'A normal delivery takes place at home': a qualitative study of the location of childbirth in rural Ethiopia.

Maternal and Child Health Journal
Juliet BedfordAnteneh Girma

Abstract

To identify reasons why women who access health facilities and utilise maternal newborn and child health services at other times, do not necessarily deliver at health facilities. Forty-six semi-structured interviews were conducted with mothers who had recently delivered (n = 30) or were pregnant (n = 16). Thematic analysis of the interview data resulted in emerging trends that were critically addressed according to the research objective. Of the 30 delivered cases, 14 had given birth at a health facility, but only 3 of those had planned to do so. The remaining 11 had attended due to long or complicated labours. Five dominant themes influencing location of delivery were identified: perceptions of a normal delivery; motivations encouraging health facility delivery; deterrents preventing health facility deliveries; decision-making processes; and level of knowledge and health education. Understanding the socio-cultural determinants that influence the location of delivery has implications for service provision. Alongside timely health education and maximising the contact between women and healthcare professionals, these determinants should be actively incorporated into maternal newborn and child health policy and programming in ways...Continue Reading

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Citations

Aug 28, 2019·Archives of public health = Archives belges de santé publique·Alireza KhatonyAlireza Abdi
Apr 18, 2015·BMC Pregnancy and Childbirth·Laura Treacy, Mette Sagbakken
May 3, 2014·Health Care for Women International·Ruth Jackson
Feb 24, 2016·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Karen BallardHabtamu Atnafu
Nov 26, 2016·Tropical Medicine & International Health : TM & IH·Ruth JacksonHagos Godefay
Dec 12, 2018·Health Care for Women International·Elin MordalIngeborg Ulvund
Apr 11, 2014·BMC Pregnancy and Childbirth·Tesfay GebrehiwotIsabel Goicolea
Aug 11, 2016·BMC Women's Health·Tanya CaulfieldMichelle Kermode
Feb 16, 2018·International Health·Sanni YayaOgochukwu Udenigwe
Jun 8, 2017·Systematic Reviews·Minerva Kyei-NimakohTerence V McCann
Aug 5, 2018·BMC Pregnancy and Childbirth·Sara Rizvi JafreeFlorian Fischer

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