Diversities in the place of delivery choice: a study among expectant mothers in Ghana

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. A mixed-method study was used to examine expect...

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Bibliographic Details
Published in:BMC pregnancy and childbirth 2022-11, Vol.22 (1), p.875-875, Article 875
Main Authors: Baba, Mahama Ibrahim, Kyei, Kofi Adesi, Kyei, Justina Baaba, Daniels, Joseph, Biney, Isaac Justice Kobina, Oswald, John, Tschida, Patrick, Brunet, Michael
Format: Article
Language:English
Subjects:
Adolescent
Adult
Births
Childbirth
Culture
Delivery
Delivery, Obstetric
Expectant mothers
Female
Focus groups
Ghana
Health facilities
Health Promotion
Humans
Lactation
Middle Aged
Mixed methods research
Mothers
Pregnancy
Socioeconomic factors
Womens health
Young Adult
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Summary: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. 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. 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. 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.
ISSN:1471-2393
1471-2393
DOI:10.1186/s12884-022-05158-0