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Determinants of Home Delivery among Mothers in Urban and Rural Vadodara District, Gujarat, India

BACKGROUND: Maternal health is severely affected by home deliveries because it contributes to maternal mortality, especially if home births are not made safer. OBJECTIVES: The present study aimed to assess the determinants of home delivery among mothers in urban and rural Vadodara district, Gujarat....

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Detalles Bibliográficos
Autores principales: Agrawal, Nitin, Tiwari, Anjana
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7467194/
https://www.ncbi.nlm.nih.gov/pubmed/32905269
http://dx.doi.org/10.4103/ijcm.IJCM_289_19
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author Agrawal, Nitin
Tiwari, Anjana
author_facet Agrawal, Nitin
Tiwari, Anjana
author_sort Agrawal, Nitin
collection PubMed
description BACKGROUND: Maternal health is severely affected by home deliveries because it contributes to maternal mortality, especially if home births are not made safer. OBJECTIVES: The present study aimed to assess the determinants of home delivery among mothers in urban and rural Vadodara district, Gujarat. MATERIALS AND METHODS: This community-based, cross-sectional study was carried out during April 2017–July 2017. The mothers who delivered at home and hospital in urban and rural Vadodara district between April 15 and March 16 were included in the study. A semi-structured questionnaire was used for interviewing all the mothers. Information regarding sociodemographic and obstetrics characteristics of mothers was recorded. The study finding was presented in the form of frequencies and percentages, and the association was found with Chi-square test.P ≤0.05 was considered statistically significant. RESULTS: The present study was carried out among 138 mothers, of them, 71.7% were in the age group of 20–25 years. The mean age of mothers was 24.5 ± 4.4 years. The analysis of sociodemographic and obstetric factors revealed that mothers age more than 25 years, mothers from nuclear family, illiterate mothers, late antenatal care registration by mothers, mothers not registered in Janani Suraksha Yojna/Chiranjeevi Yojana scheme, and prior experience of home delivery by mothers were significantly associated with home delivery (P < 0.05 each). CONCLUSIONS: This study highlighted that several sociodemographic and obstetrics determinants related to mother were associated with home delivery in the study setting. Taking these findings into consideration, it is recommended that appropriate maternity services should be designed with a special focus on poor, uneducated, and multiparous women as well as it should ensure early registration of pregnancy for every pregnant woman. Institutional delivery should be encouraged and advocated among mothers having all previous deliveries at home.
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spelling pubmed-74671942020-09-03 Determinants of Home Delivery among Mothers in Urban and Rural Vadodara District, Gujarat, India Agrawal, Nitin Tiwari, Anjana Indian J Community Med Original Article BACKGROUND: Maternal health is severely affected by home deliveries because it contributes to maternal mortality, especially if home births are not made safer. OBJECTIVES: The present study aimed to assess the determinants of home delivery among mothers in urban and rural Vadodara district, Gujarat. MATERIALS AND METHODS: This community-based, cross-sectional study was carried out during April 2017–July 2017. The mothers who delivered at home and hospital in urban and rural Vadodara district between April 15 and March 16 were included in the study. A semi-structured questionnaire was used for interviewing all the mothers. Information regarding sociodemographic and obstetrics characteristics of mothers was recorded. The study finding was presented in the form of frequencies and percentages, and the association was found with Chi-square test.P ≤0.05 was considered statistically significant. RESULTS: The present study was carried out among 138 mothers, of them, 71.7% were in the age group of 20–25 years. The mean age of mothers was 24.5 ± 4.4 years. The analysis of sociodemographic and obstetric factors revealed that mothers age more than 25 years, mothers from nuclear family, illiterate mothers, late antenatal care registration by mothers, mothers not registered in Janani Suraksha Yojna/Chiranjeevi Yojana scheme, and prior experience of home delivery by mothers were significantly associated with home delivery (P < 0.05 each). CONCLUSIONS: This study highlighted that several sociodemographic and obstetrics determinants related to mother were associated with home delivery in the study setting. Taking these findings into consideration, it is recommended that appropriate maternity services should be designed with a special focus on poor, uneducated, and multiparous women as well as it should ensure early registration of pregnancy for every pregnant woman. Institutional delivery should be encouraged and advocated among mothers having all previous deliveries at home. Wolters Kluwer - Medknow 2020 2020-06-02 /pmc/articles/PMC7467194/ /pubmed/32905269 http://dx.doi.org/10.4103/ijcm.IJCM_289_19 Text en Copyright: © 2020 Indian Journal of Community Medicine http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Original Article
Agrawal, Nitin
Tiwari, Anjana
Determinants of Home Delivery among Mothers in Urban and Rural Vadodara District, Gujarat, India
title Determinants of Home Delivery among Mothers in Urban and Rural Vadodara District, Gujarat, India
title_full Determinants of Home Delivery among Mothers in Urban and Rural Vadodara District, Gujarat, India
title_fullStr Determinants of Home Delivery among Mothers in Urban and Rural Vadodara District, Gujarat, India
title_full_unstemmed Determinants of Home Delivery among Mothers in Urban and Rural Vadodara District, Gujarat, India
title_short Determinants of Home Delivery among Mothers in Urban and Rural Vadodara District, Gujarat, India
title_sort determinants of home delivery among mothers in urban and rural vadodara district, gujarat, india
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7467194/
https://www.ncbi.nlm.nih.gov/pubmed/32905269
http://dx.doi.org/10.4103/ijcm.IJCM_289_19
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