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Home childbirth among young mothers aged 15–24 years in Nigeria: a national population-based cross-sectional study

OBJECTIVE: To estimate the prevalence and identify factors associated with home childbirth (delivery) among young mothers aged 15–24 years in Nigeria. DESIGN: A secondary analysis of cross-sectional data from the 2013 Nigeria Demographic and Health Survey (NDHS). SETTING: Nigeria. PARTICIPANTS: A to...

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Autores principales: Adewuyi, Emmanuel O, Khanal, Vishnu, Zhao, Yun, David, Lungcit, Bamidele, Olasunkanmi David, Auta, Asa
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6756611/
https://www.ncbi.nlm.nih.gov/pubmed/31537553
http://dx.doi.org/10.1136/bmjopen-2018-025494
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author Adewuyi, Emmanuel O
Khanal, Vishnu
Zhao, Yun
David, Lungcit
Bamidele, Olasunkanmi David
Auta, Asa
author_facet Adewuyi, Emmanuel O
Khanal, Vishnu
Zhao, Yun
David, Lungcit
Bamidele, Olasunkanmi David
Auta, Asa
author_sort Adewuyi, Emmanuel O
collection PubMed
description OBJECTIVE: To estimate the prevalence and identify factors associated with home childbirth (delivery) among young mothers aged 15–24 years in Nigeria. DESIGN: A secondary analysis of cross-sectional data from the 2013 Nigeria Demographic and Health Survey (NDHS). SETTING: Nigeria. PARTICIPANTS: A total of 7543 young mothers aged 15–24 years. OUTCOME MEASURE: Place of delivery. RESULTS: The prevalence of home delivery among young mothers aged 15–24 years was 69.5% (95% CI 67.1% to 71.8%) in Nigeria—78.9% (95%CI 76.3% to 81.2%) in rural and 43.9% (95%CI 38.5% to 49.5%, p<0.001) in urban Nigeria. Using the Andersen’s behavioural model, increased odds of home delivery were associated with the two environmental factors: rural residence (adjusted OR, AOR: 1.39, 95% CI 1.06 to 1.85) and regions of residence (North-East: AOR: 1.97, 95% CI 1.14 to 3.34; North-West: AOR: 2.94, 95% CI 1.80 to 4.83; and South-South: AOR: 3.81, 95% CI 2.38 to 6.06). Three of the enabling factors (lack of health insurance: AOR: 2.34, 95% CI 1.16 to 4.71; difficulty with distance to healthcare facilities: AOR: 1.48, 95% CI 1.15 to 1.88; and <4 times antenatal attendance: AOR: 3.80, 95% CI 3.00 to 4.85) similarly increased the odds of home delivery. Lastly, six predisposing factors—lack of maternal and husband’s education, poor wealth index, Islamic religion, high parity and low frequency of listening to radio—were associated with increased odds of home delivery. CONCLUSIONS: Young mothers aged 15–24 years had a higher prevalence of home delivery than the national average for all women of reproductive age in Nigeria. Priority attention is required for young mothers in poor households, rural areas, North-East, North-West and South-South regions. Faith-based interventions, a youth-oriented antenatal care package, education of girls and access to health insurance coverage are recommended to speed up the reduction of home delivery among young mothers in Nigeria.
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spelling pubmed-67566112019-10-07 Home childbirth among young mothers aged 15–24 years in Nigeria: a national population-based cross-sectional study Adewuyi, Emmanuel O Khanal, Vishnu Zhao, Yun David, Lungcit Bamidele, Olasunkanmi David Auta, Asa BMJ Open Public Health OBJECTIVE: To estimate the prevalence and identify factors associated with home childbirth (delivery) among young mothers aged 15–24 years in Nigeria. DESIGN: A secondary analysis of cross-sectional data from the 2013 Nigeria Demographic and Health Survey (NDHS). SETTING: Nigeria. PARTICIPANTS: A total of 7543 young mothers aged 15–24 years. OUTCOME MEASURE: Place of delivery. RESULTS: The prevalence of home delivery among young mothers aged 15–24 years was 69.5% (95% CI 67.1% to 71.8%) in Nigeria—78.9% (95%CI 76.3% to 81.2%) in rural and 43.9% (95%CI 38.5% to 49.5%, p<0.001) in urban Nigeria. Using the Andersen’s behavioural model, increased odds of home delivery were associated with the two environmental factors: rural residence (adjusted OR, AOR: 1.39, 95% CI 1.06 to 1.85) and regions of residence (North-East: AOR: 1.97, 95% CI 1.14 to 3.34; North-West: AOR: 2.94, 95% CI 1.80 to 4.83; and South-South: AOR: 3.81, 95% CI 2.38 to 6.06). Three of the enabling factors (lack of health insurance: AOR: 2.34, 95% CI 1.16 to 4.71; difficulty with distance to healthcare facilities: AOR: 1.48, 95% CI 1.15 to 1.88; and <4 times antenatal attendance: AOR: 3.80, 95% CI 3.00 to 4.85) similarly increased the odds of home delivery. Lastly, six predisposing factors—lack of maternal and husband’s education, poor wealth index, Islamic religion, high parity and low frequency of listening to radio—were associated with increased odds of home delivery. CONCLUSIONS: Young mothers aged 15–24 years had a higher prevalence of home delivery than the national average for all women of reproductive age in Nigeria. Priority attention is required for young mothers in poor households, rural areas, North-East, North-West and South-South regions. Faith-based interventions, a youth-oriented antenatal care package, education of girls and access to health insurance coverage are recommended to speed up the reduction of home delivery among young mothers in Nigeria. BMJ Publishing Group 2019-09-18 /pmc/articles/PMC6756611/ /pubmed/31537553 http://dx.doi.org/10.1136/bmjopen-2018-025494 Text en © Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.
spellingShingle Public Health
Adewuyi, Emmanuel O
Khanal, Vishnu
Zhao, Yun
David, Lungcit
Bamidele, Olasunkanmi David
Auta, Asa
Home childbirth among young mothers aged 15–24 years in Nigeria: a national population-based cross-sectional study
title Home childbirth among young mothers aged 15–24 years in Nigeria: a national population-based cross-sectional study
title_full Home childbirth among young mothers aged 15–24 years in Nigeria: a national population-based cross-sectional study
title_fullStr Home childbirth among young mothers aged 15–24 years in Nigeria: a national population-based cross-sectional study
title_full_unstemmed Home childbirth among young mothers aged 15–24 years in Nigeria: a national population-based cross-sectional study
title_short Home childbirth among young mothers aged 15–24 years in Nigeria: a national population-based cross-sectional study
title_sort home childbirth among young mothers aged 15–24 years in nigeria: a national population-based cross-sectional study
topic Public Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6756611/
https://www.ncbi.nlm.nih.gov/pubmed/31537553
http://dx.doi.org/10.1136/bmjopen-2018-025494
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