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An Assessment On The Effect Of Home Delivery Among Pregnant Women
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CHAPTER ONE
INTRODUCTION
1.1 BACKGROUND OF THE STUDY
Home delivering is a common traditional belief that child birth is a natural process which does not require any medical attention and should be conducted at home by the family who is a well known and trusted figure for the family, is easily available and is not very expensive.
Home deliveries by traditional birth attendant are a cultural norm in Nigeria. This is true both for rural areas as well as urban slums. This attitude coupled with poverty, illiteracy and ignorance regarding complication of delivery is responsible for the majority of women preffering to deliver at home in Nigeria.
World wide, an estimated 529,000 maternal deaths occur every year almost all of them in developing countries e.g. Nigeria, Chad, … is an inverse relationship between the proportion of deliveries assisted by a skilled attendant and the maternal mortality ratio in these countries.
According to WHO, immediate and effective professional care at the time of delivery can make the difference between life and death for both women and their new born. Furthermore, this care should be available close to where people live, but at the same time safe with a skilled professional able to act immediately when unpredictable complications occurs TBAs (whether trained or not) have not been included among the skilled birth attendants by the WHO. Since their training has not shown any reduction in maternal mortality. However, it has been suggested that TBAs could perform the role of the skilled attendants where required with some training. As they may be the only source of care for some women. In addition they may also serve to provide emotional support and health education to pregnant women at the local level.
According to the latest Nigeria Demographic and Health Survey (DNHs) 2007, the maternal mortality ratio of Nigeria is 276/100,000 live births and the three major killers are post partum hemorrhage, puerperal sepsis and eclampsia. This survey, the largest household survey ever conducted in Nigeria also showed that 65% of deliveries are conducted at home. Traditional birth attendants assisted almost 79% of home deliveries followed by relatives or friends in 11%. According to this survey, the most frequent reason (stated by 57% of women) for not delivering in a facility was the belief that it was not necessary. The next most common reason (stated by 38% of women) was that the cost is too much.
CHAPTER ONE -- [Total Page(s) 3]
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ABSRACT - [ Total Page(s): 1 ]The study was designed to determine the effect of home delivery among pregnant women of Sabon Gari Kaduna South Local Government Area Kaduna State. The project is divided into 5 chapters in other to make easy understanding, chapter 1 scope and delimitation, aim and objectives, limitation and defination of terms of the study. Chapter 2 focused on literature review of the study from different authors, which the topics is divided into sub-topic, they include: effect of home delivery, causes of home ... Continue reading---
