Home childbirth among young mothers aged 15–24 years in Nigeria: a national population-based cross-sectional study

Abstract

ObjectiveTo estimate the prevalence and identify factors associated with home childbirth (delivery) among young mothers aged 15–24 years in Nigeria.DesignA secondary analysis of cross-sectional data from the 2013 Nigeria Demographic and Health Survey (NDHS).SettingNigeria.ParticipantsA total of 7543 young mothers aged 15–24 years.Outcome measurePlace of delivery.ResultsThe prevalence of home delivery among young mothers aged 15–24 years was 69.5% (95% CI 67.1% to 71.8%) in Nigeria—78.9% (95%CI 76.3% to 81.2%) in rural and 43.9% (95%CI 38.5% to 49.5%, p<0.001) in urban Nigeria. Using the Andersen’s behavioural model, increased odds of home delivery were associated with the two environmental factors: rural residence (adjusted OR, AOR: 1.39, 95% CI 1.06 to 1.85) and regions of residence (North-East: AOR: 1.97, 95% CI 1.14 to 3.34; North-West: AOR: 2.94, 95% CI 1.80 to 4.83; and South-South: AOR: 3.81, 95% CI 2.38 to 6.06). Three of the enabling factors (lack of health insurance: AOR: 2.34, 95% CI 1.16 to 4.71; difficulty with distance to healthcare facilities: AOR: 1.48, 95% CI 1.15 to 1.88; and <4 times antenatal attendance: AOR: 3.80, 95% CI 3.00 to 4.85) similarly increased the odds of home delivery. Lastly, six predisposing factors—lack of maternal and husband’s education, poor wealth index, Islamic religion, high parity and low frequency of listening to radio—were associated with increased odds of home delivery.ConclusionsYoung mothers aged 15–24 years had a higher prevalence of home delivery than the national average for all women of reproductive age in Nigeria. Priority attention is required for young mothers in poor households, rural areas, North-East, North-West and South-South regions. Faith-based interventions, a youth-oriented antenatal care package, education of girls and access to health insurance coverage are recommended to speed up the reduction of home delivery among young mothers in Nigeria.

<p>Institutional Delivery Among Young Women in Ethiopia: Further Analysis of Trends and Determinants, from the Four Consecutive Ethiopia Demographic and Health Survey</p>

“…The national prevalence of institutional delivery among young women in 2016 was in line with a study conducted in Nigeria, where more than two thirds of young mothers aged 15-24 years gave birth at home. 19 However, the finding was slightly lower than the result from Nepal, where the rate of institutional delivery among young married women was 46%. 20 This difference may be contributing to differences in the health system structures of the two countries.…”

“…20,-23-35 This finding was in line with a study from Nigeria, where young women from a poor economic category had a higher prevalence of home delivery. 19 Similarly, in Bangladesh, being part of the richest bands of wealth was associated with the use of skilled maternal health services among adolescents. 36 Financial problems were one of the reasons women did not choose a health institution for childbirth.…”

“…This finding was consistent with a study in Nigeria that indicated higher odds of home delivery with a lower educational status of the husband. 19 A study from Gambia also favors the direct relationship between a husband's higher educational status with institutional delivery. 40 This could be due to the reason that the more the husband is educated, the more he would be aware of the benefits of institutional delivery, so that he encouraged his wife to give birth at the health facility.…”

Determinants of antenatal care and skilled birth attendance services utilization among childbearing women in Guinea: evidence from the 2018 Guinea Demographic and Health Survey data

“…The reason for this coding was in line with the WHO's recommendation of at least four ANC visits [3]. Previous studies on ANC have also adopted this categorization [15][16][17][18][19]. Women who had delivered were also asked whether their delivery was assisted by a skilled health personnel (i.e., doctor, nurse, midwife, or trained village health worker).…”

Optimum utilization of antenatal and postnatal cares among young women in Tigray, Northern Ethiopia: A community based-cross sectional study

“…Optimum utilization of both services signi cantly reduces maternal and newborn morbidity and mortality in the globe [4][5][6][7][8][9][10]. Being the rst element in the continuum of maternal healthcare, ANC provides a unique opportunity for awareness creation on the importance of institutional delivery [7,[11][12][13][14][15].…”