Sexual and Reproductive Healthcare
Volume 17, 2018, Pages 81-85

Socio-demographic factors affecting the choice of place of childbirth among migrant and native women – A case control study from Chandigarh, India (Article)

Jeyashree K.* , Kathirvel S. , Trusty K. , Singh A.
  • a Department of Community Medicine, School of Public Health, Post Graduate Institute of Medical Education and Research, Chandigarh, India
  • b Centre for Operational Research, International Union Against Tuberculosis and Lung Disease, South East Asia Office, India, Department of Community Medicine, School of Public Health, Post Graduate Institute of Medical Education and Research, Chandigarh, India
  • c Department of Community Medicine, School of Public Health, Post Graduate Institute of Medical Education and Research, Chandigarh, India
  • d Department of Community Medicine, School of Public Health, Post Graduate Institute of Medical Education and Research, Chandigarh, India

Abstract

Objective: India is one of the countries with high maternal mortality ratio. Home deliveries persist despite various initiatives, including cash incentives, to promote hospital birth. This study aims to compare the profile of women who deliver at home and those who deliver at institutions with a special focus on migration status. Methods: A list of all women who delivered between January to December 2012 was obtained from the antenatal register of a polyclinic in Chandigarh, India. An unmatched case control study design was used to compare the profile of women who delivered at home and women who delivered in an institution. Results: Of 219 women studied, 57 (26%) had delivered at home. Our study identified being a migrant, having lower family income, living in slums, illiteracy of mother, early age at marriage, higher parity and no previous childbirth in an institution as factors favoring home delivery. Ninety three percent of home deliveries were among women who had migrated into Chandigarh from other states. The significant association between migration status and home delivery (Odds ratio (OR) = 3.262, p = 0.026) ceased to exist after adjusting for education (OR = 1.699, p = 0.367) and income (OR = 2.277, p = 0.152). Conclusion and clinical implication: Most home deliveries had occurred among migrant women. Health-related choices of the migrants apparently reflect the influence of other social determinants of health like education and income. Mainstreaming of the health efforts addressing the complex web of social determinants intertwined with the process of migration is the need of the hour. © 2018 Elsevier B.V.

Author Keywords

Social determinants Home delivery Institutional delivery maternal health migrant

Index Keywords

education educational status India demography human controlled study social determinants of health marriage income Young Adult Humans migrant Adolescent female Socioeconomic Factors socioeconomics pregnancy outpatient department Article obstetric delivery major clinical study adult human experiment migration Health Facilities maternal mortality Birth Setting Home Childbirth Hospitals maternal welfare Choice Behavior parity Case-Control Studies home delivery family income Transients and Migrants social class decision making hospital health care facility maternal health service Maternal Health Services Delivery, Obstetric case control study Chandigarh Health Services Accessibility health care delivery
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85050393024&doi=10.1016%2fj.srhc.2018.07.006&partnerID=40&md5=5ee131627dbfadbe88f464bd321b0ef3
DOI: 10.1016/j.srhc.2018.07.006
ISSN: 18775756
Original Language: English