Midwives perceptions of partner presence in childbirth pain alleviation in Nigeria hospitals

Emelonye, Abigail Uchenna; Vehviläinen‐Julkunen, Katri; Pitkäaho, Taina; Aregbesola, Alex

doi:10.1016/j.midw.2017.03.004

Cited by 11 publications

(10 citation statements)

References 36 publications

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“…Nighty-eight percent of providers believed that it was appropriate and important for a man to participate in RMNCAH services and support his female partner. This is consistent with previous ndings from hospitals in Nigeria where midwives acknowledged the bene ts of having a partner present, for example, contributing to pain relief during childbirth [49]. Previous studies have found that engaging men in reproductive, maternal, and newborn health can increase care seeking, improve home care practices, and support more equitable communication and decision-making among couples related to maternal and newborn health [1,27].…”

Section: Beliefs and Perceptionssupporting

confidence: 89%

Gender Discrimination as a Barrier to High-Quality Maternal and Newborn Health Care in Nigeria: Findings From a Cross-Sectional Quality of Care Assessment

Oduenyi

Banerjee

Oniyire³

et al. 2020

Preprint

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BackgroundPoor reproductive, maternal, newborn, child, and adolescent health outcomes in Nigeria can be attributed to several factors, not limited to low health service coverage, a lack of quality care, and gender inequity. Providers’ gender-discriminatory attitudes, and men’s limited positive involvement correlate with poor utilization and quality of services.MethodsWe conducted a cross-sectional, observational, baseline quality of care assessment from April-July 2016 to inform a maternal and newborn health project in health facilities in Ebonyi and Kogi States. We observed 435 antenatal care consultations and 47 births, and interviewed 138 providers about their knowledge, training, experiences, working conditions, gender-sensitive and respectful care, and workplace gender dynamics. The United States Agency for International Development’s Gender Analysis Framework was used to analyze findings.ResultsSixty percent of providers disagreed that a woman could choose a family planning method without a male partner’s involvement, and 23.2% of providers disagreed that unmarried clients should use family planning. Ninety-eight percent believed men should participate in health services, yet only 10% encouraged women to bring their partners. Harmful practices were observed in 59.6% of deliveries and disrespectful or abusive practices were observed in 34.0%. No providers offered clients information, services, or referrals for gender-based violence. Sixty-seven percent reported observing or hearing of an incident of violence against clients, and 7.9% of providers experienced violence in the workplace themselves. Over 78% of providers received no training on gender, gender-based violence, or human rights in the past three years.ConclusionAddressing gender inequalities that limit women’s access, choice, agency, and autonomy in health services as a quality of care issue is critical to reducing poor health outcomes in Nigeria. Inherent gender discrimination in health service delivery reinforces the critical need for gender analysis, gender responsive approaches, values clarification, and capacity building.

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Section: Beliefs and Perceptionssupporting

confidence: 89%

Gender Discrimination as a Barrier to High-Quality Maternal and Newborn Health Care in Nigeria: Findings From a Cross-Sectional Quality of Care Assessment

Oduenyi

Banerjee

Oniyire³

et al. 2020

Preprint

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“…A stable marital relationship, which was characterized as living with one's partner, was an independent factor connected with a higher score on the MCSRS. Furthermore, the partner's presence during childbirth may be a factor in pain relief, favoring labor progression and childbirth 23 …”

Section: Discussionmentioning

confidence: 99%

Women’s satisfaction with childbirth in a public hospital in Brazil

Lopes

Nakamura

Nomura

2021

Birth

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Objective The purpose of this study was to evaluate women's satisfaction with vaginal birth in a public hospital in São Paulo, Brazil. Methods A total of 372 low‐risk postpartum women were interviewed. Maternal satisfaction was measured by the Mackey Childbirth Satisfaction Rating Scale (MCSRS), validated to Brazilian Portuguese. The scale is divided into six subscales: self‐evaluation, partner, baby, nursing, physicians, and overall satisfaction. Childbirth care data were related to maternal mobility, shower bath, birth ball exercises, manual massage, and the health care providers assisting delivery. Results The MCSRS total score was significantly higher in women living with their partners than those not living with a partner (median 145.5 vs 133.0; P = 0.019), in women with a companion during childbirth than those with no labor support (146.0 vs 136.5; P = 0.047), and in women who early breastfed within the first hour compared with those who did not (146.0 vs 137.0; P = 0.001). Multiple regression identified ‘living with partner’ (coefficient 6.205; P = 0.043) and ‘breastfeeding within the first hour’ (coefficient 7.856; P = 0.005) as independent variables that determine the total score of MCSRS. Conclusions Our findings indicate that living with one's partner and early initiation of breastfeeding are key factors enhancing satisfaction with vaginal birth in women who received care at a public Brazilian hospital.

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“…11 A 2019 Cochrane qualitative evidence synthesis reported that labour companions support women by acting as advocates, bridging communication gaps between health workers and women, and providing practical and emotional support (such as massages, encouraging mobility, praise and reassurance). 12 In the past decade, quantitative studies [13][14][15][16][17][18][19][20][21] have explored general perceptions and factors associated with labour companionship in maternity care (antenatal care, labour and childbirth and/or postnatal care), but to date have not explored the relationship between labour companionship and mistreatment. Furthermore, despite not always being integrated within studies that assess experience of care, 13 16 17 20 the perspective of the woman is imperative to design maternity care that responds to women's needs.…”

Section: Introductionmentioning

confidence: 99%

Labour companionship and women’s experiences of mistreatment during childbirth: results from a multi-country community-based survey

et al. 2020

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BackgroundEvidence has shown the benefits of labour companions during childbirth. Few studies have documented the relationship between the absence of labour companions and mistreatment of women during childbirth in low-income and middle-income countries using a standardised tool.MethodsWe conducted a secondary analysis of the WHO multi-country study on how women are treated during childbirth, where a cross-sectional community survey was conducted with women up to 8 weeks after childbirth in Ghana, Guinea, Nigeria and Myanmar. Descriptive analysis and multivariable logistic regression were used to examine whether labour companionship was associated with various types of mistreatment.ResultsOf 2672 women, about half (50.4%) reported the presence of a labour companion. Approximately half (49.6%) of these women reported that the timing of support was during labour and after childbirth and most of the labour companions (47.0%) were their family members. Across Ghana, Guinea and Nigeria, women without a labour companion were more likely to report physical abuse, non-consented medical procedures and poor communication compared with women with a labour companion. However, there were country-level variations. In Guinea, the absence of labour companionship was associated with any physical abuse, verbal abuse, or stigma or discrimination (adjusted OR (AOR) 3.6, 1.9–6.9) and non-consented vaginal examinations (AOR 3.2, 1.6–6.4). In Ghana, it was associated with non-consented vaginal examinations (AOR 2.3, 1.7–3.1) and poor communication (AOR 2.0, 1.3–3.2). In Nigeria, it was associated with longer wait times (AOR 0.6, 0.3–0.9).ConclusionLabour companionship is associated with lower levels of some forms of mistreatment that women experience during childbirth, depending on the setting. Further work is needed to ascertain how best to implement context-specific labour companionship to ensure benefits while maintaining women’s choices and autonomy.

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Midwives perceptions of partner presence in childbirth pain alleviation in Nigeria hospitals

Abstract: information from this study can improve midwifery practice and aid further research regarding midwives' attitudes, knowledge and usage of partner presence in pain management during childbirth.

Cited by 11 publications

References 36 publications

Gender Discrimination as a Barrier to High-Quality Maternal and Newborn Health Care in Nigeria: Findings From a Cross-Sectional Quality of Care Assessment

Gender Discrimination as a Barrier to High-Quality Maternal and Newborn Health Care in Nigeria: Findings From a Cross-Sectional Quality of Care Assessment

Women’s satisfaction with childbirth in a public hospital in Brazil

Labour companionship and women’s experiences of mistreatment during childbirth: results from a multi-country community-based survey

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