Abstract：
BACKGROUND:Births before arrival (BBA) to health care facilities are associated with higher rates of perinatal morbidity and mortality compared to facility deliveries or planned home births. Research on such births has been conducted in several high-income countries, but there are almost no studies from low-income settings where a majority of maternal and newborn deaths occur. METHODS:Drawing on a household survey of women and in-depth interviews with women and their partners, we examined the experience of BBA in rural districts of Morogoro Region, Tanzania. RESULTS:Among survey respondents, 59 births (4 %) were classified as BBAs. Most of these births occurred in the presence of a family member (47 %) or traditional birth attendant (24 %). Low socioeconomic status was the strongest predictor of BBA. After controlling for wealth via matching, high parity and a low number of antenatal care (ANC) visits retained statistical significance. While these variables are useful indicators of which women are at greater risk of BBA, their predictive power is limited in a context where many women are poor, multiparous, and make multiple ANC visits. In qualitative interviews, stories of BBAs included themes of partner disagreement regarding when to depart for facilities and financial or logistical constraints that underpinned departure delays. Women described wanting to depart earlier to facilities than partners. CONCLUSION:As efforts continue to promote facility birth, we highlight the financial demands associated with facility delivery and the potential for these demands to place women at a heightened risk for BBAs.
journal_name
BMC Pregnancy Childbirthjournal_title
BMC pregnancy and childbirthauthors
McMahon SA,Chase RP,Winch PJ,Chebet JJ,Besana GVR,Mosha I,Sheweji Z,Kennedy CEdoi
10.1186/s12884-016-1058-xsubject
Has Abstractpub_date
2016-09-27 00:00:00pages
284issue
1issn
1471-2393pii
10.1186/s12884-016-1058-xjournal_volume
16pub_type
杂志文章abstract：BACKGROUND:The purpose of this scoping review was to review the literature on healthcare provider provision of anti-D prophylaxis to RhD negative pregnant women in appropriate clinical situations in various healthcare settings. METHODS:A scoping review framework was used to structure the process. The following databas...
journal_title：BMC pregnancy and childbirth
pub_type： 杂志文章,评审
doi：10.1186/s12884-014-0411-1
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pub_type： 杂志文章,多中心研究
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