Abstract
BackgroundResearch has shown that use of antenatal services by pregnant women and delivery in health facilities with skilled birth attendants contribute to better delivery outcomes. However, a gap exists in Ghana between the use of antenatal care provided by health facilities and delivery in health facilities with skilled birth attendants by pregnant women. This study sought to identify the predictors of health facility delivery by women in a rural district in Ghana.MethodsThis was a cross-sectional study conducted in June 2016. Women who delivered in the past 6 months preceding the study were interviewed. Data on socio-demographic characteristics, use of antenatal care, place of delivery and reasons for home delivery were collected from study participants. Chi-square test and multiple logistic regression analysis were used to assess an association between women’s socio-demographic and obstetric characteristics and place of delivery at 95% confidence interval.ResultsThe study found that 98.8% of women received antenatal care services at least once during their recent pregnancy, and 67.9% attended antenatal care at least four times before delivery. However, 61.9% of the women delivered in a health facility with a skilled attendant. The frequently mentioned reason for home delivery was “unaware of onset of labour and delivery”. The odds for delivery at a health facility were reduced among women with four living children [(AOR = 0.07, CI = 0.15–0.36, p = 0.001)], with no exposure to delivery care information [(AOR = 0.06, CI = 0.01–0.34, p = 0.002), who started their first ANC visit from the second trimester of pregnancy[(AOR = 0.003, CI = 0.01–0.15, p < 0.001)] and increased among women who made at least four ANC visits before delivery [(AOR = 17.53, CI = 6.89–44.61, p < 0.001)].ConclusionFindings from this study revealed a low rate of delivery at health facilities although visits to antenatal care sessions were high, an indication that there was the need to intensify health education on early initiation of antenatal care, signs of labour and delivery, and importance of health facility delivery.
Highlights
Research has shown that use of antenatal services by pregnant women and delivery in health facilities with skilled birth attendants contribute to better delivery outcomes
The results from this study aimed at identifying the predictors of health facility delivery in a rural district in Ghana showed that antenatal care (ANC) utilization is high in the study area, as 98.8% of women reported using ANC at least once during their recent pregnancy and about 68.0% made four and more visits before delivery
This study sought to identify the predictors of health facility delivery in a rural district in Ghana
Summary
Research has shown that use of antenatal services by pregnant women and delivery in health facilities with skilled birth attendants contribute to better delivery outcomes. An analysis of the causes of maternal deaths in Africa shows that most of these deaths are as a result of direct obstetric complications notably, haemorrhage, hypertension, sepsis and obstructed labour that emerge around the time of labour and delivery [2]. Deaths from these complications can be prevented. The contribution of skilled delivery in the reduction of deaths among pregnant women and neonates has been highlighted by several studies [5,6,7]
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