Mothers employed in paid work and their predictors for home delivery in Pakistan

Jafree SR, Zakar R, Mustafa M, Fischer F (2018)
BMC Pregnancy and Childbirth 18: 316.

Zeitschriftenaufsatz | Veröffentlicht | Englisch
 
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Jafree, Sara Rizvi; Zakar, RubeenaUniBi; Mustafa, Mudasir; Fischer, FlorianUniBi
Abstract / Bemerkung
Background Pakistan has one of the highest rates of maternal and neonatal mortality in the world. It is assumed that employed mothers in paid work will be more empowered to opt for safer institutional deliveries. There is a need to understand the predictors of home deliveries in order to plan policies to encourage institutional deliveries in the region. Methods The study aimed to ascertain the predictors for home deliveries among mothers employed in paid work in Pakistan. Data analysis is based on secondary data taken from the Pakistan Demographic Health Survey 2012–13. Bivariate and multivariate logistic regression models were conducted. Results The findings show that the majority (53.6%) of employed mothers in Pakistan give birth at home. Employed mothers in paid work with the following characteristics had higher chances for delivering at home: (i) women from rural areas (AOR 1.26; 95% CI: 0.94–1.71), or specific regions within Pakistan, (ii) those occupied in unskilled work (AOR 2.61; 95% CI: 1.76–3.88), (iii) women married to uneducated (AOR 1.70; 95% CI: 1.08–2.66), unemployed (AOR 1.69; 95% CI: 1.21–2.35), or unskilled men (AOR 2.02; 95% CI: 1.49–2.72), (iv) women with more than 7 children (AOR 1.57; 95% CI: 1.05–2.35), (v) women who are unable in the prenatal period to have an institutional check-up (AOR 4.84; 95% CI: 3.53–6.65), take assistance from a physician (AOR 3.98; 95% CI: 3.03–5.20), have a blood analysis (AOR 2.63; 95% CI: 1.95–3.57), urine analysis (AOR 2.48; 95% CI: 1.84–3.33) or taken iron tablets (AOR 2.64; 95% CI: 2.06–3.38), and (vi) are unable to make autonomous decisions with regard to spending their earnings (AOR 1.82; 95% CI: 1.27–2.59) and healthcare (AOR 1.12; 95% CI: 0.75–1.65). Conclusions Greater efforts by the central and provincial state bodies are needed to encourage institutional deliveries and institutional access, quality and cost. Maternal and paternal benefits are needed for workers in both the formal and informal sectors of the economy. Finally, cultural change, through education, media and religious authorities, is necessary to support institutional deliveries and formal sector paid employment and out of home work opportunities for mothers of Pakistan.
Stichworte
Mothers Paid work Employment Delivery Pakistan
Erscheinungsjahr
2018
Zeitschriftentitel
BMC Pregnancy and Childbirth
Band
18
Art.-Nr.
316
ISSN
1471-2393
Finanzierungs-Informationen
Article Processing Charge funded by the Deutsche Forschungsgemeinschaft and the Open Access Publication Fund of Bielefeld University.
Page URI
https://pub.uni-bielefeld.de/record/2930390

Zitieren

Jafree SR, Zakar R, Mustafa M, Fischer F. Mothers employed in paid work and their predictors for home delivery in Pakistan. BMC Pregnancy and Childbirth. 2018;18: 316.
Jafree, S. R., Zakar, R., Mustafa, M., & Fischer, F. (2018). Mothers employed in paid work and their predictors for home delivery in Pakistan. BMC Pregnancy and Childbirth, 18, 316. doi:10.1186/s12884-018-1945-4
Jafree, S. R., Zakar, R., Mustafa, M., and Fischer, F. (2018). Mothers employed in paid work and their predictors for home delivery in Pakistan. BMC Pregnancy and Childbirth 18:316.
Jafree, S.R., et al., 2018. Mothers employed in paid work and their predictors for home delivery in Pakistan. BMC Pregnancy and Childbirth, 18: 316.
S.R. Jafree, et al., “Mothers employed in paid work and their predictors for home delivery in Pakistan”, BMC Pregnancy and Childbirth, vol. 18, 2018, : 316.
Jafree, S.R., Zakar, R., Mustafa, M., Fischer, F.: Mothers employed in paid work and their predictors for home delivery in Pakistan. BMC Pregnancy and Childbirth. 18, : 316 (2018).
Jafree, Sara Rizvi, Zakar, Rubeena, Mustafa, Mudasir, and Fischer, Florian. “Mothers employed in paid work and their predictors for home delivery in Pakistan”. BMC Pregnancy and Childbirth 18 (2018): 316.
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