Services on Demand
Journal
Article
Indicators
- Cited by SciELO
Related links
- Similars in SciELO
Share
Revista Peruana de Medicina Experimental y Salud Publica
Print version ISSN 1726-4634
Abstract
TARQUI M, Carolina and BARREDA G, Alejandro. Factores Asociados con la elección del parto domiciliario en una zona de atención primaria. Callao, Perú.. Rev. perú. med. exp. salud publica [online]. 2005, vol.22, n.2, pp.109-116. ISSN 1726-4634.
Objectives: To identify personal and institutional factors associated with choice of in house preference as a place for delivery a child. Materials and methods: A case control study was performed in Pachacutec micro-network, Ventanilla district, Callao, Peru. 52 cases were included: fertile women whose last delivery occurred at home; and 208 controls: fertile women living in the same geographical area with a history of institutional delivery. OR and 95% confidence intervals were calculated, a bivariated analysis was performed and significant variables were entered in a logistic regression model in a multivariated analysis. Results: Average age of cases included was of 28 ± 6,5 years, and the controls of 26 ± 6,1 years. Bivariated analysis showed a significant association for a variety of factors, but when multivariated analysis was used, this association was not confirmed. Finally, risk factors were as follows: poor continuity for personnel taking care of the delivery w=25,78 (p=0,00); OR=25,48 (95% CI: 7,30-88,93); poor understanding in the dialogue between health care providers and user during health consultation w=7,61 (p=0,006); OR=4,34 (95%: CI 1,53-12,31); and the household as planned place for giving birth w=25,14 (p=0,000); OR=16,84 (95% IC: 5,58-50,8). Conclusions: Continuity of personnel taking care of the delivery, a poor understanding in the dialogue between health care providers and user during health consultation; and the household as a chosen place for giving birth are highly associated with in-house delivery.
Keywords : Home childbirth; Case-Control Studies; Risk Factors; Continuity of Patient Care; Communication Barriers; Peru.