Hadiya Zone Health Department, Shone Town Administration Health Office, Ethiopia.
Haramaya University, College of Health Sciences and Medicine, School of Public Health, Harer, Ethiopia.
Biomed Res Int. 2020 Aug 19;2020:4916421. doi: 10.1155/2020/4916421. eCollection 2020.
Home delivery is responsible to maternal mortality due to obstetric complication like hemorrhage, hypertensive disorders, and sepsis. The prevalence of home delivery is remained very high both nationally (73%) and regionally (SNNPR) with 74.5%. Efforts were made to increase institutional delivery through skilled birth attendance. But women still prefer home as a place of delivery. This study was done to determine whether home preference has association with home delivery or not and the reason why they prefer home delivery.
A community-based cross-sectional study was conducted in East Badawacho District from January 26 to February 25/2018. A total of 552 participants were selected by systematic sampling. Data were collected using both quantitative and qualitative methods. Bivariate and multivariable analyses were carried out to identify factors associated with home delivery. Qualitative data was analyzed thematically, and results were triangulated with the data. Associations were determined by using OR at 95% CI and value at 0.05.
Home delivery is found to be 73.6% (95% CI, 69.9%-77.2%). Lack of written birth plan for birth preparedness and readiness (AOR = 14.965, 95% CI: 4.488-49.899), incomplete number of ANC visits (1-3)(AOR = 4.455, 95% CI: 1.942-10.221), and home preference as a place of delivery (AOR = 4.039, 95% CI: 1.545-10.558) were independent predictors of home delivery.
Home delivery was high in the district. The independent factors significantly associated with home were lack of written birth plan for preparedness and readiness, incomplete number of ANC visits (1-3), and home preference as place of delivery. Actions targeting maternal education, encouraging number of ANC visits, and avoiding barriers for ID utilization were the crucial areas to tackle the problem.
由于出血、高血压疾病和败血症等产科并发症，家庭分娩导致了产妇死亡。家庭分娩在全国（73%）和地区（南沃洛省）的比例仍然很高，分别为 74.5%。通过熟练的接生人员增加机构分娩的努力已经取得成效。但是，女性仍然更喜欢在家里分娩。本研究旨在确定家庭偏好是否与家庭分娩有关，以及她们选择家庭分娩的原因。
本研究是一项于 2018 年 1 月 26 日至 2 月 25 日在东巴达阿乔特区进行的基于社区的横断面研究。通过系统抽样选择了 552 名参与者。使用定量和定性方法收集数据。进行了双变量和多变量分析，以确定与家庭分娩相关的因素。对定性数据进行主题分析，并将结果与数据进行三角验证。使用 95%CI 中的 OR 和 0.05 时的 值确定关联。
家庭分娩率为 73.6%（95%CI，69.9%-77.2%）。缺乏书面分娩计划以做好生育准备和就绪状态（AOR=14.965，95%CI：4.488-49.899），接受的 ANC 次数不完整（1-3 次）（AOR=4.455，95%CI：1.942-10.221），以及选择家庭作为分娩地点（AOR=4.039，95%CI：1.545-10.558）是家庭分娩的独立预测因素。
该地区的家庭分娩率很高。与家庭分娩显著相关的独立因素是缺乏生育准备和就绪状态的书面分娩计划、接受 ANC 次数不完整（1-3 次）和选择家庭作为分娩地点。针对产妇教育、鼓励 ANC 就诊次数以及避免 ID 利用障碍的行动是解决该问题的关键领域。
