Determinants of Home Delivery among Women attending Antenatal Care in Bagwai Town, Kano Nigeria

Salisu Abubakar, Dalhatu Adamu, Ruqayya Hamza, Jamila B. Galadima

Abstract

Unskilled home delivery is a threat to maternal and child health. In northern Nigeria, many pregnant women attend antenatal care
but opt to deliver at home despite knowing the potential consequences. An institutional delivery, helps reduce various
complications during childbirth, and therefore decreases the rates of maternal and child mortality. To explore the determinants of
home delivery after attending antenatal services, this study employed a cross-sectional design and a non-probability purposive
sampling technique. Findings of the study revealed that, majority (74.1%) of the women predominantly between the ages of 25-
35 years, (29±6.4) quit antenatal care to deliver at home mainly due to maternity staff attitude and presence of male healthcare
workers during delivery. The study concluded that, pregnant women are aware of the importance of antenatal care and, do deliver
at home due to behavioural, sociocultural and religious preferences. To combat the maternal mortality in this region, values and
beliefs of the women and families should be put into cognizance. Additionally, healthcare workers should be respectful and
create a conducive environment in the maternity centres. More maternity centres including waiting homes should be provided.
(Afr J Reprod Health 2017; 21[4]: 73-79).

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