Factors Influencing Obstetric Home Delivery and Outcome Among Women of Reproductive Age in Dusmareb District, Somalia

Abstract

Background: Homebirth (home delivery) is a birth that takes place in a residence rather than in a hospital or a birth center. Aims: The aim of the study is to determine factors influencing obstetric home delivery and the outcomes among women of reproductive age in Dusmareb district, Somalia. Methods: The study was used a descriptive cross-sectional study in Dusamreb district of Somalia with both qualitative and quantitative techniques of data collections and random technique was used to select 228 women of reproductive age. Well-structured questionnaires were administered by the interviewer to participants who gave their consent and also two focus group discussion sessions were conducted with discussion guides. Data were analysed using the Statistical Package for Social Sciences version 20.0. Descriptive , and Inferential statistics were used to test association, with the level of significance set at 5%. Results: The findings of this study show that 41% have had at least one child delivery at home. The mean age of the respondents was 32.9 ± 8.1 years; 15(6.6%) had tertiary education and Women with 4 – 6 children were four times more likely to have a home delivery (OR = 3.65, p = 0.002), Women with employment were 59% less likely to have a home delivery (OR = 0.41, p = 0.009); the study also found as outcome of home delivery that 22% of the women reported their baby was not okay and have taken to hospital, while 41(73.2%) reported the child died within 28 days following delivery while 24 (42.8%), women experienced prolonged labour during their last delivery at home.in the focus group discussion the women reported that there is poor communication relationship between the mothers and health staff. Conclusion: the study is highly recommended the government to create employment for the women,also the hospital directors were recommended to monitor the relationship between the care giver and the pregnant mother.

Factors contributing to home deliveries by women attending post-natal care at a selected clinic in Rundu District, Kavango East Region, Namibia

“…Similar conclusions were reached to those of Jama et al 10 Their research revealed that 41% of respondents had at least one home birth. In their study, respondents had a mean age of 32.98.1 years; those with 7-9 children were nearly 2.5 times more likely to have a home delivery (OR=2.38, p=0.056).…”

“…13 The majority of respondents in this research (77.2%) had a favorable opinion of health facility staff, however they did not specify why they preferred to give birth at home. In accordance, Jama et al 10 discovered that 141 (61.8%) women made their own decision regarding where they delivered their kid, 50 (22.0%) claimed that their husbands made the decision, and 37 (16%) reported that their mother made the decision. These findings were consistent with those of the Namibia Demographic Health Survey (NDHSS) (2015).…”

“…41 (73,2%) of these mothers indicated that their child died within 28 days of delivery, while 24 (42,8%) reported lengthy labor with their last delivery at home. 10 In another study conducted in Ethiopia, 53.7% of the 447 respondents were younger than 20 years old at the time of their first pregnancy. 11 Prior to delivery, the World Health Organization (WHO) recommends a targeted ANC visit or at least four ANC checkups for pregnant women.…”

“…There was a significant association between home delivery among women and parity (X 2 =13.66, p=0.003), women's level of education (X 2 =11.06, p=0.001), the women's occupation (X 2 =9.56, p=0.002) and marital status (X 2 =9.56, p=0.031), as well as the person who makes the decision about where to deliver (X 2 =34.05, p0.001). Jama et al 10 found that women with 4-6 children were three times more likely to deliver at home than those with 1-3 children (OR=3.32, p=0.001); those with 7-9 children were approximately 2.7 times more likely to have had a home delivery than those with 1-3 children (OR=2.69, p=0.010); and women with 10 or more children were 1.7 times more likely to have had a home delivery than those with 1-3 children (OR=1.7 These findings are consistent with those of Yebyo et al 15…”

A Systematic Review On The Impact Of Polygamy On Women’s Mental Health

“…Gender disparities in mental health are widely recognized, with women disproportionately affected by various mental disorders. Apart from specific conditions like PMDD, PMS, and postpartum depression, women are at greater risk than men for developing anxiety, depression, somatoform and eating disorders, as well as experiencing suicide attempts [7][8][9]. Polygamy is a form of marriage that involves having numerous spouses [10].…”