JRI 
Vol. 3, Issue 1, / January-March 2002
(Original Article, pages 50-55)

Masoud Salehi Corresponding Author
- Infectious Disease Department, Faculty of Medicine, Zahedan Medical Sciences University, Zahedan, Iran
Zahra Ghasemi Pour
- Zahedan Medical Insurance Office, Zahedan, Iran

Received: 12/13/2001 Accepted: 2/12/2002 - Publisher : Avicenna Research Institute

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Abstract

Maternal and infantile mortality are important health indicators of every society due to pregnancy incidents. Maternal and infant mortality and also neonatal tetanus incidents have direct relation with delivery condition. Neonatal tetanus and mortality among mothers and newborns have direct relation with delivery in non-hygienic condition. Non-hygienic delivery rate is very high in Sistan and Baluchestan province. Even in the city of Zahedan with a population of 450000, where as access to maternity hospital is possible for all residents of this city, 50-60 % deliveries take place at home. In this study, the reasons of women were investigated for not referring to maternity hospital for delivery. The method of research was case control. Case group was selected from those women whose last deliveries had not taken place in maternity hospital and referred to health centers to vaccinate their children (no. 482). Control group was selected randomly among women who referred to hospital to give birth (no. 198). Hospital’s high fee (38%), easy delivery at home (19%), fear from cesarean and drugs adverse reaction (13%) were the most prevalent reason for not giving birth at hospital. Employment and literacy rates of those women who had given birth at home were lower than control group. They were mainly from Suni and Baluch ethnic. In order to minimize the cultural barriers of referring to maternal hospital, we advise the respectful officers, to make insurance public, lower the treatments fee, held training programs and provide hygienic conditions with low cost for out of hospital deliveries.



Keywords: Home delivery, Maternal hospital, Iran


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References

  1. Ackerman liebrich U.Home versus hospital deliveries: follow up study of matched pairs for procedures and outcome. Br Med J. 1996; 337: 1313- 8.
  2. Olsen O., Jewell M.D. Home versus hospital birth. Cochrane Database Syst Rev. 2000; 2:352.
  3. Berg D., Suss J.Increased mortality in home delivery. Geburtshitfe-Frauenheikd. 1994; 54: 131-8.
  4. Bastian H., Keirse M.J., Lancaster P.A. Perinatal death associated with planned home birth in Australia: population based study. Br Med J. 1998; 8: 384-8.
  5. Odent M. Planned home birth in industrialized countries. WHO regional office for Europe. Denmark. 1991; 1-8.
  6. Gloyd S., Floriano F., Seunda M., et al. Impact of traditional birth attendant training in Mozambique: a controlled study. J Midwifery women health. 2001; 46: 210-6.
  7. Anderson R.E., Anderson D.A. The cost effectiveness of home birth. J Nurse Midwifery. 1999; 44: 30-5.
  8. Adele P. Maternal and child health nursing. Home delivery J.B. Lippincott company. 2nd Edition. 1995; 318-9.
  9. Mahony D., Steinbery M. Population-based survey of obstetric practices ammong rural women in the Bizana district. SAF Med J. 1995; 85: 1168-71.
  10. Chipfakacha V.Attitudes of women towards traditional midwives a survey in the Kgalagadi (Kalahari) region. S Afr Med J. 1994; 84: 30-2.
  11. Wiegers T., Van der zee J., Keirse M.J. Maternity care in the Netherlands: the changing home birth rate.Birth. 1998; 25: 190-7.
  12. Buchmann E., Kritzinger M., Tembe R., et al. Home births in the Moswold health ward of Kwazulu. S Afr Med J. 1989; 76: 29-31.

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