Document Detail

Determinants of place of birth decisions in uncomplicated childbirth in Bangladesh: an empirical study.
MedLine Citation:
PMID:  22884893     Owner:  NLM     Status:  MEDLINE    
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.
Joyce K Edmonds; Moni Paul; Lynn Sibley
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't     Date:  2012-08-09
Journal Detail:
Title:  Midwifery     Volume:  28     ISSN:  1532-3099     ISO Abbreviation:  Midwifery     Publication Date:  2012 Oct 
Date Detail:
Created Date:  2012-10-15     Completed Date:  2013-11-19     Revised Date:  2014-05-14    
Medline Journal Info:
Nlm Unique ID:  8510930     Medline TA:  Midwifery     Country:  Scotland    
Other Details:
Languages:  eng     Pagination:  554-60     Citation Subset:  N    
Copyright Information:
Copyright © 2011 Elsevier Ltd. All rights reserved.
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MeSH Terms
Attitude to Health
Bangladesh / epidemiology
Cross-Sectional Studies
Decision Making
Delivery, Obstetric / statistics & numerical data*
Empirical Research
Health Services Accessibility / statistics & numerical data*
Infant, Newborn
Maternal Health Services / organization & administration*
Maternal Welfare / statistics & numerical data*
Middle Aged
Midwifery / statistics & numerical data
Patient Acceptance of Health Care / statistics & numerical data*
Retrospective Studies
Socioeconomic Factors
Women's Health
Young Adult
Grant Support
F31 NR010650/NR/NINR NIH HHS; F31 NR010650-03/NR/NINR NIH HHS; F31NR010650/NR/NINR NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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