Diversities in the place of delivery choice: a study among expectant mothers in Ghana
Abstract Background In this study, the factors that influence the choice of place of delivery among expectant mothers in both rural and urban settings in the northern part of Ghana were identified and compared using the conceptual framework provided by Thaddeus and Maine. Methods A mixed-method stud...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2022-11-01
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| Series: | BMC Pregnancy and Childbirth |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12884-022-05158-0 |
| _version_ | 1811187015903870976 |
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| author | Mahama Ibrahim Baba Kofi Adesi Kyei Justina Baaba Kyei Joseph Daniels Isaac Justice Kobina Biney John Oswald Patrick Tschida Michael Brunet |
| author_facet | Mahama Ibrahim Baba Kofi Adesi Kyei Justina Baaba Kyei Joseph Daniels Isaac Justice Kobina Biney John Oswald Patrick Tschida Michael Brunet |
| author_sort | Mahama Ibrahim Baba |
| collection | DOAJ |
| description | Abstract Background In this study, the factors that influence the choice of place of delivery among expectant mothers in both rural and urban settings in the northern part of Ghana were identified and compared using the conceptual framework provided by Thaddeus and Maine. Methods A mixed-method study was used to examine expectant mothers and their responses related to factors that affect their choice of place of delivery through a concurrent triangulation using health professional interviews and a detailed participant survey. The sample consisted of 552 expectant mothers between the ages of 15 and 49 years. Individual interviews were conducted with 8 health professionals. There was also a focus group discussion with randomly selected pregnant women and lactating mothers. Themes were generated through open coding of the interview data, while multiple regression was performed to identify the factors associated with choice of place of delivery. Results Major preference (60.1%) was for home delivery among rural dwellers compared to 20.7% for urban participants. Statistically significant variables affecting the choice of place of delivery among study participants were found to be educational background, the experience of previous deliveries, the attitude of hospital staff toward pregnant women during labor, and frequency of accessing antenatal care. Conclusion Majority of rural women prefer home delivery to facility delivery which is the opposite of the trend observed among urban women. The study’s implications may lead to positive change where stakeholders develop and implement policies to promote health facility delivery for expectant mothers in Ghana. |
| first_indexed | 2024-04-11T13:55:06Z |
| format | Article |
| id | doaj.art-868ff7f86bf345579a9229b1e991d9bd |
| institution | Directory Open Access Journal |
| issn | 1471-2393 |
| language | English |
| last_indexed | 2024-04-11T13:55:06Z |
| publishDate | 2022-11-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Pregnancy and Childbirth |
| spelling | doaj.art-868ff7f86bf345579a9229b1e991d9bd2022-12-22T04:20:22ZengBMCBMC Pregnancy and Childbirth1471-23932022-11-012211710.1186/s12884-022-05158-0Diversities in the place of delivery choice: a study among expectant mothers in GhanaMahama Ibrahim Baba0Kofi Adesi Kyei1Justina Baaba Kyei2Joseph Daniels3Isaac Justice Kobina Biney4John Oswald5Patrick Tschida6Michael Brunet7Department of Public Health, Tamale Teaching HospitalSchool of Biomedical and Allied Health Sciences, University of GhanaPublic Health DirectorateKorle-Bu Teaching HospitalBritannia Medical CentreFaculty of Public Health, Walden UniversityFaculty of Public Health, Walden UniversityFaculty of Public Health, Walden UniversityAbstract Background In this study, the factors that influence the choice of place of delivery among expectant mothers in both rural and urban settings in the northern part of Ghana were identified and compared using the conceptual framework provided by Thaddeus and Maine. Methods A mixed-method study was used to examine expectant mothers and their responses related to factors that affect their choice of place of delivery through a concurrent triangulation using health professional interviews and a detailed participant survey. The sample consisted of 552 expectant mothers between the ages of 15 and 49 years. Individual interviews were conducted with 8 health professionals. There was also a focus group discussion with randomly selected pregnant women and lactating mothers. Themes were generated through open coding of the interview data, while multiple regression was performed to identify the factors associated with choice of place of delivery. Results Major preference (60.1%) was for home delivery among rural dwellers compared to 20.7% for urban participants. Statistically significant variables affecting the choice of place of delivery among study participants were found to be educational background, the experience of previous deliveries, the attitude of hospital staff toward pregnant women during labor, and frequency of accessing antenatal care. Conclusion Majority of rural women prefer home delivery to facility delivery which is the opposite of the trend observed among urban women. The study’s implications may lead to positive change where stakeholders develop and implement policies to promote health facility delivery for expectant mothers in Ghana.https://doi.org/10.1186/s12884-022-05158-0DeliveryExpectant mothersChildbirthCulture |
| spellingShingle | Mahama Ibrahim Baba Kofi Adesi Kyei Justina Baaba Kyei Joseph Daniels Isaac Justice Kobina Biney John Oswald Patrick Tschida Michael Brunet Diversities in the place of delivery choice: a study among expectant mothers in Ghana BMC Pregnancy and Childbirth Delivery Expectant mothers Childbirth Culture |
| title | Diversities in the place of delivery choice: a study among expectant mothers in Ghana |
| title_full | Diversities in the place of delivery choice: a study among expectant mothers in Ghana |
| title_fullStr | Diversities in the place of delivery choice: a study among expectant mothers in Ghana |
| title_full_unstemmed | Diversities in the place of delivery choice: a study among expectant mothers in Ghana |
| title_short | Diversities in the place of delivery choice: a study among expectant mothers in Ghana |
| title_sort | diversities in the place of delivery choice a study among expectant mothers in ghana |
| topic | Delivery Expectant mothers Childbirth Culture |
| url | https://doi.org/10.1186/s12884-022-05158-0 |
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