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Randomized Controlled Trial
. 2023 Mar 11;23(1):161.
doi: 10.1186/s12884-023-05390-2.

Complication experience during pregnancy and place of delivery among pregnant women: a cross-sectional study

Bekelu Teka Worku  1 , Misra Abdulahi  2 , Merertu Tsega  2 , Birtukan Edilu  2 , Rahma Ali  2 , Mahilet Berhanu Habte  2 , Samira Awel  3 , Masrie Getnet  4 , Yabsira Melaku  5 , Radiet Kidane  5 , Abonesh Taye  5 , Meseret Tamirat  5
Affiliations
Randomized Controlled Trial

Complication experience during pregnancy and place of delivery among pregnant women: a cross-sectional study

Bekelu Teka Worku et al. BMC Pregnancy Childbirth. .

Abstract

Background: Unlike other causes such as abortion, obstetric complications like hemorrhage, and hypertensive disorders of pregnancy, which are difficult to resolve for women who give birth out of health facilities are persisted or increased to be the cause of maternal mortality in Ethiopia. Direct obstetric complications resulted in the crude direct obstetric case fatality rate in this country. This study aimed to assess the relationship between Complication Experience during Pregnancy and Place of Delivery among Pregnant Women.

Method: A community-based cross-sectional study was conducted to assess the baseline information as a part of a randomized control trial study. The sample size that was calculated for the cohort study with the assumptions to detect an increase in a minimum acceptable diet from 11 to 31%, with 95% CIs and 80% power, an intra-cluster correlation coefficient of 0·2 for a cluster size of 10 was used for this study. Statistical analysis was done using SPSS version 22.

Result: The prevalence of self-reported pregnancy-related complications and home delivery were 79(15.9%, CI; 12.7-19.1) and 46.90% (95%CI; 42.5-51.1) respectively. Women who did not face vaginal bleeding were five times AOR 5.28(95% CI: 1.79-15.56) more like to give birth at home than those who faced this problem. Women who did not face severe headache were nearly three AOR 2.45(95%CI:1.01-5.97) times more like to give birth at home.

Conclusion: This study concluded that home delivery was high among the study participants whereas pregnancy-related complications such as vaginal bleeding and severe headache were identified as protective factors for facility delivery. Hence, the researchers recommended the incorporation of "storytelling" into the existing health extension program packages to improve facility delivery which shall be applied after the approval of its effectiveness by further research.

Keywords: Cross-sectional study; Place of delivery; Pregnancy complication; Pregnant women.

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Conflict of interest statement

the authors declare we have no conflict of interest.

Figures

Fig. 1
Fig. 1
Prevalence of women who faced any type of self-reported pregnancy-related complication during pregnancy of their most recent child
Fig. 2
Fig. 2
Distribution of types of self-reported pregnancy-related complications the women faced
Fig. 3
Fig. 3
Distribution of place of child delivery among women who participated in the study
See this image and copyright information in PMC

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