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The Perspective of a Husband on the Place of Delivery: A Case Report

Amrita Sarkar, Wallambok Lynrah, Ophelia Mary Kharmujai

Abstract


Most of the maternal, foetal and neonatal complications and mortality occur at or shortly after labour and delivery and, are reported to be considerably worse than those occurring in a hospital. These morbidity and mortality can be decreased by ensuring delivery in a health facility or with the assistance of a Skilled Birth Attendant (SBA). However, in most developing countries including India, institutional delivery is still not the preferred norm for many. In Meghalaya, only half of expectant mothers go for institutional delivery. The present case report is an in-depth interview (IDI) of a forty-one-year-old man residing in a village of Meghalaya who has eight children, all of whom were delivered by him except one.  Meghalaya, being a matrilineal society, we were interested to know the role of a husband in choice of place of delivery and explore the reasons of this unusual case. It was found that decision making lies on the wife and her family. Problems in accessibility including poor transport facility, dilapidated roads and distance between the village and health facility are important contributing factors for home delivery. Other reasons of preference for home delivery were poverty, fear of out-of-pocket (OOP) expenditures, loss of daily wages, illiteracy, and trust on TBAs or dais amongst others. 


Keywords


home delivery, institutional delivery, husband’s role, choice, case report

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References


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