Universidad Peruana Cayetano Heredia

Home birth preference, childbirth, and newborn care practices in rural Peruvian Amazon

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dc.contributor.author Del Mastro N, Irene
dc.contributor.author Tejada-Llacsa, Paul J.
dc.contributor.author Reinders, Stefan
dc.contributor.author Pérez, Raquel
dc.contributor.author Solís, Yliana
dc.contributor.author Alva, Isaac
dc.contributor.author Blas Blas, Magaly Marlitz
dc.date.accessioned 2021-05-18T21:44:15Z
dc.date.available 2021-05-18T21:44:15Z
dc.date.issued 2021
dc.identifier.uri https://hdl.handle.net/20.500.12866/9376
dc.description.abstract Home birth is very common in the Peruvian Amazon. In rural areas of the Loreto region, home to indigenous populations such as the Kukama-Kukamiria, birth takes place at home constantly. This study aims to understand the preference for home births as well as childbirth and newborn care practices among Kukama-Kukamiria women in rural Loreto. Following a case study approach, sixty semi-structured, face-to-face interviews were conducted with recent mothers who experienced childbirth within one year prior to the interview, female relatives of recent mothers who had a role in childbirth, male relatives of recent mothers, community health workers, and traditional healers. We found that for women from these communities, home birth is a courageous act and an intimate (i.e. members of the community and relatives participate in it) and inexpensive practice in comparison with institutional birth. These preferences are also linked to experiences of mistreatment at health facilities, lack of cultural adaptation of birthing services, and access barriers to them. Preparations for home births included handwashing and cleaning delivery surfaces. After birth, waiting for the godparent to arrive to cut the cord can delay drying of the newborn. Discarding of colostrum, lack of skin-to-skin contact as well as a range of responses regarding immediate breastfeeding and immediate drying of the baby were also found. These findings were used to tailor the educational content of the Mamas del Rio program, where community health workers are trained to identify pregnancy early, perform home visits to pregnant women and newborns, and promote essential newborn care practices in case institutional birth is not desired or feasible. We make recommendations to improve Peru's cultural adaptation of birthing services en_US
dc.description.sponsorship Este trabajo fue financiado por FONDECYT/CONCYTEC. es_PE
dc.language.iso eng
dc.publisher Public Library of Science
dc.relation.ispartofseries PLoS ONE
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Labor and delivery en_US
dc.subject Neonates en_US
dc.subject Neonatal care en_US
dc.subject Culture en_US
dc.subject Pregnancy en_US
dc.subject Breast feeding en_US
dc.subject Indigenous populations en_US
dc.subject Umbilical cord en_US
dc.title Home birth preference, childbirth, and newborn care practices in rural Peruvian Amazon en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1371/journal.pone.0250702
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#5.04.00
dc.relation.issn 1932-6203


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