Attitude Toward Institutional Delivery vs Home Delivery Among Pregnant Women: A Cross-Sectional Questionnaire-Based Study

Abstract

Background: Institutional delivery is a key strategy for reducing maternal and neonatal morbidity and mortality. Despite improvements in healthcare access, a proportion of women still prefer home delivery due to socio-cultural and economic factors.

Objective: To assess the attitude toward institutional versus home delivery among pregnant women.
Methods: A cross-sectional questionnaire-based study was conducted among 400 pregnant women across two medical colleges, two nursing colleges, and one private hospital in India. Data were collected by 50 MBBS students/interns, 50 nursing students, and 50 nurses using a structured Likert-scale questionnaire.
Results: Majority (72%) preferred institutional delivery, while 18% preferred home delivery and 10% were undecided. Positive attitudes toward institutional delivery were associated with higher education, prior antenatal care, and awareness of complications. Financial concerns, cultural beliefs, and family influence were major determinants of preference for home delivery.

Conclusion: Although institutional delivery is widely accepted, gaps remain due to socio-cultural and accessibility factors. Targeted awareness and strengthening healthcare infrastructure are essential.