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Home births in the Mosvold health ward of KwaZulu
Abstract
A community survey was carried out to determine the frequency and the methods of home deliveries in the Mosvold health ward in northern KwaZulu. Of a sample of 210 mothers interviewed 46% had given birth at home, and of these 48% were delivered by traditional birth attendants; 84% gave birth in a kneeling or sitting position. In 32% of cases handling of the umbilical stump was unhygienic and potentially tetanogenic. Asked their reason for giving birth at home, most mothers gave transport problems and' sudden or unexpected onset of labour as their main reason, although a majority of grand multiparas expressed a preference for home delivery. Various recommendations are made on the basis of these findings.
