Choice Of Delivery Place Research Articles

Factors associated with the choice of delivery place: A cross-sectional study in rural areas of Indonesia.

Developing countries, including Indonesia, commonly face maternal mortality as a public health concern, which needs special attention. Using maternal delivery services in health facilities may reduce maternal mortality. However, little is known about the general use of delivery services in health facilities in rural areas, Indonesia. This study aimed to analyze determinants in choosing delivery places in rural areas of Indonesia. A cross-sectional quantitative design with secondary data from the 2014 Indonesian Family Life Survey (IFLS) was used in this study. There were 2,389 mothers aged 15-49 years in rural areas were included. Data were analyzed using a logistic regression test. It was found that 67% of mothers gave birth in health facilities. Tertiary and secondary education levels, residence in Java and Bali regions, economic status, insurance ownership, and job status were significantly related to the choice of delivery place in health facilities. Tertiary education was the most dominant factor correlated with the use of delivery services in health facilities (p < 0.001; PR = 4.55; 95% CI = 3.751-5.542). Education is the key factor associated with the choice of delivery place. Therefore, it is suggested that the government and healthcare workers, especially nurses and midwives, improve mothers' education and provide strategies to increase knowledge in choosing delivery services to enhance their health outcomes.

Urban rural differentials in spatial distribution of pregnant women's choice of delivery place by district in Punjab - Results from Pakistan Social and Living Standards Measurements Survey 2014-15.

Madam, home deliveries are fraught with higher risks of maternal and neonatal complications, but in many developing countries childbearing women choose to deliver at home.1-3 Utilization of public or private maternal healthcare services is predicated on availability of, access to, and cost concerns. Public sector healthcare facilities are designed to essentially provide free services.1-3 In this study, percent of delivery sites utilization, disaggregated by urban and rural residency status in each district of the Punjab province were mapped using Geographic information Systems. The spatial distribution of delivery site percentages, disaggregated by three places of either home delivery, delivery at government facilities (hospital, Rural Health Center, and Basic Health Units), and delivery at private hospitals or clinics was done to highlight the urban and rural distribution, including the differences between urban and rural percentages. &#x0D; Continues...

Impact of social networks on the choice of place of delivery among ethnic women in Bangladesh

ObjectivesThis study aims at exploring the present situation of the delivery place and the impact of social networks on the choice of delivery place among the ethnic women in Bangladesh. MethodsData were collected through face to face interviews using a structured questionnaire from a sample of 205 married ethnic - Garo and Mandai - women in Madhupur Upazilla of Tangail district. A stepwise binary logistic regression analysis is run to explain the impact of social networks on the choice of delivery place (the place where the women actually did deliver a baby) of ethnic women in Bangladesh. ResultsDescriptive statistics show that of the total deliveries 37.7% among Garo- and 13% among Mandai women take place in institutions (hospitals and clinics). The regression model reveals that next to ethnicity and husband's occupation, network size has a significant positive relationship, while reproductive health-related constraints have a significant negative relationship with the choice of delivery place of ethnic women. Based on these, this study suggests that if the social networks of ethnic women increase, the probability of their institutional delivery may increase. ConclusionThe personal social networks of ethnic women may motivate them on their choice of institutional delivery in Bangladesh. This finding may contribute to the development of pathways to stimulate ethnic women's reproductive health behaviour in the developing countries context.

HUBUNGAN DUKUNGAN KELUARGA DAN SOSIAL EKONOMI DENGAN PEMILIHAN TEMPAT PERSALINAN DI PUSKESMAS TEBING TINGGI

Background: One of the factors of the high MMR in Indonesia is due to the relatively low coverage of help by health workers. Puprose: The purpose of this study was to determine the relationship of family and socioeconomic support with the choice of delivery place in Puskesmas Tebing Tinggi. Methods: This study is analytic survey with cross sectional design. The research population in this study was trimester III pregnant women in Puskesmas Tebing Tinggi in July 2019, amounting to 52 people. The sample in this study was third trimester pregnant women who are in Tebing Tinggi Health Center taken in total sampling. Data collection is done using primary data. Results: The results of the study of 52 pregnant women respondents who chose non-health service facilities were 31 respondents and those who chose health service facilities were 21 respondents. From 52 family respondents who support as many as 30 respondents and do not support as many as 22 respondents, from 52 respondents with socioeconomic &lt;UMR as many as 35 respondents and ? UMR as many as 17 respondents. Chi-square test results obtained value ?2 = 4.278 with p value = 0.05 meaning that there is a relationship of family support with the choice of delivery place in Tebing Tinggi Health Center with a moderate category. Chi-square test results (Pearson chi-square) obtained value ?2 = 8.27 with p value = 0.05 means that there is family support by choosing the place of delivery at Tebing Tinggi Health Center with a moderate category. Conclusion: It was concluded that there was a significant relationship between family support and socio-economics with the choice of delivery place in the Tebing Tinggi Health Center with a moderate category. Keywords: Family Support; Economic Sociology; Selection of Childbirth

Socioeconomic factors associated with choice of delivery place among mothers: a population-based cross-sectional study in Guinea-Bissau

BackgroundMaternal death outcome remains high in Guinea-Bissau. Delivery-related complications and maternal mortality could be prevented by increasing women’s access to skilled pregnancy care. Socioeconomic status (SES) is often associated with...

Is Health System Giving Life Year Gain to Children In India?

Background: In developing countries, specifically in India, millions of women and newborns die or experience serious health problems related to pregnancy and childbirth each year and many women do not 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. Each year 3.3 million babies or may be even more are stillborn, more than 4 million die within 28 days of coming into the world, and a further 6.6 million young children die before their 5th birthday. From 2006 to 2012 the average complicated neonatal admissions with low birth weight children’s in virudhunagar district were 200. Also the researcher would like to found that how the Comprehensive Emergency Obstetric and New Born Care Centre (CEmONC) service gives opportunity to celebrate their 5th birthday for low birth children born in 2007 and to assess the factors determining the place of delivery and is Health system giving life year gain to Children? Methodology: The present study was undertaken in Virudhunagar District of South Tamil Nadu with primary and secondary data. The Secondary data were collected from all CEmONC Centres under Tamil Nadu Health System Project (TNHSP) and beneficiaries under Muthulakshmi Reddy Maternity Benefit Scheme (MRMBS) in 2007. Due to gives life year gain up to 5 years to children through these schemes. The primary data were collected from 200 who delivered their children with low Birth Weight (LBW) (<2.500 kg) in 2007. There are nine Public Hospitals in Virudhunagar district, namely Virudhunagar, Aruppukottai, Tiruchuli, Kariapatti, Rajapalayam, Watrap, Srivilliputtur, Sattur and Sivakasi and for the present study, Virudhunagar, Aruppukottai, Rajapalayam, Srivilliputtur, Sattur and Sivakasi government hospitals were selected as only these hospital have CEmONC services. Results: A sample of 40 (20%) attended Antenatal care (ANC) for previous pregnancy, 120 (60%) had their last delivery in private hospitals, while 80 (40%) had their last delivery at Government Hospital. Determinants of choice of delivery place include free cost of treatment (100%), friendly attitude of community health workers (75%), and good care of doctors, nurses and village health nurses (90%), distance to health care centers (80%), and cash incentive (100%). There is significant differences between age (P 0.001). There is a significant difference between consumption of Iron and Folic Acid (IFA) tablets and Low Birth Weight (LBW) in the study areas (P<0.001). There is a significant difference between mother age at birth and LBW (P<0.001). There is a significant difference between birth interval and LBW (P<0.001). There is a significant difference between income of the respondents and postnatal care (P<0.001). There were 196 children got life year gain above five year through the TNHSP and MRMBS. Lack of care and money is one of the reasons for less than five deaths in the study areas. Conclusion: Female education, female empowerment, attitude of health care workers and distance of health facilities to the people in most communities are factors to be addressed in reducing child morbidity and mortality rates and improving maternal health, thus achieving the Millennium Development Goals (MDGs) 4 and 5. To get this done, policy makers, health personal and community at large should join hands.

A study on preference and practices of women regarding place of delivery

This was a cross-sectional study in Basra, and involved 353 women who had recently given birth drawn from health care institutions. The main objective was to determine the factors that helped determine the women's choice of place of delivery: hospital or home. Only 16.1% delivered at home, while 83.9% delivered in hospital. The main reasons for choosing hospital delivery were safety and security (96.6% of the women), better hygiene (66.6%) and because of medical advice (63.2%). The main reasons for the choice of home delivery were social support and privacy (98.2%). The women were consistent in their choice of delivery place across different pregnancies (previous, present and future).

The probability of spontaneous delivery -- possibility and limits of obstetric risk scores

For a sound consultation of pregnant women e. g. regarding the choice of delivery place, a simple, reliable prepartal risk estimation system would be desirable. After exclusion of all "hospital required" risk cases, out of 203,111 records from the Berlin Clinical Perinatal Data 1993 - 1999 176,734 births remained, for which all risks already discernible before delivery (catalogues of the German Maternity Guidelines) were retrospectively valued and weighted by means of a logistic regression analysis on their real importance for the prediction of a spontaneous birth. On the basis of logarithms of the odds ratio for the individual risk factors a point system was developed. There is a clearly higher risk for a surgical delivery in primiparae compared with multiparae. For multiparae 27, for primiparae 26 statistically significant (p < 0.01) risk factors could be identified. After conversion of the odds ratio-values into the point system of the score, for the group of primiparae the cut off value was > 1 point (with a specificity of 0.5 and a sensitivity of 0.5), in the multiparae > 3 points (sensitivity 0.7, specificity 0.7). As for primiparae the resulting prognosis of birth mode (spontaneous vs. surgical birth) using the described score is false at 46 %, in multiparae at 33 %, the prognosis power of the risk score can therefore only be classified as relatively poor. The risk assessment system is therefore not suitable e. g. as aid to decision-making for or against an extra-clinical delivery place where no obstetrical operations are possible.