Associations between improved care during the second stage of labour and maternal and neonatal health outcomes in a rural hospital in Bangladesh

Pervin, Jesmin; Aktar, Shaki; Nu, U Tin; Rahman, Monjur; Rahman, Anisur

doi:10.1016/j.midw.2018.07.010

Cited by 3 publications

(2 citation statements)

References 27 publications

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“…The adoption of vertical positions in the first and second stages of labor has been identified as beneficial for both the mother and the baby, as they are associated with a reduction in obstetric interventions, such as cesarean section, use of episiotomies and forceps, shorter length of time of labor, and less negative effects on the health of mother and baby [6][7][8][9][10][11] . From this perspective, the recommendations of the World Health Organization (WHO) and the MoH encourage the adoption of practices that promote a safe, quality vaginal delivery in which women are free to assume the position that is most comfortable for them, being encouraged by the professionals who assist them to try non-supine positions during childbirth 2,5 .…”

Section: Discussionmentioning

confidence: 99%

“…These guidelines highlight the importance of freedom of position during labor, giving the pregnant woman the opportunity to choose the position that is most comfortable for her, encouraging non-supine postures. In this sense, the adoption of UBP is encouraged because there is evidence of its benefits, such as reduced indication of cesarean sections 6 , episiotomy and other obstetric interventions 7 , cervical tear [7][8][9] and blood loss 7 , shorter intrapartum period 7,10 , less need for epidural anesthesia 11 and greater satisfaction in the delivery experience 12 , when compared to women who experienced the supine or lithotomous position.…”

Section: Introductionmentioning

confidence: 99%

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Factors associated with the occurrence of upright birth in Brazil

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Campelo

Lima

et al. 2022

Rev. bras. epidemiol.

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Objective: To identify the factors associated with Upright Delivery (UD) performed in hospitals linked to the Rede Cegonha (RC) in Brazil. Methods: Cross-sectional study with 3,073 parturients who had vaginal delivery in 606 health facilities in Brazil, located in health regions with a regional action plan approved in the RC. Socioeconomic, demographic, and obstetric characteristics of the parturients, organizational and management aspects of maternity hospitals, and work processes in childbirth care were evaluated. The multivariate logistic regression model with a hierarchical approach was adjusted to identify the variables associated with UD (outcome), estimating Odds Ratios (OR) with a significance level of 5%. Results: Of the evaluated parturient, 6.7% gave birth in the vertical position. The following were associated with a greater chance of PPV: being black (OR=2.07); having 13 or more years of study (OR=3.20); giving birth in a high-risk hospital (OR=1.58); giving birth in PPP rooms (which assisted with labor, delivery, and puerperium in the same environment) in Obstetric Centers (OR=2.07) or in-hospital Normal Delivery Centers (OR=1.62); being assisted by an obstetrician nurse (OR=1.64) or by a midwife (OR=7.62) when compared to a doctor; receiving massage during labor and delivery (OR=1.89); using a stool (OR=4.16) and among women who did not ask for/not receive analgesia (OR=3.15). Conclusion: The UD is an event related to racial aspects and the education of the parturient, being stimulated in health establishments where good practices of childbirth care are implemented, with adequate ambiance, and with multidisciplinary teams comprising midwives and obstetric nurses.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Factors associated with the occurrence of upright birth in Brazil

Neto

Campelo

Lima

et al. 2022

Rev. bras. epidemiol.

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From global recommendations to (in)action: A scoping review of the coverage of companion of choice for women during labour and birth

Bohren

Hazfiarini

Corona

et al. 2023

PLOS Glob Public Health

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Women greatly value and benefit from the presence of someone they trust to support them throughout labour and childbirth (‘labour companion of choice’). Labour companionship improves maternal and perinatal outcomes, including enhancing physiological labour and birth experiences. Despite clear benefits, implementation is slow. We conducted a scoping review to assess coverage and models of labour companionship, including quantitative studies reporting coverage of labour companionship in any level health facility globally. We searched MEDLINE, CINAHL, and Global Health from 1 January 2010–14 December 2021. We extracted data on study design, labour companionship coverage, timing and type of companions allowed, and recoded data into categories for comparison across studies. We included data from a maternal health sentinel network of hospitals in Latin America, using descriptive statistics to assess coverage among 120,581 women giving birth in these sites from April 2018-April 2022. In the scoping review, we included 77 studies from 27 countries. There was wide variation in the coverage of labour companionship: almost one-third of studies reported coverage less than 40%, and one-third of studies reported coverage between 40–80%. Husbands or partners were the most frequent companion (37.7%, 29/77), followed by family member or friend (gender not specified) (32.5%, 25/77), family member or friend (female-only) (13.0%, 10/77). Across nine sentinel hospitals in five Latin American countries, there was variation in coverage, with no companion at any time ranging from 14.9%-93.8%. Despite the well-known benefits and factors affecting implementation of labour companionship, more work is needed to improve equitable coverage. Concerted efforts are needed to engage with communities, health workers, health managers, and policy-makers to establish policies, address implementation barriers, and integrate data on coverage into perinatal records and quality processes to ensure that all women have access. Harmonized reporting of labour companionship would greatly enhance understanding at global level.

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Fatores associados à ocorrência de parto em posição vertical no Brasil

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Campelo

Lima

et al. 2022

Rev. bras. epidemiol.

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RESUMO Objetivo: Identificar os fatores associados aos partos na posição vertical realizados em hospitais vinculados à Rede Cegonha no Brasil. Métodos: Estudo transversal com 3.073 parturientes que tiveram parto vaginal em 606 estabelecimentos de saúde no Brasil, localizados em regiões de saúde com plano de ação regional aprovado na Rede Cegonha. Foram avaliadas características socioeconômicas, demográficas e obstétricas das parturientes, aspectos organizacionais e de gestão das maternidades e processos de trabalho na atenção ao parto. Modelo de regressão logística multivariada com abordagem hierarquizada foi ajustado para identificar as variáveis associadas ao parto na posição vertical (desfecho), estimando-se odds ratio (OR) com nível de significância de 5%. Resultados: Do total de parturientes avaliadas, 6,7% das mulheres tiveram parto na posição vertical. Estiveram associados à maior chance de ocorrência do parto na posição vertical: ser preta (OR=2,07); ter 13 ou mais anos de estudo (OR=3,20); parir em hospital de alto risco (OR=1,58); parir em quartos PPP (que dispunham de assistência ao trabalho de parto, parto e puerpério no mesmo ambiente) em centros obstétricos (OR=2,07) ou em centros de parto normal intra-hospitalares (OR=1,62); ser assistida por enfermeiro obstetra (OR=1,64) ou por obstetriz (OR=7,62) quando comparado ao médico; receber massagem durante o trabalho de parto e parto (OR=1,91); utilizar banqueta (OR=4,35) e entre mulheres que não pediram/não receberem analgesia (OR=3,33). Conclusão: O parto na posição vertical é um evento relacionado a aspectos raciais e à escolaridade da parturiente, sendo estimulado em estabelecimentos de saúde onde estão implantadas boas práticas de assistência ao parto, com ambiência adequada e com equipes multiprofissionais contendo obstetriz e enfermeiro obstetra.

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Associations between improved care during the second stage of labour and maternal and neonatal health outcomes in a rural hospital in Bangladesh

Cited by 3 publications

References 27 publications

Factors associated with the occurrence of upright birth in Brazil

Factors associated with the occurrence of upright birth in Brazil

From global recommendations to (in)action: A scoping review of the coverage of companion of choice for women during labour and birth

Fatores associados à ocorrência de parto em posição vertical no Brasil

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