Women's Perceptions of Childbirth Experience at a Hospital in Rural Tanzania

Shimpuku, Yoko; Patil, Crystal L.; Norr, Kathleen F.; Hill, Pamela D.

doi:10.1080/07399332.2012.708374

Cited by 29 publications

(50 citation statements)

References 31 publications

(36 reference statements)

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“…Five studies were conducted in five low‐income countries: Uganda (Kaye 2014), Malawi (Kululanga 2012), Rwanda (Pafs 2016), Nepal (Sapkota 2012), and Tanzania (Shimpuku 2013). Thirteen studies were conducted in 11 middle‐income countries: Syria (Abushaikha 2012; Abushaikha 2013), Ghana (Alexander 2014), Brazil (Brüggemann 2014; Dodou 2014; de Souza 2010), Mexico (Campero 1998), South Africa (Chadwick 2014), , Jordan (Khresheh 2010), Kenya (Afulani 2018), Iran (Fathi 2017), and China (Qian 2001); and one multi‐country study conducted in Syria, Egypt and Lebanon (Kabakian‐Khasholian 2015).…”

Section: Resultsmentioning

confidence: 99%

“…Seven studies were conducted in Africa (Afulani 2018; Alexander 2014; Chadwick 2014; Kaye 2014; Kululanga 2012; Pafs 2016; Shimpuku 2013); two in Asia (Qian 2001; Sapkota 2012); 14 in Europe (Akhavan 2012a; Akhavan 2012b; Bäckström 2011; Berg 2006; Bondas‐Salonen 1998; Darwin 2016; Ledenfors 2016; Longworth 2011; Lundgren 2010; McGarry 2016; McLeish 2018; Premberg 2011; Somers‐Smith 1999; Thorstensson 2008); five in the Middle East (Abushaikha 2012; Abushaikha 2013; Fathi 2017; Kabakian‐Khasholian 2015; Khresheh 2010); 17 in North America (Campero 1998; Chandler 1997; Chapman 1990; Coley 2016; Gentry 2010; Gilliland 2011; Hardeman 2016; Horstman 2017; Hunter 2012; Koumouitzes‐Douvia 2006; Lagendyk 2005; LaMancuso 2016; Price 2007; Schroeder 2005; Shlafer 2015; Torres 2013; Torres 2015); three in South America (Brüggemann 2014; Dodou 2014; de Souza 2010); and three in Oceania (Harte 2016; Maher 2004; Stevens 2011). …”

Section: Resultsmentioning

confidence: 99%

“…Labour wards often had open floor plans, possibly with only a curtain to separate beds (Abushaikha 2013; Brüggemann 2014; Kabakian‐Khasholian 2015; Qian 2001; Sapkota 2012; Shimpuku 2013). In some cases, women were allowed only to have a female companion, in order to protect the privacy of other women, thus restricting her choices (Afulani 2018; Brüggemann 2014).…”

Section: Resultsmentioning

confidence: 99%

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Perceptions and experiences of labour companionship: a qualitative evidence synthesis

Bohren

Berger

Munthe‐Kaas

et al. 2019

Cochrane Database of Systematic Reviews

200

197

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BackgroundLabour companionship refers to support provided to a woman during labour and childbirth, and may be provided by a partner, family member, friend, doula or healthcare professional. A Cochrane systematic review of interventions by Bohren and colleagues, concluded that having a labour companion improves outcomes for women and babies. The presence of a labour companion is therefore regarded as an important aspect of improving quality of care during labour and childbirth; however implementation of the intervention is not universal. Implementation of labour companionship may be hampered by limited understanding of factors affecting successful implementation across contexts.ObjectivesThe objectives of the review were to describe and explore the perceptions and experiences of women, partners, community members, healthcare providers and administrators, and other key stakeholders regarding labour companionship; to identify factors affecting successful implementation and sustainability of labour companionship; and to explore how the findings of this review can enhance understanding of the related Cochrane systematic review of interventions.Search methodsWe searched MEDLINE, CINAHL, and POPLINE K4Health databases for eligible studies from inception to 9 September 2018. There were no language, date or geographic restrictions.Selection criteriaWe included studies that used qualitative methods for data collection and analysis; focused on women’s, partners’, family members’, doulas', providers', or other relevant stakeholders' perceptions and experiences of labour companionship; and were from any type of health facility in any setting globally.Data collection and analysisWe used a thematic analysis approach for data extraction and synthesis, and assessed the confidence in the findings using the GRADE‐CERQual approach. We used two approaches to integrate qualitative findings with the intervention review findings. We used a logic model to theorise links between elements of the intervention and health and well‐being outcomes. We also used a matrix model to compare features of labour companionship identified as important in the qualitative evidence synthesis with the interventions included in the intervention review.Main resultsWe found 51 studies (52 papers), mostly from high‐income countries and mostly describing women's perspectives. We assessed our level of confidence in each finding using the GRADE‐CERQual approach. We had high or moderate confidence in many of our findings. Where we only had low or very low confidence in a finding, we have indicated this.Labour companions supported women in four different ways. Companions gave informational support by providing information about childbirth, bridging communication gaps between health workers and women, and facilitating non‐pharmacological pain relief. Companions were advocates, which means they spoke up in support of the woman. Companions provided practical support, including encouraging women to move around, providing massage, and holding her hand. Finally, companions...

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Perceptions and experiences of labour companionship: a qualitative evidence synthesis

Bohren

Berger

Munthe‐Kaas

et al. 2019

Cochrane Database of Systematic Reviews

200

197

View full text Add to dashboard Cite

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“…Presence of birth companions helped the women receive emotional and physical support and comfort from their loved ones, and removed some of the burden from health workers. Respondents in studies in Tanzania discussed how birth companions assisted and encouraged women, because providers were absent [32, 37]. The WHO Safe Birth checklist also mentions companions in the context of calling providers for help when needed [38].…”

Section: Discussionmentioning

confidence: 99%

Respectful maternity care in Ethiopian public health facilities

Bazant²,

et al. 2017

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BackgroundDisrespect and abuse of women during institutional childbirth services is one of the deterrents to utilization of maternity care services in Ethiopia and other low- and middle-income countries. This paper describes the prevalence of respectful maternity care (RMC) and mistreatment of women in hospitals and health centers, and identifies factors associated with occurrence of RMC and mistreatment of women during institutional labor and childbirth services.MethodsThis study had a cross sectional study design. Trained external observers assessed care provided to 240 women in 28 health centers and hospitals during labor and childbirth using structured observation checklists. The outcome variable, providers’ RMC performance, was measured by nine behavioral descriptors. The outcome, any mistreatment, was measured by four items related to mistreatment of women: physical abuse, verbal abuse, absence of privacy during examination and abandonment.We present percentages of the nine RMC indicators, mean score of providers’ RMC performance and the adjusted multilevel model regression coefficients to determine the association with a quality improvement program and other facility and provider characteristics.ResultsWomen on average received 5.9 (66%) of the nine recommended RMC practices. Health centers demonstrated higher RMC performance than hospitals. At least one form of mistreatment of women was committed in 36% of the observations (38% in health centers and 32% in hospitals).Higher likelihood of performing high level of RMC was found among male vs. female providers (, p = 0.012), midwives vs. other cadres (, p = 0.002), facilities implementing a quality improvement approach, Standards-based Management and Recognition (SBM-R©) (, p = 0.003), and among laboring women accompanied by a companion , p = 0.003). No factor was associated with observed mistreatment of women.ConclusionQuality improvement using SBM-R© and having a companion during labor and delivery were associated with RMC. Policy makers need to consider the role of quality improvement approaches and accommodating companions in promoting RMC. More research is needed to identify the reason for superior RMC performance of male providers over female providers and midwives compared to other professional cadre, as are longitudinal studies of quality improvement on RMC and mistreatment of women during labor and childbirth services in public health facilities.

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“…Unfortunately, in reality there are still gaps in meeting women' needs; for example, neglect and abusive language or behaviors were observed in clinical settings. [14,15] This issue of quality of care is common across developing countries, which led to the WHO's recent statement of Prevention and elimination of disrespect and abuse during childbirth. [11] Providing adequate education and supportive work environments to maximize safe midwifery care can begin to be addressed through collaboration with a developed country.…”

Section: Introductionmentioning

confidence: 99%

Global collaboration between Tanzania and Japan to advance midwifery profession: A case report of a partnership model

Shimpuku

Horiuchi

Leshabari

et al. 2015

JNEP

Self Cite

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The global health agenda to reduce maternal mortality is delayed in Sub-Saharan Africa. The shortage of skilled birth attendants in Tanzania hinders the improvement of midwifery care to prevent maternal mortality and morbidity. It is urgently neccesary to develop midwifery leaders capable of working as educators, researchers, administrators, and advanced practitioners, contributing to the improvement of midwifery care and maternal child health in their own country. This report describes the process of establishing the first midwifery master's program in Tanzania through the efforts of two academic institutions, one in Tanzania and one in Japan. The collaboration developed a sustainable partnership model for the advancement of midwifery education. This partnership model was based upon the professional relationships corresponding with our values of humanized childbirth and people-centered care. The key elements for the project success included: (1) spending adequate time for in-person communication with the collaborative partner; (2) sharing the same goals and concepts; (3) understanding different values and norms for working and living; (4) learning ways of communication and project implementation in the partner's culture and (5) confirming the feasibility, which could increase team members' motivation and commitment. Midwives from the two institutions both gained knowledge and research outcomes as well as the satisfaction of establishing the midwifery master's program. To improve the remaining global maternal health issues, this win-win collaboration should be considered as the 21st century's partnership model for the global health community.

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Women's Perceptions of Childbirth Experience at a Hospital in Rural Tanzania

Cited by 29 publications

References 31 publications

Perceptions and experiences of labour companionship: a qualitative evidence synthesis

Perceptions and experiences of labour companionship: a qualitative evidence synthesis

Respectful maternity care in Ethiopian public health facilities

Global collaboration between Tanzania and Japan to advance midwifery profession: A case report of a partnership model

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