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Maternal delay for institutional delivery and associated factors among postnatal mothers at Southeastern Ethiopia: a cross sectional study.
Debela, Derese Eshetu; Aschalew, Zeleke; Bante, Agegnehu; Yihune, Manaye; Gomora, Degefa; Hussein, Feisal; Sahile, Ayele; Mersha, Abera.
Afiliación
  • Debela DE; Department of Midwifery, College of Medicine & Health Sciences, Madda Walabu University, Goba, Ethiopia. dereseeshetu12@gmail.com.
  • Aschalew Z; School of Nursing, College of Medicine & Health Sciences, Arba Minch University, Arba Minch, Ethiopia.
  • Bante A; School of Nursing, College of Medicine & Health Sciences, Arba Minch University, Arba Minch, Ethiopia.
  • Yihune M; School of Public Health, College of Medicine & Health Sciences, Arba Minch University, Arba Minch, Ethiopia.
  • Gomora D; Department of Midwifery, College of Medicine & Health Sciences, Madda Walabu University, Goba, Ethiopia.
  • Hussein F; Department of Midwifery, College of Medicine & Health Sciences, Madda Walabu University, Shashamane, Ethiopia.
  • Sahile A; Department of Midwifery, College of Medicine & Health Sciences, Wolkite University, Wolkite, Ethiopia.
  • Mersha A; School of Nursing, College of Medicine & Health Sciences, Arba Minch University, Arba Minch, Ethiopia.
BMC Pregnancy Childbirth ; 24(1): 206, 2024 Mar 18.
Article en En | MEDLINE | ID: mdl-38500066
ABSTRACT

BACKGROUND:

Maternal delay in timely seeking health care, inadequate health care and the inability to access health facilities are the main causes of maternal mortality in low and middle income countries. The three-delay approach was used to pinpoint responsible factors for maternal death. There was little data on the delay in decision making to seek institutional delivery service in the study area. Therefore, the aim of this study was to assess the extent of the first maternal delay for institutional delivery and its associated factors among postpartum mothers in the Bale and east Bale zones.

METHODS:

An institutional-based cross-sectional study was conducted among 407 postpartum mothers from April 6 to May 6, 2022. A systematic sampling technique was used to select study participants. The data were collected electronically using an Open Data Kit and exported to SPSS window version 25 for cleaning and analysis. Both bivariate and multivariable analysis was done by using binary logistic regression model to identify factors associated with maternal delay for institutional delivery services. Statistical significance was declared at P-value < 0.05.

RESULTS:

In this study, the magnitude of the first maternal delay in making the decision to seek institutional delivery service was 29.2% (95% CI 24.9, 33.9). Previous pregnancy problems (AOR = 1.8; 95% CI 1.06, 3.08), knowing the danger signs of labor and childbirth (AOR = 1.78; 95% CI 1.11, 2.85) and decision-making (AOR = 0.42; 95% CI 0.20, 0.85) were significantly associated with the first maternal delay.

CONCLUSION:

This study identified a significant number of postnatal mothers experienced delay in making decisions to seek institutional delivery service in the study area. Promoting women's empowerment and building on key danger signs should be emphasized.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Parto Obstétrico / Servicios de Salud Materna Límite: Female / Humans / Pregnancy País/Región como asunto: Africa Idioma: En Revista: BMC Pregnancy Childbirth Asunto de la revista: OBSTETRICIA Año: 2024 Tipo del documento: Article País de afiliación: Etiopia Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Parto Obstétrico / Servicios de Salud Materna Límite: Female / Humans / Pregnancy País/Región como asunto: Africa Idioma: En Revista: BMC Pregnancy Childbirth Asunto de la revista: OBSTETRICIA Año: 2024 Tipo del documento: Article País de afiliación: Etiopia Pais de publicación: Reino Unido