Factors associated with the desire for companionship during labor in a Nigerian community

Adeyemi, Adebanjo Babalola; Fatusi, Adesegun O.; Phillips, Abimbola; Olajide, Folakemi O.; Awowole, Ibraheem O.; Orisawayi, Ayoola Oluwaniyi

doi:10.1002/ijgo.12471

Cited by 5 publications

(5 citation statements)

References 20 publications

(57 reference statements)

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“…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]. The finding of this study is lower than the study reported in Nigeria which showed that only 22.1% of mothers companionship during delivery [27].…”

Section: Discussioncontrasting

confidence: 87%

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: Discussioncontrasting

confidence: 87%

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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“…There is evidence that shows women who live in the marginalized area of Ethiopia with limited educational level are highly experiencing traditional birth attendants, and even they need to make them as companion at the health facility ( 32 , 33 ). The finding of this study also higher than study conducted in Arba Minch Ethiopia (43.7%) ( 12 ), Kenya (37%) ( 9 ), Nigeria (22.1%) ( 34 ), and Tanzania (44.7%) ( 11 ). The possible explanation for higher magnitude in this study compared to the study conducted at Arba Minch Ethiopia might be due to the variation in the study population.…”

Section: Discussioncontrasting

confidence: 72%

Desire for Birth Companionship Among Pregnant Women Attending Antenatal Care in Debremarkos City, Northwest Ethiopia: Magnitude and Associated Factors

Assfaw

Abuhay

Asratie

2022

Front. Glob. Womens Health

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BackgroundBirth companionship is one of the components of the respectful maternity continuum of care recommended by the World Health Organization (WHO). Women's desire for birth companionship needs to be given attention during the antenatal care period to make them ready during labor and delivery. There is a dearth of study about the status of women's desire for birth companionship and associated factors.ObjectiveThis study aimed to assess the prevalence of desire for birth companionship and associated factors among pregnant women in Debremarkos city, northwest Ethiopia.MethodsInstitution-based cross-sectional study was conducted from February 1, 2021 to March 30, 2021 in Debremarkos city, northwest Ethiopia. A total of 423 participants were accessed by systematic random sampling. A face-to-face interviewer-administered questionnaire was employed. The data were entered into Epi data version 4.6 and transformed to SPSS version 25. Binary logistic regression analysis was done, and variables with a p-value ≤ 0.2 on bivariable analysis were taken for multivariable analysis. Adjusted odds ratio with a 95% confidence interval was used to detect the association, and a p-value of <0.05 in the multivariable analysis was used to declare statistical significance.ResultsThe prevalence of desire for birth companionship was 57.45% (52.6–62.2%). Women who were the primary decision-maker for maternal health care services [adjusted odds ratio (AOR) =3.0; 95% CI 1.7–5.6], women with planned pregnancy (AOR = 2.0; 95% CI 1.0–3.9), women who have no bad obstetric history (AOR = 2.3; 95% CI 1.2–4.4), and women whose 1st antenatal care visit starts within the second trimester (AOR = 2.6; 1.6–4.4) were statistically significant with desire on birth companionship.ConclusionsDesire of pregnant women for birth companionship was high in this study. Improving women's decision-making power, emphasis on the type of pregnancy, obstetrical history, and early initiation of antenatal care visit were the suggested areas to increase the desire of women for birth companionship.

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“…However, in other countries, views may be different. For example, in Nigeria and Russia women preferred their partner not to be present during birth (Adeyemi et al 2018;Baktha and Lee 2010;Oboro et al 2011). Thus, the issue of lay companionship's support during childbirth may be influenced by the context of specific countries and cultures.…”

Section: Introductionmentioning

confidence: 99%

Two are better than one? The impact of lay birth companions on childbirth experiences and PTSD

Handelzalts

Levy

Ayers

et al. 2022

Arch Womens Ment Health

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Although continuous support during childbirth is recommended by the World Health Organization (WHO) and has wellestablished benefits, the practice is still not routinely implemented in all maternity settings. We studied the possible effect of an additional lay companion (other than the partner) on childbirth experience and postpartum post-traumatic stress disorder (PTSD). Two hundred and forty-six women, who gave birth in maternity wards of a large tertiary health center in Israel, responded to questionnaires in person at 1-4 days (Demographic questions and the childbirth experience questionnaire) and on-line at 8-10 weeks postpartum (City Birth Trauma Scale). Obstetric data were taken from the medical files. Women who were accompanied by their partners and an additional companion were lower in birth-related PTSD symptoms (M = 1.17, SD = 2.61) than women accompanied by only their partner (M = 1.53, SD = 2.79) (F(2, 240) = 4.0, p < 0.05). Women who had a single companion (M = 1.44, SD = 2.61) showed more birth-related PTSD symptoms than women who had two or more companions (M = 1.17, SD = 2.52) (F(1, 241) = 6.4, p < 0.05). In addition, women who had a single companion were higher in general PTSD symptoms (M = 3.91, SD = 4.73) than women who had two or more companions (M = 2.31, SD = 4.29) (F(1, 241) = 4.2, p < 0.05). No differences were found in childbirth experiences of women with single or multiple companions. Allowing more than one lay companion (other than the partner) may be a simple cost-effective way of providing beneficial support in all birth settings, promoting respectful maternity care and reducing childbirth-related PTSD levels and by that future psychopathology sequela.

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Factors associated with the desire for companionship during labor in a Nigerian community

Abstract: Most couples had negative attitudes toward companionship during labor. Intensive education programs and restructuring of facilities could enable Nigerian labor wards to improve the delivery experience for both parturients and their male partners.

Cited by 5 publications

References 20 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

Desire for Birth Companionship Among Pregnant Women Attending Antenatal Care in Debremarkos City, Northwest Ethiopia: Magnitude and Associated Factors

Two are better than one? The impact of lay birth companions on childbirth experiences and PTSD

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