Abstract
BackgroundIn developing countries, most childbirth occurs at home and is not assisted by skilled attendants. The situation increases the risk of death for both mother and child and has severe maternal complications. The purpose of this study was to describe women's perceptions of homebirths in the medical districts of Ouargaye and Diapaga.MethodsA qualitative approach was used to gather information. This information was collected by using focus group discussions and individual interviews with 30 women. All the interviews were tape recorded and managed by using QSR NVIVO 2.0, qualitative data management software.ResultsThe findings show that homebirths are frequent because of prohibitive distance to health facilities, fast labour and easy labour, financial constraints, lack of decision making power to reach health facilities.ConclusionThe study echoes the need for policy makers to make health facilities easily available to rural inhabitants to forestall maternal and child deaths in the two districts.
Highlights
In developing countries, most childbirth occurs at home and is not assisted by skilled attendants
This study in two rural medical districts shows that homebirths are motivated by distance and road conditions to reach health facilities, lack of money to pay for care and drugs, easy labour and sudden childbirth, tradition and bad treatment administered by health providers to some women in health facilities
Delivering at home without a skilled attendant increases the risk of maternal death and makes difficult the achievement of the fifth Millennium Development Goal (MDG)
Summary
Most childbirth occurs at home and is not assisted by skilled attendants. In sub Saharan countries, many women don’t have the good fortune to be attended by skilled personnel during childbirth. This lack of skilled attendance could be considered as one of the major factors in maternal and infantile mortality. Medical conditions leading to a maternal death and classified as direct causes are severe bleeding, infections, unsafe abortions, eclampsia and obstructed labour [1]. To tackle these causes, a skilled personnel plus a good environment are necessary. The United Nations and the International community resolved through the 5th Millennium Development Goal (MDG) to reduce the high maternal mortality ratio by three quarters by 2015 [1,2]
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