Previously submitted to: JMIRx Med (no longer under consideration since Jan 29, 2022)
Date Submitted: Jun 17, 2021
Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.
Factors associated with home birth in Peru: An analysis of the Demographic and Health Survey, 2019
Background:
Home birth is a practice that is still carried out and is associated with multiple complications, for which it is necessary to know its determinants that allow preventive measures to be taken.
Objective:
To determine the proportion and factors associated with home birth in Peru, 2019.
Methods:
Cross-sectional analytical design study where the 2019 Peruvian Demographic and Family Health Survey was analyzed. The association was evaluated using Poisson Regression, supplemented with the crude prevalence ratio (cPR) and adjusted (aPR).
Results:
The records of 18401 women were evaluated, where 5.39% (95%CI:4.83-6.03%) presented home birth. The probability of a home birth occurring is greater when the pregnant woman is from the Andean (aPR:1.24; 95%CI:1.02-1.48) and Amazon region (aPR:1.38; 95%CI:1.16-1.64), resides in rural areas (aPR:3.34; 95%CI:2.61-4.29), presents less than 6 prenatal care (aPR:1.66; 95%CI:1.39 -1.96), it is very poor (aPR:9.62; 95%CI:5.13-18.1) or poor (aPR:2.39; 95%CI:1.26-4.52), it has not studied (aPR:2.66; 95%CI:2.02-3.50) or reached primary education (aPR:2.18: 95%CI:1.85-2.58) and has 2 children (aPR:1.64; 95%CI:1.46-1.85) or 3 or more children (aPR:2.18; 95%CI:1.67-2.87). On the other hand, having higher educational instruction (aPR:0.49; 95%CI:0.31-0.78) is associated with a lower probability of a home birth.
Conclusions:
There is a low proportion of home births; however, this indicator increases significantly according to various factors that have been identified.
Clinicaltrial:
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