Home Deliveries in Rural Assiut Governorate: The Role of The Trained Nurse Midwife | ||||
| The Egyptian Journal of Community Medicine | ||||
| Article 2, Volume 36, Issue 3, July 2018, Page 13-24 PDF (397.9 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejcm.2018.16327 | ||||
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| Abstract | ||||
| Background: Skilled attendance at delivery is a key intervention to reduce maternal and neonatal deaths. Rural women may be less likely to be attended by skilled providers. In Egypt, Ministry of health and Population (MOHP) had undertaken tremendous efforts in training nurses on midwifery skills. Objective: The study aimed to estimate proportion of home deliveries attended by the trained nurse midwives, to identify factors associated with choosing home birth attendants and to describe midwifery practice and satisfaction of the midwives. Methods: A cross sectional survey was conducted in 30 randomly selected villages of Assiut Governorate. Mothers who gave birth at home in year 2012 and all midwives who work in the selected villages were interviewed. Results A total of 319 women and 33 midwives were included in the study. Daya was the birth attendant in 40.4% of deliveries while midwives attended 14.4%. The percentage of using skilled birth attendants was significantly higher in women who were aware about midwives and who were previously delivered by skilled persons (p < 0.001). About 21 % of midwives reported they have fear to deliver a woman, 54.5% prefer doctor presence with them. Conclusion Less than one fifth of women were attended by the midwives. Information about midwives and not having a previous delivery by a daya were the factors that determine choosing of the nurse midwife as a birth attendant. Developing an awareness campaign to increase women knowledge about the availability and competence of midwives might encourage using them as birth attendants. | ||||
| Keywords | ||||
| Home delivery; rural; Trained nurse midwife; Assiut; Egypt | ||||
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