TITLE:
Determinants of Home Birth in the Community of Dagbati in Togo
AUTHORS:
Améyo Ayoko Ketevi, Akila Bassowa, Bidilukinu Katende, Dédé Régine Diane Ajavon, Adjo Sylvie Biwuh, Alessi Andele, Abdoul-Samadou Aboubakari, Koffi Akpadza
KEYWORDS:
Home Births, Dagbati, Determinants, Parturient, Togo
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.12 No.6,
June
23,
2022
ABSTRACT: Introduction: Home birth or unassisted birth means for a woman to
make the decision to give birth at home, not alone in absolute terms, but
without professional assistance, be it that of a midwife, a doctor or any other
person with midwifery qualifications. Methods: This was a descriptive cross-sectional study conducted from November
04th to December 21st, 2019 and from August 17th to August 21st, 2020, in the community of Dagbati, in 33 women who
gave birth at home, received at the USP of Dagbati and during advanced strategies;
who were registered or not in the delivery register of USP Dagbati and who agreed to participate in the survey freely
and in an informed manner. Results: Of the 48 deliveries that
took place in the locality during our study period, 33 took place at home, with a rate of 68.7%. The average age of the women giving birth was 26.33 years with extremes of 15 and 47 years. In
42.4% of cases, they were farmers. Twenty-seven women who gave birth had farmer
spouses (81.9%). The distance between their house and the health center was
greater than 2 km in 78.8% of cases. Among the reasons for giving birth at
home, the lack of financial means was mentioned in 60.6%. In 63.6%, the family
had assisted the women in giving birth. Conclusion: Home birth is still
a reality in our communities, despite the increased number of health
facilities. The sensitization of the population, the improvement of the
conditions of accessibility to the health center, the quality of obstetric
care, and also, the improvement of the living conditions of women will surely
allow a total abandonment of home births.