Journal des soins infirmiers et des soins

Skilled Versus Unskilled Assistance in Home Delivery: Maternal Complications, Stillbirth and Neonatal Death in Indonesia

Abstract

Fase Badriah, Takeru Abe, Baequni and Akihito Hagihara

The purpose of this study was to compare adverse intra-partum and post-partum outcomes for home deliveries with skilled and unskilled birth assistance. A cross-sectional study examined Indonesia Demographic Health Survey (IDHS 2007) data for 3,811 ever-married women who had had home deliveries in 2006 and 2007. A logistic regression analysis was used to examine associations between type of assistance at delivery and outcomes. This study found that there was a significantly higher probability of adverse outcomes with skilled assistance than with unskilled assistance for complications at birth and for complications after giving birth. Home deliveries with skilled assistance are not free from the risks of maternal morbidity and neonatal death. This finding raises doubts about the impact of skilled birth assistance. These results call for appropriate training to manage complications during and after childbirth by home delivery using skilled birth assistance. Further research is required.