title: Pregnant women's preference and factors associated with institutional delivery service utilization in Debra Markos Town, North West Ethiopia: a community based follow up study.
abstract: BACKGROUND
  Majority of deaths from obstetric complications are preventable. But every pregnant woman face risks which may not always be detected through the risk assessment approach during antenatal care (ANC). Therefore, the presence of a skilled birth attendant in every delivery is the most critical intervention in reducing maternal mortality and morbidity. In Ethiopia the proportion of births attended by skilled personnel, is very low, even for women who have access to the services.
  
  
  METHODS
  A community-based follow up study was conducted from January 17, 2012 to July 30, 2012, among 2(nd) and 3(rd) trimester's pregnant women in Debre-Markos town, east Gojam Zone, Amhara Region, North West Ethiopia. Simple random sampling technique was used to get a total sample size of 422 participants.
  
  
  RESULTS
  A total of 393 pregnant women were included in the study. The study revealed that 292(74.3%) of the pregnant women planned to deliver in a health institution. Of these 292 pregnant women 234 (80.14%) actually delivered in a health facility. Age range from 15-19 year (AOR = 4.83, 95% CI = 1.562-12.641), college and above education of the pregnant women (AOR = 12.508, 95% CI = 1.082-14.557), ANC visit during the current pregnancy (AOR = 1.975, 95% CI = 1.021-3.392),perceived susceptibility and severity of pregnancy and delivery complication (AOR = 3.208, 95% CI = 1.262-8.155) and intention (preference) of pregnant women for place of delivery (AOR = 7.032, 95% CI = 3.045-10.234) are predictors of institutional delivery service utilization.
  
  
  CONCLUSIONS
  Preference for institutional delivery is low in the study area. Sociodemographic factors, perception about delivery complication, ANC follow up and their intentions for institutional delivery are among important predictors of institutional delivery.
authors: Department of Midwifery, College of Health Sciences, Mekelle University, Mekelle, Ethiopia. henybayu1@gmail.com.
authors: Hinsermu
authors: H
authors: Bayu
authors: School of Medicine, Department of Obstetrics and Gynecology, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia. mulatuadefres@yahoo.com.
authors: Mulatu
authors: M
authors: Adefris
authors: School of Medicine, Department of Obstetrics and Gynecology, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia. a2ay.oro@gmail.com.|Department of Midwifery, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia. a2ay.oro@gmail.com.
authors: Abdella
authors: A
authors: Amano
authors: School of Medicine, Department of Obstetrics and Gynecology, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia. mulunesh10@yahoo.com.
authors: Mulunesh
authors: M
authors: Abuhay
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D001294:Attitude to Health; D002585:Cesarean Section / Q000706:statistics & numerical data; D036861:Delivery, Obstetric / Q000706:statistics & numerical data*; D004522:Educational Status; D005002:Ethiopia; D005113:Extraction, Obstetrical / Q000706:statistics & numerical data; D005260:Female; D005500:Follow-Up Studies; D006700:Home Childbirth / Q000706:statistics & numerical data*; D006761:Hospitals; D006801:Humans; D033182:Intention; D008427:Maternal Health Services / Q000706:statistics & numerical data*; D010298:Parity; D057240:Patient Preference; D011247:Pregnancy; D011295:Prenatal Care / Q000706:statistics & numerical data; D055815:Young Adult
references: Health Policy Plan. 2013 Sep;28(6):647-57
references: 23132915
references: Bull World Health Organ. 1999;77(5):399-406
references: 10361757
references: J Obstet Gynaecol. 2006 Jan;26(1):30-4
references: 16390706
references: Int J Equity Health. 2011 Jul 30;10:31
references: 21801437
references: BMC Public Health. 2012;12:791
references: 22978705
references: BMC Pregnancy Childbirth. 2012;12:74
references: 22849421
references: Lancet. 2010 May 8;375(9726):1609-23
references: 20382417
references: J Health Popul Nutr. 2011 Aug;29(4):371-8
references: 21957676
references: BMC Pregnancy Childbirth. 2011;11:1
references: 21214960
references: Birth. 2005 Mar;32(1):20-6
references: 15725201
references: BMJ. 1996 Nov 23;313(7068):1313-8
references: 8942694