Client and provider factors associated with companionship during labor and birth in Kigoma Region, Tanzania

Dynes, Michelle; Binzen, Susanna; Twentyman, Evelyn; Nguyen, Hannah T. M. H.; Lobis, Samantha; Mwakatundu, Nguke; Chaote, Paul; Serbanescu, Florina

doi:10.1016/j.midw.2018.11.002

Cited by 15 publications

(28 citation statements)

References 30 publications

(46 reference statements)

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“…The finding of this study showed that being primiparous (delivered for the first time) were two times more likely to be accompanied by their labor companion during childbirth in the health facilities than those women who were multiparous. This finding is similar to the study done in Brazil, rural central Ghana, and Kigoma Region, Tanzania, which revealed that being primiparous (delivered for the first time) were more likely to be accompanied by their labor companion during childbirth in the health facilities than those women who were multiparous [23,15,26]. This might be due to the fear of childbirth because most of the time primiparous women may face the fear of childbirth and they will be more likely accompanied by their companion and this fear of childbirth can harm a woman's psychological wellbeing and associated with adverse obstetric outcomes and postpartum mental health difficulties.…”

Section: Plos Onesupporting

confidence: 89%

“…Similarly, the finding of this study is lower than the other study conducted in Ethiopia, Kenya, Madagascar, Rwanda, and the United Republic of Tanzania which showed that the proportion of facilities that encouraged women to have a companion were 34%,38%,40%,43% and 67% respectively [25]. The finding of this study was similar to the study conducted in the Kigoma Region, Tanzania, which showed that only 12% of mothers companionship during delivery [15]. In contrast, this rate is higher than was reported in a study conducted in rural central Ghana which showed that 58% of mothers utilize companionship during delivery [26].…”

Section: Discussionsupporting

confidence: 62%

“…In addition to benefiting women in labor, companions may also help reduce staff workload and improve processes. Companions may allow health staff to attend to urgent issues, remind staff when it is time to re-examine women or when there is a sudden change, arrange transportation if complications arise, and reinforce messages and instructions to women [15].…”

Section: Introductionmentioning

confidence: 99%

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Utilization of companionship during delivery and associated factors among women who gave birth at Arba Minch town public health facilities, southern Ethiopia

2020

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Background Companionship during delivery is an important feature of compassionate and respectful maternity care. It has a positive impact on delivery and birth outcomes. In low resource countries like Ethiopia lack of companionship discourages women from accessing facilitybased delivery care. Therefore, this study aimed to assess the utilization of companionship during delivery and associated factors. Methods Health facility-based cross-sectional study design was done from October to November 2019. Interviewer administered questionnaires were used to collect the data from 418 study participants. The data were entered with Epi data version 4.4 and exported to Statistical Package for Social Sciences (SPSS) version 25.0 for analysis. Binary logistic regression was done. Statistical significance was declared at P-values < 0.05 with a 95% confidence level. Results The finding of the study showed that only 13.8% of mothers utilize companionship during delivery. Variables such as having a desire to have companionship during delivery in the health facilities (AOR = 5.17, CI 95% 2.63, 10.16), having complication during the labor and delivery (AOR = 3.48, CI 95%, 1.81, 6.70), and being primipara (AOR = 2.05, CI 95% 1.09, 3.87) were the independent factors associated with companionship utilization. Conclusions The finding of the study showed that the utilization of companionship during delivery was low. Permitting women to have a companion of choice during labor and childbirth can be a cost-effective intervention to improve the quality of maternity care, facing complications

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Section: Plos Onesupporting

confidence: 89%

Section: Discussionsupporting

confidence: 62%

Section: Introductionmentioning

confidence: 99%

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Utilization of companionship during delivery and associated factors among women who gave birth at Arba Minch town public health facilities, southern Ethiopia

2020

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“…The intervention group might have had family companion as they are more prepared for family members to accompany pregnant women to health facility. On contrary, Dynes et al’s study in Kigoma Region reported that clients had significantly greater odds of having a birth companion if they self-reported labor complications (aOR 2.82, 95% CI 1.02–7.81) [33]. However, they discussed that it might be because women having perceptions of risks might request family attendance.…”

Section: Discussionmentioning

confidence: 99%

A family-oriented antenatal education program to improve birth preparedness and maternal-infant birth outcomes: A cross sectional evaluation study

et al. 2019

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Background In Tanzania, the information on Birth Preparedness and Complication Readiness is insufficiently provided to pregnant women and their families. The aim of this study was to evaluate the maternal and infant outcomes of a family-oriented antenatal group education program that promotes Birth Preparedness and Complication Readiness in rural Tanzania. Methods Pregnant women and families were enrolled in a program about nutrition and exercise, danger signs, and birth preparedness. The cross sectional survey was conducted one year later to evaluate if the participants of the program (intervention group) were different from those who did not participate (control group) with respect to birth-preparedness and maternal and infant outcomes. Results A total of 194 participants (intervention group, 50; control group, 144) were analyzed. For Birth Preparedness and Complication Readiness, the intervention group participants knew a health facility in case of emergency (OR: 3.11, 95% CI: 1.39–6.97); arranged accompaniment to go to a health facility for birth (OR: 2.56, 95% CI: 1.17–5.60); decided the birthplace with or by the pregnant women (OR: 3.11, 95% CI: 1.44–6.70); and attended antenatal clinic more than four times (OR: 2.39, 95% CI: 1.20–4.78). For birth outcomes, the intervention group had less bleeding or seizure during labour and birth (OR: 0.28, 95%CI: 0.13–0.58); fewer Caesarean sections (OR: 0.16, 95% CI: 0.07–0.36); and less neonatal complications (OR: 0.28, 95% CI: 0.13–0.60). Conclusions The four variables were significantly better in the intervention group, i.e., identifying a health facility for emergencies, family accompaniment for facility birth, antenatal visits, and involvement of women in decision-making, which may be key factors for improving birth outcome variables. Having identified these key factors, male involvement and healthy pregnant lives should be emphasized in antenatal education to reduce pregnancy and childbirth complications. Trial registration No.2013–273-NA-2013-101 . Registered 12 August 2013.

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“…22 Many countries are including BC in their maternal health guidelines. Some countries, for example China, 18 Shri Lanka, Brazil 20 and Kenya 21 have begun to allow a BC in their public health setups to certain extent. A national law in Brazil in 2005 affirmed the rights of all women to have a companion of choice during labour, delivery and postpartum period.…”

Section: Introductionmentioning

confidence: 99%

Opinion of Health Care Providers on Birth Companions in Obstetrics Department of a Tertiary Care Hospital in North India

Sarwal

Tyagi

et al. 2021

Preprint

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Background Despite impressive improvements in institutional births and a fall in maternal mortality, satisfaction of women with birthing experience in public health institutions is low (68%). Birth Companion is an important part of the Labour room Quality Improvement (LaQshya) programme introduced by the Government of India in 2017. Despite mandates, implementation of the concept has been unsatisfactory (9%), even though the importance of Birth Companion has increased due to enhanced risk posed by COVID-19. Little is known about awareness among health care providers on Birth Companions, perceived barriers or their suggestions. Methods We canvassed a 15-question instrument using ordinal scales on 151 health care providers comprising consultants, post graduates, residents, and nurses (response rate 69%) in the department of Obstetrics & Gynecology, Lok Nayak Hospital, Delhi, India to gauge their awareness and opinions about Birth Companions. Results Most health care providers across all categories were aware of the concept (93%), World Health Organization recommendation (83%) and Government instructions for its hospitals (68%) that every woman should be accompanied by a Birth Companion of her choice during labour. Birth Companions of choice suggested by them were the mother (70%), husband (69%). sister (46%) or nurse (43%). Most health care providers agreed that a Birth Companion should wear clean clothes (95%), be free from any communicable disease (91%), stay with the pregnant woman throughout the process of labour (74%) and should have herself gone though labour (42%). Almost all providers (95%) agreed that the presence of a Birth Companion during labour will be beneficial, as they would provide emotional support (99%), boost the confidence of the woman (98%), provide comfort measures like massage (95%), early initiation of breastfeeding (93%), reduce post-partum depression (91%), humanize labour (83%), reduce need for analgesia (70%) and increase spontaneous vaginal births (69%). Yet support for its introduction in their hospital was low (59%). Staff nurses had reservations (62%) with only 40% of those who believed Birth Companion to be beneficial approving of its introduction in their hospital. Over-crowding in labour room and privacy concerns for other women were identified as key barriers. Conclusion Even though most health care providers were aware of and convinced of multiple benefits of Birth Companion during labour, lack of adequate infrastructure in the labour room prevented them from supporting its introduction. Government should provide adequate funding to upgrade labour rooms in a way that provides privacy to the delivering women and frame guidelines and train Birth Companions to perform their role appropriately. Keywords: Birth Companion, Delivery, Respectful Maternity Care, Privacy, Health Care Providers, COVID-19

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Client and provider factors associated with companionship during labor and birth in Kigoma Region, Tanzania

Cited by 15 publications

References 30 publications

Utilization of companionship during delivery and associated factors among women who gave birth at Arba Minch town public health facilities, southern Ethiopia

Utilization of companionship during delivery and associated factors among women who gave birth at Arba Minch town public health facilities, southern Ethiopia

A family-oriented antenatal education program to improve birth preparedness and maternal-infant birth outcomes: A cross sectional evaluation study

Opinion of Health Care Providers on Birth Companions in Obstetrics Department of a Tertiary Care Hospital in North India

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