Kristen McClanahan, Pamela Gonzalez Sanchez, Kylie Gant, Jillian Joyce, Ashlea Braun
Perceptions of Preventable Cancer Burden Among US-Based Firefighters: A Mixed Methods Cross-Sectional Study
Journal of nutrition education and behavior
objective assess reasoning families deciding home vs facility delivery vaginal vs caesarean authors selected convenience sample 16 villages sathkira district southwest bangladesh evidence drawn detailed inhome postdelivery interviews mothers villages delivered 2015 2016 local family health workers paramedics used structured questionnaire enabled gathering relevant quantitative qualitative evidence mothers reasons selection delivery location type categorized regression analysis conducted assess significance variables proxy supply demand factors among 492 completed interviews 48 home deliveries 52 facility deliveries twothirds facility deliveries private clinics overall sample caesarean rate 39 public hospital rate 53 private clinic rate 86 half reasons home delivery refer pregnancy without complication access trusted birth attendant half reasons facility delivery refer medical complications allegedly precluding home delivery requiring hometofacility transfer labour reasons clear mother decision depends demand factors originating family proxied family income birth order education levels supply factors originating obstetric care providers proxied number antenatal visits variation caesarean rate village regression controlling demand supply variables proxy variables significant bangladesh inadequate nursing support vaginal delivery either home facility hence physicians frequently recommend women deliver facility usually physicians clinic physicians reluctant hire adequate nurses attend vaginal deliveries hence families discretionary income increasingly opting caesarean vaginal delivery facility deliveries reduce incidence obstructed labour fistula probably contribute rising incidence iatrogenic fistula reducing caesarean rates requires large increase numbers nurses midwives acceptance physicians broad scope practice nursesmidwives vaginal deliveries