Document Detail


Determinants of place of birth decisions in uncomplicated childbirth in Bangladesh: An empirical study.
MedLine Citation:
PMID:  22884893     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
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.
Authors:
Joyce K Edmonds; Moni Paul; Lynn Sibley
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-8-9
Journal Detail:
Title:  Midwifery     Volume:  -     ISSN:  1532-3099     ISO Abbreviation:  Midwifery     Publication Date:  2012 Aug 
Date Detail:
Created Date:  2012-8-13     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8510930     Medline TA:  Midwifery     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2011 Elsevier Ltd. All rights reserved.
Affiliation:
College of Nursing and Health Sciences, University of Massachusetts Boston, 100 Morrissey Blvd (Science 301-13), Boston, MA 02125, USA.
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