2023-09-28 14:46:10 +00:00
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abstract: 'Background: Pakistan has one of the highest rates of maternal and
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neonatal mortality in the world. It is assumed that employed mothers in
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paid work will be more empowered to opt for safer institutional
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deliveries. There is a need to understand the predictors of home
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deliveries in order to plan policies to encourage institutional
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deliveries in the region.
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Methods: The study aimed to ascertain the predictors for home deliveries
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among mothers employed in paid work in Pakistan. Data analysis is based
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on secondary data taken from the Pakistan Demographic Health Survey
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2012-13. Bivariate and multivariate logistic regression models were
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conducted.
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Results: The findings show that the majority (53.6\%) of employed
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mothers in Pakistan give birth at home. Employed mothers in paid work
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with the following characteristics had higher chances for delivering at
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home: (i) women from rural areas (AOR 1.26; 95\% CI: 0.94-1.71), or
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specific regions within Pakistan, (ii) those occupied in unskilled work
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(AOR 2.61; 95\% CI: 1.76-3.88), (iii) women married to uneducated (AOR
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1.70; 95\% CI: 1.08-2.66), unemployed (AOR 1.69; 95\% CI: 1.21-2.35), or
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unskilled men (AOR 2.02; 95\% CI: 1.49-2.72), (iv) women with more than
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7 children (AOR 1.57; 95\% CI: 1.05-2.35), (v) women who are unable in
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the prenatal period to have an institutional check-up (AOR 4.84; 95\%
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CI: 3.53-6.65), take assistance from a physician (AOR 3.98; 95\% CI:
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3.03-5.20), have a blood analysis (AOR 2.63; 95\% CI: 1.95-3.57), urine
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analysis (AOR 2.48; 95\% CI: 1.84-3.33) or taken iron tablets (AOR 2.64;
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95\% CI: 2.06-3.38), and (vi) are unable to make autonomous decisions
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with regard to spending their earnings (AOR 1.82; 95\% CI: 1.27-2.59)
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and healthcare (AOR 1.12; 95\% CI: 0.75-1.65).
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Conclusions: Greater efforts by the central and provincial state bodies
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are needed to encourage institutional deliveries and institutional
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access, quality and cost. Maternal and paternal benefits are needed for
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workers in both the formal and informal sectors of the economy. Finally,
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cultural change, through education, media and religious authorities, is
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necessary to support institutional deliveries and formal sector paid
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employment and out of home work opportunities for mothers of Pakistan.'
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affiliation: 'Fischer, F (Corresponding Author), Bielefeld Univ, Sch Publ Hlth, Dept
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Publ Hlth Med, Bielefeld, Germany.
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Jafree, Sara Rizvi, Forman Christian Coll, Dept Sociol, Lahore, Pakistan.
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Zakar, Rubeena, Univ Punjab, Inst Social \& Cultural Studies, Lahore, Pakistan.
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Mustafa, Mudasir, Univ Punjab, Dept Sociol, Inst Social \& Cultural Studies, Lahore,
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Pakistan.
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Fischer, Florian, Bielefeld Univ, Sch Publ Hlth, Dept Publ Hlth Med, Bielefeld,
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Germany.'
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article-number: '316'
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author: Jafree, Sara Rizvi and Zakar, Rubeena and Mustafa, Mudasir and Fischer, Florian
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author-email: f.fischer@uni.bielefeld.de
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author_list:
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- family: Jafree
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given: Sara Rizvi
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- family: Zakar
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given: Rubeena
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- family: Mustafa
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given: Mudasir
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- family: Fischer
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given: Florian
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da: '2023-09-28'
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doi: 10.1186/s12884-018-1945-4
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files: []
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issn: 1471-2393
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journal: BMC PREGNANCY AND CHILDBIRTH
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keywords: Mothers; Paid work; Employment; Delivery; Pakistan
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keywords-plus: 'ECONOMICALLY DISADVANTAGED MIGRANTS; MATERNAL HEALTH; SYSTEMATIC
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ANALYSIS; BIRTH; CARE; MORTALITY; OUTCOMES; NEWBORN; TRENDS;
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DETERMINANTS'
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language: English
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month: AUG 3
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number-of-cited-references: '59'
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orcid-numbers: 'Zakar, Rubeena/0000-0001-9546-3742
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Mustafa, Mudasir/0000-0002-4870-9014
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Fischer, Florian/0000-0002-4388-1245'
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papis_id: d33502058d352de117cf077a096d4300
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ref: Jafree2018mothersemployed
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researcherid-numbers: 'Zakar, Rubeena/HTR-8354-2023
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Mustafa, Mudasir/AAG-9977-2020
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Mustafa, Mudasir/AGV-1350-2022
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Fischer, Florian/F-9003-2016'
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times-cited: '8'
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title: Mothers employed in paid work and their predictors for home delivery in Pakistan
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000440852800004
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usage-count-last-180-days: '0'
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usage-count-since-2013: '7'
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volume: '18'
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web-of-science-categories: Obstetrics \& Gynecology
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year: '2018'
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