Open AccessHome birth in women who have given birth at least once in a health facility: contributory factors in a developing country
Author(s) -
FAYE ADAMA,
NIANE MARIAMA,
BA IBRAHIM
Publication year - 2011
Publication title -
acta obstetricia et gynecologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.401
H-Index - 102
eISSN - 1600-0412
pISSN - 0001-6349
DOI - 10.1111/j.1600-0412.2011.01163.x
Subject(s) - medicine , childbirth , health facility , odds ratio , home childbirth , confidence interval , logistic regression , demography , birth attendant , cross sectional study , home birth , pregnancy , family medicine , environmental health , population , health services , maternal health , genetics , pathology , sociology , biology
Objective . To study the link between patients’ satisfaction about received services in health facilities and the choice of future delivery place of women who had delivered at least once in a facility. Design . Cross‐sectional study. Setting . Health district Gossas in Senegal. Sample . Three hundred and seventy‐three women who gave birth in the last 12months. Methods . Data were collected using a questionnaire during an interview. Logistic regression was used to explore the determinants of childbirth at home using the Andersen behavioral model. Main Outcome Measures . Place of delivery and satisfaction at reception and conduct of delivery. Results . The average age was 28±6years. Among the women interviewed, 97% were married, 53% being in a polygamous system, and 18% were educated. Forty‐seven per cent of them were satisfied with the quality of the last delivery made within a health facility. The prevalence of home birth was 22%. Home births were more frequent among women in a polygamous marriage [odds ratio (OR) 1.85; 95% confidence interval (CI) 1.01–3.14], with no means of transportation (OR 1.68; 95% CI 1.02–3.95) and who lived more than 5km from a health facility (OR 2.24; 95% CI 1.21–4.15). Poor quality of delivery in a health facility (OR 2.52; 95% CI 1.36–4.65) or a delivery done by a male provider (OR 3.90; 95% CI 2.30–6.65) were also risk factors for the choice of home delivery. Conclusions . Particular emphasis should be placed on training healthcare providers to improve the quality of service provided to patients in health facilities.