Birthing experiences of Ghanaian women in 37th Military Hospital, Accra, Ghana

Mensah, Ransford Sarfo; Mogale, Ramadimetja Shirley; Richter, Magdalena S.

doi:10.1016/j.ijans.2014.06.001

Cited by 16 publications

(26 citation statements)

References 20 publications

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“…Women from diverse settings emphasised the importance of a positive atmosphere in the labour ward by feeling welcomed into the labour environment …”

Section: Resultsmentioning

confidence: 99%

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Respectful care during childbirth in health facilities globally: a qualitative evidence synthesis

Shakibazadeh

Namadian

Bohren

et al. 2017

BJOG

278

275

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BackgroundWhat constitutes respectful maternity care (RMC) operationally in research and programme implementation is often variable.ObjectivesTo develop a conceptualisation of RMC.Search strategyKey databases, including PubMed, CINAHL, EMBASE, Global Health Library, grey literature, and reference lists of relevant studies.Selection criteriaPrimary qualitative studies focusing on care occurring during labour, childbirth, and/or immediately postpartum in health facilities, without any restrictions on locations or publication date.Data collection and analysisA combined inductive and deductive approach was used to synthesise the data; the GRADE CERQual approach was used to assess the level of confidence in review findings.Main resultsSixty‐seven studies from 32 countries met our inclusion criteria. Twelve domains of RMC were synthesised: being free from harm and mistreatment; maintaining privacy and confidentiality; preserving women's dignity; prospective provision of information and seeking of informed consent; ensuring continuous access to family and community support; enhancing quality of physical environment and resources; providing equitable maternity care; engaging with effective communication; respecting women's choices that strengthen their capabilities to give birth; availability of competent and motivated human resources; provision of efficient and effective care; and continuity of care. Globally, women's perspectives of what constitutes RMC are quite consistent.ConclusionsThis review presents an evidence‐based typology of RMC in health facilities globally, and demonstrates that the concept is broader than a reduction of disrespectful care or mistreatment of women during childbirth. Innovative approaches should be developed and tested to integrate RMC as a routine component of quality maternal and newborn care programmes.Tweetable abstractUnderstanding respectful maternity care – synthesis of evidence from 67 qualitative studies.

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“…Women from diverse settings emphasised the importance of a positive atmosphere in the labour ward by feeling welcomed into the labour environment …”

Section: Resultsmentioning

confidence: 99%

“…In Japan, the healthcare providers and women categorised some rules and regulations as barriers to humanising birth, such as the policies restricting labour companions . The physical structure of the space was important for accommodating companions on the labour ward …”

Section: Resultsmentioning

confidence: 99%

Respectful care during childbirth in health facilities globally: a qualitative evidence synthesis

Shakibazadeh

Namadian

Bohren

et al. 2017

BJOG

278

275

View full text Add to dashboard Cite

show abstract

“…Faith is abstract and personal [30]; therefore midwives should appreciate the faith of pregnant women and those in labour so that their care will be rendered within the standards of care in the hospital setting [31]. It is necessary for midwives to be cautious in interfering with the faith or religious practice of women in labour so that this feeling of guilt will be prevented and midwives can continue to follow-up on their women after childbirth [3, 32]. However, in most cases, midwives in this study were able to accommodate the religious beliefs of women and the women also cooperated so that care received will not be hindered.…”

Section: Discussionmentioning

confidence: 99%

“…Many females continue to experience varying intensities of labour pain during child birth [1, 2]. Previous researchers note that midwives’ labour pain management is considered inadequate in Ghana [3, 4]. It is known that pregnancy and labour have strong religious connotations among women and that childbearing women exhibit their faith through diverse religious practices and use of religious artefacts to boost their faith [5, 6].…”

Section: Introductionmentioning

confidence: 99%

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Experiences and perceptions of Ghanaian midwives on labour pain and religious beliefs and practices influencing their care of women in labour

2016

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BackgroundBeliefs surrounding pain during childbirth has biblical foundations that contribute to labour pain being viewed as a natural phenomenon. Contemporary health care promotes evidence-based labour pain management but the faith of the midwife may influence her midwifery practice regarding labour pain management. Therefore this study sought to gain in-depth insight into the experiences and perceptions of midwives regarding labour pain and the religious beliefs and practices influencing their care of women in labour in Ghana.MethodsThe design of the study was an interpretive phenomenology using individual in-depth interviews. The study participants were 27 Ghanaian female midwives of various religious backgrounds. Interviews were conducted in English, audio-taped and transcribed verbatim. Colaizzi’s qualitative analysis procedures were employed concurrently with data collection.ResultsThree major themes were generated: religious beliefs about labour pain, religious practices in labour and religious artefacts used in labour. The midwives’ faith and their experiences during their midwifery practice were inter-connected. The midwives believed labour pain was natural and religious practices are important to prevent complications. Religious artefacts used in labour included anointing oil and water, necklaces, rubber bands, bracelets, stickers and beads.ConclusionIt is important that midwives provide an enabling environment for women in labour to practice their faith and they should employ context-appropriate strategies to effectively manage labour pain that takes into account the religious beliefs and practices of women.

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Experiences of Health Facility Childbirth in Sub-Saharan Africa: A Systematic Review of Qualitative Evidence

Gwacham-Anisiobi

Banke-Thomas

2022

Matern Child Health J

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Introduction Access to skilled birth attendance has been prioritised as an intervention to minimise burden of maternal deaths in sub-Saharan Africa (SSA). However, poor experience of care (EoC) is impeding progress. We conducted a systematic review to holistically explore EoC patterns of facility-based childbirth in SSA. Methods PubMed, Embase and Scopus databases were searched to identify SSA EoC studies conducted between January 2000 and December 2019. Studies meeting our pre-defined inclusion criteria were quality assessed and relevant data extracted. We utilised the EoC quality standards (defined by the World Health Organization) to summarise and analyse findings while highlighting patterns. Results Twenty-two studies of varying quality from 11 SSA countries were included for review. Overall, at least one study from all included countries reported negative EoC in one or more domains of the WHO framework. Across SSA, ‘respect and preservation of dignity’ was the most reported domain of EoC. While most women deemed the pervasive disrespect as unacceptable, studies in West Africa suggest a “normalisation” of disrespect, if the intent is to save their lives. Women often experienced sub-optimal communication and emotional support with providers in public facilities compared to non-public ones in the region. These experiences had an influence on future institutional deliveries. Discussion Sub-optimal EoC is widespread in SSA, more so in public facilities. As SSA heath systems explore approaches make progress towards the Sustainable Development Goal 3, emphasis needs to be placed on ensuring women in the region have access to both high-quality provision and experience of care.

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Birthing experiences of Ghanaian women in 37th Military Hospital, Accra, Ghana

Cited by 16 publications

References 20 publications

Respectful care during childbirth in health facilities globally: a qualitative evidence synthesis

Respectful care during childbirth in health facilities globally: a qualitative evidence synthesis

Experiences and perceptions of Ghanaian midwives on labour pain and religious beliefs and practices influencing their care of women in labour

Experiences of Health Facility Childbirth in Sub-Saharan Africa: A Systematic Review of Qualitative Evidence

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