AN ASSESSMENT ON THE EFFECT OF HOME DELIVERY AMONG PREGNANT WOMEN

AN ASSESSMENT ON THE EFFECT OF HOME DELIVERY AMONG PREGNANT WOMEN

ABSTRACT

The study sought to ascertain the impact of home birth on pregnant women in the Sabon Gari Kaduna South Local Government Area of Kaduna State. To facilitate understanding, the project is divided into five chapters: chapter 1 scope and delimitation, aim and objectives, limitation and definition of study terms. Chapter 2 focused on a review of the literature from various authors, with the topics divided into sub-topics, which include: the effect of home delivery, the causes of home delivery, which are poverty, a lack of clinics, ignorance, a lack of personnel, and distance. It also attempted to identify risk factors associated with home delivery, such as complications such as haemorrage, retained placenta, obstructed labor, maternal mortality, infection, and so on. Chapter 3 discusses the methodology used in the research project, which includes the research design, the population of the study, which is approximately 6050 people, the sample study, which is 100 people, the sampling, the data collection used in this work is a questionnaire distributed to various people, and the instrument used for data analysis, which is a simple table chart with percentage. The following chapter discusses the presentation of findings from data collected from respondents, and the final chapter deals with a summary of findings, conclusion, recommendation, and references, demonstrating that home delivery can be reduced by establishing enough clinics and personnel. The majority of respondents believe it is adequate clinics that will reduce home delivery, followed by health education and adequate personnels, as shown in table 13. The majority of respondents have only one clinic in their area, while 30% have two and 19% have three, indicating that the majority of respondents have only one clinic in their area.

CHAPITRE ONE

INTRODUCTION

1.1 THE STUDY’S BACKGROUND

Home delivery is a prevalent traditional concept that childbirth is a natural procedure that does not require medical treatment and should be carried out at home by a family member who is a well-known and trusted character in the family, is easily accessible, and is not extremely expensive.

Traditional birth attendants deliver babies at home in Nigeria. This is true for both rural areas and urban slums. This mentality, combined with poverty, illiteracy, and misinformation about the complications of childbirth, is responsible for the majority of women in Nigeria preferring to give birth at home.

Every year, an estimated 529,000 maternal deaths occur worldwide, virtually entirely in impoverished nations such as Nigeria, Chad, and… In these nations, there is an inverse association between the proportion of deliveries supported by a skilled attendant and the maternal mortality ratio.

According to the World Health Organization, prompt and competent professional treatment at the time of birth can mean the difference between life and death for both the mother and her newborn. Furthermore, this care should be available close to where people live while also being safe with a skilled professional who can act quickly when unexpected complications arise. TBAs (whether trained or not) are not considered skilled birth attendants by the WHO. Maternal mortality has not decreased since their training. However, it has been suggested that with some training, TBAs could perform the role of skilled attendants. Because they are sometimes the only source of care for some women. They may also provide emotional support and health information to pregnant mothers on a local level.

According to the latest Nigeria Demographic and Health Survey (DNHs) 2007, the maternal mortality ratio in Nigeria is 276/100,000 live births, with postpartum hemorrhage, puerperal sepsis, and eclampsia being the three biggest killers. The largest household study ever undertaken in Nigeria revealed that 65% of deliveries are made at home. Traditional birth attendants assisted in nearly 79% of home deliveries, with relatives or friends assisting in 11%. According to this survey, the most common reason for not delivering in a facility (as expressed by 57% of women) was the perception that it was unnecessary. The next most popular reason (said by 38% of women) was that the cost is prohibitively expensive.

1.2 THE PROBLEM’S STATEMENT

I noticed that home delivery is very popular in Sabon Gari Kaduna South Local Government. In most situations, a complication arises, which includes a high risk of neonatal or hemorrhage and fatal malposition, which may result in the death of the baby or the mother. Also, it is possible that the woman may have a serious problem or the baby, and no one close to her will notice anything unless medical personnel (doctors, nurses, and midwives) are present.

The purpose of this study is to determine the impact of home delivery on pregnant women in Sabon Gari Kaduna South Local Government.

1.3 GOAL AND OBJECTIVES

The study’s goal is to investigate the effect of home delivery among pregnant women in Sabon Gari Kaduna South Local Government Area by achieving the following goals:

1. Determine the cause and negative repercussions of home deliveries in women.

2. To explore potential methods that will reduce home delivery among pregnant women in Sabon Gari.

3. To comprehend the impact of home delivery.

4. To determine the causes of home birth in pregnant women.

5. Make recommendations based on the findings.

1.4 THE STUDY’S SIGNIFICANCE

The study’s significance is to raise awareness among pregnant women, particularly those of childbearing age in Sabon Gari Kaduna South Local Government.

Also, to educate people on the importance of receiving health care at a facility in order to avoid complications that may arise at home, such as postpartum hemorrhage and maternal mortality.

1.5 THE STUDY’S OBJECTIVE

The scope of this study is limited to women of childbearing age and pregnant women in Sabon Gari Kaduna South Local Government Area, with the goal of demonstrating the impact of home birth.

1.6 QUESTIONS FOR RESEARCH

1. What exactly is home delivery?

2. What are the reasons for home delivery?

3. What are the consequences of home delivery?

4. What is the significance of giving birth in the presence of medical personnel?

5. What are the potential strategies to reduce home delivery?

1.7 THE STUDY’S LIMITATIONS

I have a number of limitations in the research study, which are as follows:

1. Difficulties with money

2. Inadequate time

1.8 DEFINITIONS OF TERMS

1. Maternal mortality: the number of women who die as a result of complications.

2. TBAs (Traditional Birth Attendant)

3. Postpartum haemorage is defined as the loss of more than 500ml – 1000ml of blood within the first 24 hours after childbirth.

4. Bleeding is defined as the loss of blood from the body as a result of an injury.

5. Puerperal sepsis: This is a disorder that happens after childbirth as a result of infection.

Eclampsia is a kind of eclampsia.