this study area, usage of the antenatal care was high, but the opportunity to deliver athospital was not fully utilized. This study has highlighted some of the factors affecting the choice of place ofdelivery among mothers in a semi urban settlement in Nepal namely mothers educational level, husband'seducation and occupation, financial constraints, lack of transportation and ignorance. Majority of thedeliveries took place at home and unsupervised by a skilled attendant thus aggravating the risk of the highperinatal and maternal morbidities and mortalities in the study area.Key words: Home delivery; determinants; antenatal care; delivery attendanceDOI: 10.3126/njog.v4i1.3329Nepal Journal of Obstetrics and Gynaecology June-July 2009; 4(1): 30-37

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Perceived determinants of home delivery following antenatal care in general hospital Ikara, Ikara Local Government Area, Kaduna State

International Journal of Nursing and Midwifery ◽

10.5897/ijnm2020.0417 ◽

2020 ◽

Vol 12 (2) ◽

pp. 79-89

Author(s):

Joseph Mafuyai Mangai ◽

Eunice Ari ◽

Gaknung Bonji ◽

Patience Kumzhi ◽

Samaila Adamu

Keyword(s):

Local Government ◽

Antenatal Care ◽

General Hospital ◽

Home Delivery ◽

Local Government Area

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Colostrum avoidance practice and associated factors among mothers of children aged less than six months in Bure District, Amhara Region, North West, Ethiopia: A community-based cross-sectional study

PLoS ONE ◽

10.1371/journal.pone.0245233 ◽

2021 ◽

Vol 16 (1) ◽

pp. e0245233

Author(s):

Ayenew Mose ◽

Merga Dheresa ◽

Bezatu Mengistie ◽

Biresaw Wassihun ◽

Haimanot Abebe

Keyword(s):

Cesarean Section ◽

Antenatal Care ◽

Cross Sectional Study ◽

Home Delivery ◽

Care Group ◽

Cross Sectional ◽

North West ◽

North West Ethiopia ◽

Colostrum Feeding ◽

Study Participants

Introduction The World Health Organization and the United Nations International Children’s Emergency Fund jointly recommend colostrum feeding immediately following delivery of the newborn. Colostrum avoidance is the practice of discarding colostrum at least once within the first three days after delivery of the newborn. Colostrum contains antibodies that protect the newborn against disease. Despite this fact, many Ethiopian mothers see colostrum feeding as a cause of neonatal morbidity and mortality, and they believe colostrum should be discarded to alleviate its effects. However, the cause of this misconception about colostrum is not well researched in Ethiopia, particularly in the study area. Objective To assess the prevalence of colostrum avoidance and associated factors among mothers of children aged less than six months in Bure district, Amhara Region, North West, Ethiopia. Methods A community-based cross-sectional study was conducted from March 1st to 30th, 2019 in Bure district. Structured questionnaires and face to face interviews were used to collect data from 621 study participants. Multistage sampling technique was used to select study participants. Data were entered into Epi Data version 4.2.0 and then exported to Statistical Package for the Social Sciences version 23. Bivariate and multivariate logistic regression analyses were performed to identify predictors of colostrum avoidance practice. Results Six hundred twenty-one (621) mothers of children aged less than six months participated. The prevalence of colostrum avoidance was 14.5% (95%CI; 11.5–17.4). The multivariate analysis indicated that home delivery [AOR = 3.350, (95%CI; 2.517–14.847)], giving birth through cesarean section [AOR = 3.368, (95%CI; 1.339–8.471)], no participation in an antenatal care group [AOR = 1.889, (95%CI; 1.144–3.533)], poor knowledge of mothers about colostrum [AOR = 3.44, (95%CI; 2.45–4.977)], and poor attitude of mothers towards colostrum [AOR = 3.053, (95%CI; 1.157–8.054)] were important predictors of colostrum avoidance practice. Conclusion and recommendations Home delivery, giving birth through cesarean section, no participation in an antenatal care group, poor knowledge of mothers about colostrum, and poor attitude of mothers towards colostrum were significantly associated with colostrum avoidance practice. Therefore, health care workers in the district should promote institutional delivery, reduce the magnitude of cesarean section, encourage pregnant mothers to participate in an antenatal care group, and enhance maternal awareness about the merits of colostrum feeding. Moreover, health educations for mothers to have a positive attitude towards colostrum are important recommendations to be taken to prevent the further practice of colostrum avoidance.

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What influences home delivery among women who live in urban areas? Analysis of 2014 Ghana Demographic and Health Survey data

PLoS ONE ◽

10.1371/journal.pone.0244811 ◽

2021 ◽

Vol 16 (1) ◽

pp. e0244811

Author(s):

Bright Opoku Ahinkorah ◽

Abdul-Aziz Seidu ◽

Eugene Budu ◽

Ebenezer Agbaglo ◽

Francis Appiah ◽

...

Keyword(s):

Antenatal Care ◽

Health Survey ◽

Rural Areas ◽

Urban Areas ◽

Wealth Quintile ◽

Home Delivery ◽

Northern Region ◽

Demographic And Health Survey ◽

Factors Associated ◽

At Home

Background In Ghana, home delivery among women in urban areas is relatively low compared to rural areas. However, the few women who deliver at home in urban areas still face enormous risk of infections and death, just like those in rural areas. The present study investigated the factors associated with home delivery among women who live in urban areas in Ghana. Materials and methods Data for this study was obtained from the 2014 Ghana Demographic and Health Survey. We used data of 1,441 women who gave birth in the 5 years preceding the survey and were dwelling in urban areas. By the use of Stata version 14.2, we conducted both descriptive and multivariable logistic regression analyses. Results We found that 7.9% of women in urban areas in Ghana delivered at home. The study revealed that, compared to women who lived in the Northern region, women who lived in the Brong Ahafo region [AOR = 0.38, CI = 0.17–0.84] were less likely to deliver at home. The likelihood of home delivery was high among women in the poorest wealth quintile [AOR = 2.02, CI = 1.06–3.86], women who professed other religions [AOR = 3.45; CI = 1.53–7.81], and those who had no antenatal care visits [AOR = 7.17; 1.64–31.3]. Conversely, the likelihood of home delivery was lower among women who had attained secondary/higher education [AOR = 0.30; 0.17–0.53], compared to those with no formal education. Conclusion The study identified region of residence, wealth quintile, religion, antenatal care visits, and level of education as factors associated with home delivery among urban residents in Ghana. Therefore, health promotion programs targeted at home delivery need to focus on these factors. We also recommend that a qualitative study should be conducted to investigate the factors responsible for the differences in home delivery in terms of region, as the present study could not do so.

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Why do women attend antenatal care but give birth at home? a qualitative study in a rural Ghanaian District

PLoS ONE ◽

10.1371/journal.pone.0261316 ◽

2021 ◽

Vol 16 (12) ◽

pp. e0261316

Author(s):

Kennedy A. Alatinga ◽

Jennifer Affah ◽

Gilbert Abotisem Abiiro

Keyword(s):

Antenatal Care ◽

Health Workers ◽

Belief Systems ◽

Home Delivery ◽

Health Facilities ◽

Sub Saharan Africa ◽

Cross Sectional ◽

Women’S Autonomy ◽

Women's Autonomy ◽

At Home

Background The Sustainable Development Goal Three has prioritised reducing maternal, under-5 and neonatal mortalities as core global health policy objectives. The place, where expectant mothers choose to deliver their babies has a direct effect on maternal health outcomes. In sub-Saharan Africa, existing literature has shown that some women attend antenatal care during pregnancy but choose to deliver their babies at home. Using the Andersen and Newman Behavioural Model, this study explored the institutional and socio-cultural factors motivating women to deliver at home after attending antenatal care. Methods A qualitative, exploratory, cross-sectional design was deployed. Data were collected from a purposive sample of 23 women, who attended antenatal care during pregnancy but delivered their babies at home, 10 health workers and 17 other community-level stakeholders. The data were collected through semi-structured interviews, which were audio-recorded, transcribed and thematically analysed. Results In line with the Andersen and Newman Model, the study discovered that traditional and religious belief systems about marital fidelity and the role of the gods in childbirth, myths about consequences of facility-based delivery, illiteracy, and weak women’s autonomy in healthcare decision-making, predisposed women to home delivery. Home delivery was also enabled by inadequate midwives at health facilities, the unfriendly attitude of health workers, hidden charges for facility-based delivery, and long distances to healthcare facilities. The fear of caesarean section, also created the need for women who attended antenatal care to deliver at home. Conclusion The study has established that socio-cultural and institutional level factors influenced women’s decisions to deliver at home. We recommend a general improvement in the service delivery capacity of health facilities, and the implementation of collaborative educational and women empowerment programmes by stakeholders, to strengthen women’s autonomy and reshape existing traditional and religious beliefs facilitating home delivery.

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Antenatal care practice among Pregnant Women in a selected rural area of Bangladesh

Northern International Medical College Journal ◽

10.3329/nimcj.v10i1.39328 ◽

2018 ◽

Vol 10 (1) ◽

pp. 339-342

Author(s):

Nadia Begum ◽

Nasreen Begum ◽

Sk. Akbar Hossain ◽

AFM Ashik Imran ◽

Mst Laizuman Nahar

Keyword(s):

Antenatal Care ◽

Pregnant Women ◽

Rural Area ◽

Economic Status ◽

Sampling Technique ◽

Total Sample ◽

Home Delivery ◽

Care Practice ◽

Cross Sectional ◽

Primary Level

Background : Antenatal care (ANC) is an important determinant of high maternal mortality rate and one of the basic components of maternal care on which the life of mothers and newborn babies depend. Objective : To study the Antenatal care practice among pregnant women in a selected rural area. Methodology : This descriptive cross-sectional study was conducted among pregnant women in a selected rural area from July 2016 to December 2016. Total sample was 121. Purposive sampling technique was followed. Data collection was done by face to face interview by using pretested structured questionnaire. Data was analyzed by SPSS version 17.0. Results : A total of 121 women were interviewed. Sixty nine (57.02%) pregnant women were registered for ANC. Among them 47(68.11%) of respondents completed more than 4ANC visits. For the current pregnancy 56(46.28%) preferred Upazila Health Complex (UHC) and home delivery was preferred by 34(28.09%) respondents. Among the respondent age group 25-30 yrs were 61(50.41%) and educated upto primary level were 59(48.76%). Monthly income between 5000-10000 taka was among 48(39.66%) respondents. Most of their husbands (52.06%) were educated up to primary level and 25.61 % of them were garments worker and 23.96 % were day laborers. Conclusion : ANC practice was not satisfactory. Only half of the pregnant women attended for ANC and completed minimum four visits. Nearly half of the pregnant women preferred UHC. Educated women from lower economic status were found to attend for ANC. Northern International Medical College Journal Vol.10(1) Jul 2018: 339-342

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Spatio-temporal distribution and determinants of home delivery in Ethiopia. Multilevel and spatial analysis of EDHS 2005- 2016

10.21203/rs.2.16582/v1 ◽

2019 ◽

Author(s):

Zemenu Tessema Tadesse ◽

Sofonyas Abebaw Tiruneh

Keyword(s):

Spatial Distribution ◽

Antenatal Care ◽

Wealth Index ◽

Educational Status ◽

Home Delivery ◽

P Value ◽

Mobile Access ◽

Care Visit ◽

Skilled Health ◽

Status Of Women

Abstract Background: Globally, only 80% of live births occurred at health facilities assisted by skilled health personnel. In Ethiopia, only 26% of live births attended by skilled health personal. The aim of this study was to assess the spatial patterns and determinants of home delivery in Ethiopia from 2005 to 2016. Method: A total of 34,348 women who gave live birth in the five years preceding each survey were included for this study. ArcGIS version 10.7 software was used to visualize spatial distribution for home delivery. The Bernoulli model was applied using Kilduff SaTScan version 9.6 software to identify significant purely spatial clusters for home delivery in Ethiopia. Result: Home delivery was declined from 94.78% in 2005 to 90.05% in 2011, and 73.44% in 2016 in Ethiopia. Among the three surveys, consistently high clustering of home delivery was observed in Amhara and Southern Nation Nationalities and People Regions of Ethiopia. In spatial scan statistics analysis, a total of 128 clusters (RR= 1.04, P-value < 0.001) in 2005, and 90 clusters (RR = 1.11, P-value < 0.001) in 2011, and 55 clusters (RR = 1.29, P-value < 0.001) in 2016 significant primary clusters were identified. Educational status of women and husband, religion, distance to the health facility, mobile access, antenatal care visit, birth order, parity, wealth index, residence, and region were statistically associated with home delivery. Conclusion: The spatial distribution of home delivery among the three consecutive surveys were non-random in Ethiopia. Low educational status of women and her husband, long distance to the health facility, poor wealth index, rural residence, multiparity, have no mobile access, living in Amhara and SNNP region, and had no antenatal care visit were significant predictors of home delivery in Ethiopia. Therefore, An intervention needs to improve the coverage of antenatal care, women and her husband's education, health care facilities and mobile access. Special attention should give women live in Amhara and SNNPR regions. Key Words: Home delivery, EDHS, Spatial Distribution, Ethiopia.

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