Hernández-Vásquez Akram, Chacón-Torrico Horacio, Vargas-Fernández Rodrigo, Bendezu-Quispe Guido
Universidad San Ignacio de Loyola, Vicerrectorado de Investigación, Centro de Excelencia en Investigaciones Económicas y Sociales en Salud, Lima, Peru.
Universidad Científica del Sur, Lima, Peru.
Heliyon. 2021 Mar 8;7(3):e06344. doi: 10.1016/j.heliyon.2021.e06344. eCollection 2021 Mar.
Higher rates of maternal complications and deaths have been described in home births. However, few local studies have evaluated factors associated with home births in Peru. The study aims to determine the prevalence and factors associated with home birth in the Peruvian population.
A population-based analytical cross-sectional study was conducted using pooled data from the 2015-2017 Peruvian Demographic and Health Surveys. A logistic regression model was performed to calculate crude and adjusted odds ratios (aOR) for the association between sociodemographic and mother-related factors and home births.
Seven out of every 100 births were home births. Living in a rural area (aOR = 3.10; 95% CI: 2.52-3.81), having a primary or secondary educational level, belonging to a medium or low wealth tertile, being from the rest of the Coast, Andean or Amazon regions, the second or greater number of birth order and considering the distance to the health center as problematic (aOR: 1.32; 95% CI: 1.17-1.48) were found to be associated with a higher probability of home births. Contrarily, being in the age groups of 25-34 and 35-39 years old, having a multiple pregnancy and giving birth to a medium (aOR: 0.88; 95% CI: 0.78-1.00) or large-sized newborn (aOR = 0.81; 95% CI: 0.72-0.93) were associated with a lower probability of presenting home births.
Sociodemographic factors are associated with home births in Peru. Further study of these factors is required to develop strategies specific to the needs of the population of childbearing age.
家庭分娩中产妇并发症和死亡发生率较高。然而，秘鲁当地很少有研究评估与家庭分娩相关的因素。本研究旨在确定秘鲁人群中家庭分娩的患病率及相关因素。
采用2015 - 2017年秘鲁人口与健康调查的汇总数据进行基于人群的分析性横断面研究。进行逻辑回归模型计算社会人口学和母亲相关因素与家庭分娩之间关联的粗比值比和调整比值比（aOR）。
每100例分娩中有7例为家庭分娩。居住在农村地区（aOR = 3.10；95%置信区间：2.52 - 3.81）、小学或初中学历、属于中等或低财富三分位数、来自海岸其他地区、安第斯或亚马逊地区、生育顺序为第二胎或更多胎以及认为到卫生中心的距离存在问题（aOR：1.32；95%置信区间：1.17 - 1.48）与家庭分娩概率较高相关。相反，年龄在25 - 34岁和35 - 39岁组、多胎妊娠以及分娩出中等（aOR：0.88；95%置信区间：0.78 - 1.00）或大尺寸新生儿（aOR = 0.81；95%置信区间：0.72 - 0.93）与家庭分娩概率较低相关。
社会人口学因素与秘鲁的家庭分娩相关。需要进一步研究这些因素以制定针对育龄人群需求的具体策略。
