Aynalem Bewket Yeserah, Zerihun Tamene, Alemu Addisu Alehegn, Meselu Belsity Temesgen, Zeleke Liknaw Bewket, Kassa Getachew Mullu
Department of Midwifery, Debre Markos University, Debre Markos, Ethiopia.
School of Women's and Children's Health, University of New South Wales Sydney, Sydney, NSW, Australia.
Front Glob Womens Health. 2024 Dec 6;5:1458453. doi: 10.3389/fgwh.2024.1458453. eCollection 2024.
Maternal mortality is a global issue, with developing countries accounting for over 99% of maternal deaths, with 30% of Ethiopian mothers dying from pregnancy-related causes. This study aimed to assess the magnitude, associated factors, and reasons for home delivery among women who gave birth after antenatal care follow-up in the last 6 months in Jabitehnan District, Northwest Ethiopia.
A mixed community-based study was conducted on women who gave birth after antenatal care follow-up in the last 6 months. Data was collected through face-to-face interviews and structured questionnaires. Bivariate and multivariable logistic regressions were performed to identify factors associated with home delivery. Qualitative data were collected through focus group discussions and in-depth interviews and analyzed using a thematic content analysis method.
In this study, the magnitude of home delivery after ANC follow-up among mothers who gave birth in the last 6 months was 37%, with a 95% CI of 32.5 and 41.5. Pregnancy plan [AOR: 4.56 (2.65, 7.86)], experience of abortion AOR: 3.01 [1.631, (5.55)], ANC follow-up at public hospitals [AOR: 1.89 (1.119, 3.18)], and pregnant mothers visited at home by healthcare providers during their ANC follow-up absent [AOR: 1.61 (1.02, 2.53)] were predictors of home delivery. Poor counseling during ANC, and lack of pregnancy plans, traditions, and beliefs were reasons for home delivery.
The study reveals a high magnitude of home delivery as compared to a study done in Bahir Dar (21.2%). Factors include pregnancy plans, health institution type, abortion experience, and absence from antenatal care. Poor counseling during ANC, and lack of pregnancy plans, traditions, and beliefs were reasons for home delivery. Health professionals should receive training in communication and counseling techniques, and they should encourage mothers to plan their pregnancies and visit facility delivery services during ANC follow-up.
孕产妇死亡率是一个全球性问题，发展中国家的孕产妇死亡人数占全球总数的99%以上，埃塞俄比亚30%的母亲死于与妊娠相关的原因。本研究旨在评估埃塞俄比亚西北部贾比特南地区过去6个月接受产前护理随访后分娩的妇女中，在家分娩的比例、相关因素及原因。
对过去6个月接受产前护理随访后分娩的妇女进行了一项基于社区的混合研究。通过面对面访谈和结构化问卷收集数据。进行二元和多变量逻辑回归以确定与在家分娩相关的因素。通过焦点小组讨论和深入访谈收集定性数据，并使用主题内容分析法进行分析。
在本研究中，过去6个月分娩的母亲在接受产前护理随访后在家分娩的比例为37%，95%置信区间为32.5%至41.5%。怀孕计划[AOR：4.56(2.65, 7.86)]、流产经历[AOR：3.01(1.631, 5.55)]、在公立医院接受产前护理随访[AOR：1.89(1.119, 3.18)]以及在产前护理随访期间医护人员未上门探访怀孕母亲[AOR：1.61(1.02, 2.53)]是在家分娩的预测因素。产前护理期间咨询不足以及缺乏怀孕计划、传统和信仰是在家分娩的原因。
与在巴赫达尔进行的一项研究(21.2%)相比，本研究显示在家分娩的比例很高。因素包括怀孕计划、医疗机构类型、流产经历和未接受产前护理。产前护理期间咨询不足以及缺乏怀孕计划、传统和信仰是在家分娩的原因。卫生专业人员应接受沟通和咨询技巧培训，并且应鼓励母亲们计划怀孕，并在产前护理随访期间前往医疗机构分娩。
