Determinants of Place of Birth Decisions in Uncomplicated Childbirth in Bangladesh: an Empirical Study

Overview

Journal Midwifery

Specialties Gynecology & Obstetrics
Nursing

Date 2012 Aug 14

PMID 22884893

Citations 17

Authors

Joyce K Edmonds

Moni Paul

Lynn Sibley

Affiliations

Soon will be listed here.

Abstract

Objective: to test the predictive value of women's self-identified criteria in place of birth decisions in the event of uncomplicated childbirth in a setting where facility based skilled birth attendants are available.

Design: a retrospective, cross-sectional study was conducted in two phases. The first phase used data from in-depth interviews. The second phase used data from semi-structured questionnaires.

Setting: the service area of Matlab, Bangladesh.

Participants: women 18-49 years who had an uncomplicated pregnancy and delivery resulting in a live birth.

Findings: a women's intention about where to deliver during pregnancy, her perception of labour progress, the availability of transportation at the time of labour, and the close proximity of a dai to the household were independent predictors of facility-based SBA use. Marital age was also significant predictor of use.

Key Conclusions: the availability of delivery services does not guarantee use and instead specific considerations and conditions during pregnancy and in and around the time of birth influence the preventive health seeking behaviour of women during childbirth. Our findings have implications for birth preparedness and complication readiness initiatives that aim to strengthen timely use of SBAs for all births. Demand side strategies to reduce barriers to health seeking, as part of an overall health system strengthening approach, are needed to meet the Millennium Development 5 goal.

Citing Articles

Prevalence and determinants of home delivery in urban and rural Philippines: Evidence from the 2017 National Demographic and Health Survey.

Amit A, Pepito V, De Los Reyes S, Tang C, Aliazas N, Sumpaico-Tanchanco L Womens Health (Lond). 2022; 18:17455057221117957.

PMID: 35959869 PMC: 9379564. DOI: 10.1177/17455057221117957.

Women's Choice to Deliver at Home: Understanding the Psychosocial and Cultural Factors Influencing Birthing Choices for Unskilled Home Delivery among Women in Southwestern Uganda.

Atukunda E, Mugyenyi G, Obua C, Musiimenta A, Agaba E, Najjuma J J Pregnancy. 2020; 2020:6596394.

PMID: 32566299 PMC: 7290878. DOI: 10.1155/2020/6596394.

Birth preparedness and complication readiness among pregnant women admitted in a rural hospital in Rwanda.

Smeele P, Kalisa R, van Elteren M, van Roosmalen J, van den Akker T BMC Pregnancy Childbirth. 2018; 18(1):190.

PMID: 29848311 PMC: 5977552. DOI: 10.1186/s12884-018-1818-x.

Modeling the relationship between women's perceptions and future intention to use institutional maternity care in the Western Highlands of Guatemala.

Peca E, Sandberg J Reprod Health. 2018; 15(1):9.

PMID: 29325572 PMC: 5765672. DOI: 10.1186/s12978-017-0448-5.

Nursing's Potential to Address the Growing Cancer Burden in Low- and Middle-Income Countries.

Challinor J, Galassi A, Al-Ruzzieh M, Bigirimana J, Buswell L, So W J Glob Oncol. 2017; 2(3):154-163.

PMID: 28717695 PMC: 5495453. DOI: 10.1200/JGO.2015.001974.

References

Thomson A . The joint WHO/ICM/FIGO statement on skilled attendants at birth. Midwifery. 2005; 21(1):1. DOI: 10.1016/j.midw.2004.12.002. View

Campbell O, Graham W . Strategies for reducing maternal mortality: getting on with what works. Lancet. 2006; 368(9543):1284-99. DOI: 10.1016/S0140-6736(06)69381-1. View

Duong D, Binns C, Lee A . Utilization of delivery services at the primary health care level in rural Vietnam. Soc Sci Med. 2004; 59(12):2585-95. DOI: 10.1016/j.socscimed.2004.04.007. View

Nuwaha F . Factors influencing choice of delivery sites in Rakai district of Uganda. Soc Sci Med. 2000; 50(2):203-13. DOI: 10.1016/s0277-9536(99)00275-0. View

Paxton A, Maine D, Freedman L, Smith J . Where is the "E" in MCH?. J Midwifery Womens Health. 2003; 48(5):373. View

Rutter D, Steadman L, Quine L . An implementation intentions intervention to increase uptake of mammography. Ann Behav Med. 2006; 32(2):127-34. DOI: 10.1207/s15324796abm3202_10. View

Killewo J, Anwar I, Bashir I, Yunus M, Chakraborty J . Perceived delay in healthcare-seeking for episodes of serious illness and its implications for safe motherhood interventions in rural Bangladesh. J Health Popul Nutr. 2007; 24(4):403-12. PMC: 3001144. View

Matthews Z, Ramakrishna J, Mahendra S, Kilaru A, Ganapathy S . Birth rights and rituals in rural south India: care seeking in the intrapartum period. J Biosoc Sci. 2005; 37(4):385-411. DOI: 10.1017/s0021932004006911. View

Dynes M, Rahman A, Beck D, Moran A, Rahman A, Pervin J . Home-based life saving skills in Matlab, Bangladesh: a process evaluation of a community-based maternal child health programme. Midwifery. 2009; 27(1):15-22. DOI: 10.1016/j.midw.2009.07.009. View

10.

Esimai O, Ojo O, Fasubaa O . Utilization of approved health facilities for delivery in Ile-Ife, Osun State, Nigeria. Niger J Med. 2003; 11(4):177-9. View

11.

Sunil T, Rajaram S, Zottarelli L . Do individual and program factors matter in the utilization of maternal care services in rural India?: a theoretical approach. Soc Sci Med. 2005; 62(8):1943-57. DOI: 10.1016/j.socscimed.2005.09.004. View

12.

Quigley M, Hockley C, Davidson L . Agreement between hospital records and maternal recall of mode of delivery: evidence from 12 391 deliveries in the UK Millennium Cohort Study. BJOG. 2006; 114(2):195-200. DOI: 10.1111/j.1471-0528.2006.01203.x. View

13.

Anson O . Utilization of maternal care in rural HeBei Province, the People's Republic of China: individual and structural characteristics. Health Policy. 2004; 70(2):197-206. DOI: 10.1016/j.healthpol.2004.03.001. View

14.

Schmid T, Kanenda O, Ahluwalia I, Kouletio M . Transportation for maternal emergencies in Tanzania: empowering communities through participatory problem solving. Am J Public Health. 2001; 91(10):1589-90. PMC: 1446833. DOI: 10.2105/ajph.91.10.1589. View

15.

Tomeo C, Rich-Edwards J, Michels K, Berkey C, Hunter D, Frazier A . Reproducibility and validity of maternal recall of pregnancy-related events. Epidemiology. 1999; 10(6):774-7. View

16.

Griffiths P, Stephenson R . Understanding users' perspectives of barriers to maternal health care use in Maharashtra, India. J Biosoc Sci. 2001; 33(3):339-59. DOI: 10.1017/s002193200100339x. View

17.

Chowdhury M, Ahmed A, Kalim N, Koblinsky M . Causes of maternal mortality decline in Matlab, Bangladesh. J Health Popul Nutr. 2009; 27(2):108-23. PMC: 2761779. DOI: 10.3329/jhpn.v27i2.3325. View

18.

Chakraborty N, Islam M, Chowdhury R, Bari W, Akhter H . Determinants of the use of maternal health services in rural Bangladesh. Health Promot Int. 2003; 18(4):327-37. DOI: 10.1093/heapro/dag414. View

19.

Simkin P . Just another day in a woman's life? Part II: Nature and consistency of women's long-term memories of their first birth experiences. Birth. 1992; 19(2):64-81. DOI: 10.1111/j.1523-536x.1992.tb00382.x. View

20.

Ir P, Horemans D, Souk N, Van Damme W . Using targeted vouchers and health equity funds to improve access to skilled birth attendants for poor women: a case study in three rural health districts in Cambodia. BMC Pregnancy Childbirth. 2010; 10:1. PMC: 2820432. DOI: 10.1186/1471-2393-10-1. View