Are women deciding against home births in low and middle income countries?

<h4>Background</h4>Although there is evidence to tracking progress towards facility births within the UN Millennium Development Goals framework, we do not know whether women are deciding against home birth over their reproductive lives. Using Demographic and Health Surveys (DHS) data fro...

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Autores principales:	Fiifi Amoako Johnson, Sabu S Padmadas, Zoë Matthews
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2013
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/e5c8aa08722143d2b3f9b93ed7112631
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spelling	oai:doaj.org-article:e5c8aa08722143d2b3f9b93ed71126312021-11-18T07:41:43ZAre women deciding against home births in low and middle income countries?1932-620310.1371/journal.pone.0065527https://doaj.org/article/e5c8aa08722143d2b3f9b93ed71126312013-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/23799022/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>Although there is evidence to tracking progress towards facility births within the UN Millennium Development Goals framework, we do not know whether women are deciding against home birth over their reproductive lives. Using Demographic and Health Surveys (DHS) data from 44 countries, this study aims to investigate the patterns and shifts in childbirth locations and to determine whether these shifts are in favour of home or health settings.<h4>Methods and findings</h4>The analyses considered 108,777 women who had at least two births in the five years preceding the most recent DHS over the period 2000-2010. The vast majority of women opted for the same place of childbirth for their successive births. However, about 14% did switch their place and not all these decisions favoured health facility over home setting. In 24 of the 44 countries analysed, a higher proportion of women switched from a health facility to home. Multilevel regression analyses show significantly higher odds of switching from home to a facility for high parity women, those with frequent antenatal visits and more wealth. However, in countries with high infant mortality rates, low parity women had an increased probability of switching from home to a health facility.<h4>Conclusions</h4>There is clear evidence that women do change their childbirth locations over successive births in low and middle income countries. After two decades of efforts to improve maternal health, it might be expected that a higher proportion of women will be deciding against home births in favour of facility births. The results from this analysis show that is not the case.Fiifi Amoako JohnsonSabu S PadmadasZoë MatthewsPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 8, Iss 6, p e65527 (2013)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Fiifi Amoako Johnson Sabu S Padmadas Zoë Matthews Are women deciding against home births in low and middle income countries?
description	<h4>Background</h4>Although there is evidence to tracking progress towards facility births within the UN Millennium Development Goals framework, we do not know whether women are deciding against home birth over their reproductive lives. Using Demographic and Health Surveys (DHS) data from 44 countries, this study aims to investigate the patterns and shifts in childbirth locations and to determine whether these shifts are in favour of home or health settings.<h4>Methods and findings</h4>The analyses considered 108,777 women who had at least two births in the five years preceding the most recent DHS over the period 2000-2010. The vast majority of women opted for the same place of childbirth for their successive births. However, about 14% did switch their place and not all these decisions favoured health facility over home setting. In 24 of the 44 countries analysed, a higher proportion of women switched from a health facility to home. Multilevel regression analyses show significantly higher odds of switching from home to a facility for high parity women, those with frequent antenatal visits and more wealth. However, in countries with high infant mortality rates, low parity women had an increased probability of switching from home to a health facility.<h4>Conclusions</h4>There is clear evidence that women do change their childbirth locations over successive births in low and middle income countries. After two decades of efforts to improve maternal health, it might be expected that a higher proportion of women will be deciding against home births in favour of facility births. The results from this analysis show that is not the case.
format	article
author	Fiifi Amoako Johnson Sabu S Padmadas Zoë Matthews
author_facet	Fiifi Amoako Johnson Sabu S Padmadas Zoë Matthews
author_sort	Fiifi Amoako Johnson
title	Are women deciding against home births in low and middle income countries?
title_short	Are women deciding against home births in low and middle income countries?
title_full	Are women deciding against home births in low and middle income countries?
title_fullStr	Are women deciding against home births in low and middle income countries?
title_full_unstemmed	Are women deciding against home births in low and middle income countries?
title_sort	are women deciding against home births in low and middle income countries?
publisher	Public Library of Science (PLoS)
publishDate	2013
url	https://doaj.org/article/e5c8aa08722143d2b3f9b93ed7112631
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Are women deciding against home births in low and middle income countries?

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