Birth Place Preference and Birth Attendant Selection during Covid-19 Pandemic in Tarakan City, North Kalimantan

Abstract

Background: Childbirth assistance during the Covid 19 pandemic needs attention to reduce maternal mortality rate and infant mortality rate. This study aimed to analyze the factors influencing the choice of place and birth attendant during the Covid 19 pandemic in Tarakan City. Subjects and Method: This was an observational analytic study with a case control design. The study was carried out in Tarakan, North Kalimantan, Indonesia, in 2020. A sample 100 pregnant women was selected by quota sampling. The dependent variable was the place and birth attendant. The independent variables were place of working, family income, distance to the place of delivery and knowledge. The data were collected by questionnaire using google form. The data were analyzed by a multiple logistic regression. Results: The choice of place of delivery during the COVID-19 pandemic was influenced by place of working (OR= 1.61; 95% CI= 1.49 to 17.02; p= 0.009), family income (OR= 2.57; 95% CI= 3.74 to 45.37; p <0.001), distance travel (OR= 1.53; 95% CI= 0.07 to 0.73; p= 0.014) and knowledge (OR= 1.66; 95% CI= 1.58 to 17.31; p= 0.007). The choice of birth attendant was also influenced by place of working (OR= 1.32; 95% CI= 1.17 to 12.40; p= 0.027), family income (OR= 2.28; 95% CI= 2.94 to 32.23; p <0.001), distance traveled (OR= -1.42; 95% CI= 0.08 to 0.78; p= 0.016) and knowledge (OR= 1.88; 95% CI= 2.05 to 20.85; p= 0.002). Conclusion: The choice of place and birth attendant is influenced by place of working, family income, distance traveled and knowledge. Keywords: place of delivery, birth attendant, pandemic covid 19 Correspondence: Ririn Ariyanti. Department of Midwifery, Universitas Borneo Tarakan. Jl. Amal Lama 1 Tarakan, Kalimantan Utara. Email: ririnariyanti.- midwife@gmail.com. Mobile: +6285345553- 400