Abstract:To reduce the second delay contributing to maternal mortality, maternity waiting homes have been recommended for implementation especially in remote areas to help improve access to facility-based skilled delivery. Evidence of its effectiveness, however, is limited. This systematic review, therefore, aims to assess the effectiveness of the Maternity waiting home strategy in increasing utilization of facility delivery. Search for relevant articles was conducted on PubMed, Scopus, Google Scholar, Ebscohost, and S… Show more
“…Preparing adequate information regarding health facility is essential to ensure that mother will have a plan to use health facility. Innovative health intervention which initiating mother and husband engagement to health facility during pregnancy is important to initiate their willingness for choosing facilitybased delivery [28], [29]. Whereas, delivery services utilization itself will impact the mother utilization on postnatal care [30].…”
The Government of Indonesian implemented maternal health service programs to minimize at-home childbirth services and increase mothers' utilization of its services. There is not enough evidence these policies are effectively decreasing the maternal mortality rate. Hence, this study aimed to analyze the predictors of each specific childbirth services in Indonesia. This study used the secondary dataset of the 2012 Indonesian demographic data survey (IDHS). The sample was 17,769 women ages 15 to 49 years old. We performed logistic regression for the multivariate case to identify the predictors of childbirth service. Geographical, education, and economic condition significantly predict childbirth services. Women who are not residents tend to use a community-based facility than institutionalized health. Women with higher parity, inadequate knowledge on pregnancy danger signs, lower antenatal care visits, and never had any discussion with their husbands about the planned place of giving birth tend to prefer giving birth at home than health facilities. Women's decision to use a safe childbirth service is hindered by demanding access to reach institutionalized healthcare. Our findings highlighted the importance of women empowerment to enable women to utilize safe labor in a health facility.
“…Preparing adequate information regarding health facility is essential to ensure that mother will have a plan to use health facility. Innovative health intervention which initiating mother and husband engagement to health facility during pregnancy is important to initiate their willingness for choosing facilitybased delivery [28], [29]. Whereas, delivery services utilization itself will impact the mother utilization on postnatal care [30].…”
The Government of Indonesian implemented maternal health service programs to minimize at-home childbirth services and increase mothers' utilization of its services. There is not enough evidence these policies are effectively decreasing the maternal mortality rate. Hence, this study aimed to analyze the predictors of each specific childbirth services in Indonesia. This study used the secondary dataset of the 2012 Indonesian demographic data survey (IDHS). The sample was 17,769 women ages 15 to 49 years old. We performed logistic regression for the multivariate case to identify the predictors of childbirth service. Geographical, education, and economic condition significantly predict childbirth services. Women who are not residents tend to use a community-based facility than institutionalized health. Women with higher parity, inadequate knowledge on pregnancy danger signs, lower antenatal care visits, and never had any discussion with their husbands about the planned place of giving birth tend to prefer giving birth at home than health facilities. Women's decision to use a safe childbirth service is hindered by demanding access to reach institutionalized healthcare. Our findings highlighted the importance of women empowerment to enable women to utilize safe labor in a health facility.
“…Some women believed that MWHs are reserved for weak women only and every woman admitted to MWHs will be operated. The presence of such misconception shows that women didn't understand the aim of MWHs and reduced their utilization ( 15 ). Studies done in Indonesia show that the knowledge and attitude of women towards MWHs were 41.9% and 39.5% respectively ( 16 ).…”
BackgroundMaternal waiting homes have been identified as one strategy to reduce maternal and perinatal mortality by bringing women living in hard-to-reach areas closer to a health facility that provides emergency obstetric care. Even if utilization of maternal waiting homes is repeatedly assessed, there is a scarcity of evidence in Ethiopia regarding women's knowledge and attitude towards maternal waiting homes.ObjectiveThis study aimed to assess women's knowledge and attitude towards maternity waiting homes and associated factors among women who gave birth in the last twelve months in northwest Ethiopia.MethodsA community-based cross-sectional study was conducted from January 1st to February 30th, 2021. A total of 872 participants were selected by using a stratified cluster sampling technique. Data were collected by face-to-face interviews using a structured, pretested, and interviewer-administered questionnaire. Data were entered into EPI data version 4.6 and analysis was done through SPSS version 25. The multivariable logistic regression model was fitted and the level of significance was declared at a p-value of ≤0.05.ResultWomen's adequate knowledge and positive attitude towards maternal waiting homes were 67.3% (95% CI: 64–70) and 73% (95% CI: 70–76), respectively. Had antenatal care visit, the shortest distance to reach the nearby health facility, had history of maternal waiting homes utilization, always involved in health care decision, and sometimes involved in health care decisions were significantly associated with women's knowledge regarding maternal waiting homes. Moreover, secondary and above educational level of women, short distance to reach the nearby health facility and had antenatal care visit were significantly associated with women's attitude towards maternity waiting homes.ConclusionAbout two-third of women had adequate knowledge and nearly three-fourth of women had a positive attitude towards maternity waiting homes. It is better to improve the accessibility and utilization of maternal health services Furthermore, it is better to promote women's decision making power and create motivation to have better academic achievement of women.
Labor pain is a manifestation of the contraction (shortening) of the uterine muscles. Non-pharmacological treatment in pain management, namely deep breathing relaxation and counterpressure massage is an alternative method and a new trend that can be developed. This study investigated the effectiveness of deep breathing relaxation and Counterpressure massage in alleviating labor pain during active phase I. Employing a quasi-experimental design with a two-group pre-test post-test approach, 30 postpartum mothers from June to July 2021 were consecutively sampled. Deep breathing relaxation (5 times for 3-5 minutes) and counterpressure massage (3 times for 30-90 seconds) served as the independent variables, while pain intensity during the first active phase was the dependent variable. Utilizing the Wilcoxon and Mann Whitney tests at a 5% significance level, significant reductions in pain intensity were observed after both interventions (p-values: 0.002 for deep breathing, 0.046 for counterpressure massage). These non-pharmacological methods, enhancing endorphin release, contribute to relaxation and pain intensity reduction during labor. The findings underscore the potential of integrating deep breathing relaxation and counterpressure massage as effective approaches in non-pharmacological labor pain management.
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