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. This study determined knowledge on pregnancy outcome,
the burden of home delivery, and factors contributing to the choice of place of
delivery. A cross-sectional study was
done with the subjects selected by multi-stage sampling. The data was analyzed using
SPSS. Results were presented in frequencies and percentages with chi-square used
in determining the statistical significance between the socio-demographic characteristics
and the choice of a planned place of delivery. The mean age of participants
is 27.6±5.0 years. Of the 404 participants and 43.3% are from the lower social
status. Most participants were delivered at home due to sudden labour (25.6%), lack
of transportation (20.5%), high cost of hospital deliveries (13.7%). Most understand
that leg swelling may connote problems in Pregnancy, Hypertension can occur in Pregnancy,
and a normal pregnancy may become complicated. Educational status, health worker’s
attitudes, previous experience, ease of transportation, and numbers of parity are
all significant determinants of the choice of place of delivery (p<0.0001). Most participants delivered in the hospital,
but a significant number still delivers at home despite knowing that Hypertension
can occur in Pregnancy and that normal Pregnancy can become complicated. Reasons
for their decision were lack of transportation means, an attitude of healthcare
workers, and high cost of hospital deliveries. The major determinant of choice of
delivery place is; educational status, previous experience, and attitude of healthcare
Keywords: Choice, Determining, Delivery, Factors, Place, Pregnant.
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