Secondary analysis of a national health survey on factors influencing women in the Philippines to deliver at home and unattended by a healthcare professional

Abstract Objective To elucidate factors that influence Philippine women to deliver at home and not be attended by a healthcare professional. Methods Analysis of hospital data that were collected through Global Positioning System technology uploaded into the WHO HealthMapper and data on 7380 women fr...

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Bibliographic Details
Published in:International journal of gynecology and obstetrics 2010-11, Vol.111 (2), p.157-160
Main Authors: Sobel, Howard L, Oliveros, Yolanda E, Nyunt-U, Soe
Format: Article
Language:English
Subjects:
Barriers to safe delivery
Biological and medical sciences
Delivery, Obstetric - economics
Delivery, Obstetric - statistics & numerical data
Delivery. Postpartum. Lactation
Educational Status
Female
Gynecology. Andrology. Obstetrics
Health Care Surveys
Health Services Accessibility
Healthcare professional attended deliveries
Home Childbirth - economics
Home Childbirth - statistics & numerical data
Humans
Infant Mortality
Infant, Newborn
Maternal mortality
Medical sciences
Neonatal mortality
Obstetrics and Gynecology
Philippines
Pregnancy
Rural Population - statistics & numerical data
Social Class
Unattended deliveries
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Summary:Abstract Objective To elucidate factors that influence Philippine women to deliver at home and not be attended by a healthcare professional. Methods Analysis of hospital data that were collected through Global Positioning System technology uploaded into the WHO HealthMapper and data on 7380 women from the Philippines Demographic and Health Survey, 2003. Results Most of the home deliveries that were not attended by healthcare professionals occurred within 15 km of a hospital. Women who had home deliveries and were not attended by a healthcare professional were more likely to be of low educational and economic status and to reside in rural houses without basic amenities ( P < 0.001). Obtaining money (83.0%), transport (48.1%), and a companion (35.0%) were identified as barriers to getting treatment. Death rates of neonates born to these women were not statistically different from those of neonates who were born in a healthcare facility (OR 1.0; 95% CI, 0.63–1.57; P < 0.99). Conclusion Most deliveries that were not attended by a healthcare professional occurred near a hospital. Financial barriers will need to be addressed to increase the number of deliveries in a healthcare facility. The apparent failure of hospitals to reduce newborn mortality may be related to suboptimal newborn care practices.
ISSN:0020-7292
1879-3479
DOI:10.1016/j.ijgo.2010.06.020