Examination of birth preparedness and complication readiness among homebirth parents in Sumbawanga rural district: A qualitative study

Abstract

Background: It has been documented that 69.6% of deliveries in Rukwa region are assisted by unskilled attendants [2]. Since childbirth is inherently risky and unpredictable, one wonders why such a high proportion of women fail to access skilled attendance during delivery. The objective of the study was to explore homebirth parents’ perceptions and practices on birth preparedness and complication readiness. Method: The study employed a descriptive cross-sectional design using a qualitative approach. Purposive sampling technique was used to recruit study participants. Semi structured interviews and focus group discussions were used as methods of data collection. The data were analyzed using thematic analysis approach. Findings: This study has established that male partners have low risk perception on pregnancy and childbirth. And that their low risk perception is influenced by low level of awareness of obstetric danger signs. Low risk perception limits their involvement in health facility birth preparedness and complication readiness. Likewise, the study found that women who chose to deliver at home have low risk perception on pregnancy and childbirth. The study found that these women’s low risk perception and their decision to deliver at home were influenced by two factors. One, history of previous uneventful home deliveries assisted by unskilled attendants. Two, fatalistic attitudes – several study participants seemed to believe that obstetric complications are predetermined by supernatural powers. If they have to happen, they will, no matter what precautions are taken. Conclusion: This study has documented that apart from commonly cited structural barriers to skilled birth attendants, low risk perception among both parents on complications related to childbirth and home delivery play a substantial role. Hence, the identified factors that influence low risk perception need to be addressed in order to enhance health facility birth preparedness and complication readiness