Panamanian women׳s experience of vaginal examination in labour: A questionnaire validation

Bonilla-Escobar, Francisco J.; Ortega-Lenis, Delia; Rojas-Mirquez, Johanna Carolina; Ortega-Loubón, Christian

doi:10.1016/j.midw.2016.02.022

Cited by 15 publications

(12 citation statements)

References 11 publications

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“…The hospital with the lowest mean of VEs had 2.1 ± 0.8 and the one with the highest mean presented 6.8 ± 4.4. Other studies also showed great variability in the number of VEs, with 2.9 ± 1.5 in a hospital in Scotland [4], 4.0 ± 1.7 in a hospital in Peru [19], 4.2 ± 2.1 in a Palestinian hospital [3], 4.5 ± 3.7 in two hospitals in Mexico [16], and 5.6 ± 3.5 in two hospitals in Panama [17].…”

Section: Discussionmentioning

confidence: 99%

Potential excess of vaginal examinations during the management of labor: frequency and associated factors in 13 Peruvian hospitals

et al. 2019

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Background A high number of vaginal examinations (VEs) may lead to a higher risk of infections, as well as discomfort/dissatisfaction with intrapartum care. Objective To determine the frequency of potential excess of vaginal examinations (PEVE) during the management of labor and identify its associated factors, in Peruvian hospitals. Methods Secondary analysis of the data collected in the DisrespEct and abuse during ChIlDbirth in pEru (DECIDE) study, held between April and May 2016. In this study, women hospitalized in Peruvian hospitals right after giving birth were surveyed by trained personnel. PEVE, the main outcome, was considered as five or more vaginal examinations (VEs) performed during the management of labor. Poisson regression models with robust variance were performed to calculate crude and adjusted prevalence ratios (cPR and aPR) as well as their 95% confidence intervals (95% CI). Results One thousand four hundred twenty registries of 13 hospitals from 8 Peruvian cities were evaluated. The number of women studied at each hospital ranged between 100 and 129. The median age was 26 years (interquartile rank: 22–31). The median number of VEs was 3 (interquartile rank: 2–5). The proportion of women who underwent PEVE was 33.9%, this ranged from 0.9 to 69.9% at the studied hospitals. The frequency of PEVE was higher in women who attended > 2 obstetric psychoprophylaxis sessions, compared to those who attended ≤ 2 sessions (aPR: 1.78 95% CI: 1.01–3.12); and among women who gave birth between 18:00 h and 23:59 h, compared to those who did it between 7:00 and 17:59 h (aPR: 1.28 95% CI: 1.04–1.57). Conclusion Around one in three women underwent a PEVE, although this frequency varied widely across the evaluated hospitals. Women with more psychoprophylaxis sessions, and who gave birth between 18:00 h and 23:59 h, had a higher PEVE frequency. Future studies should assess in depth the causes and consequences of this high frequency.

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Section: Discussionmentioning

confidence: 99%

Potential excess of vaginal examinations during the management of labor: frequency and associated factors in 13 Peruvian hospitals

et al. 2019

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“…This finding indicates that although midwives acknowledge the role of prayers in labour, they are also conscious of individual differences so that one woman would not inconvenience other women in labour [28]. Also, in shared or open labour wards, the midwives did not compromise the privacy of other women to meet the religious needs of another [29]. Some midwives convinced women in labour who demonstrated faith in their pastors by viewing their pictures to rather have faith in God for a successful labour.…”

Section: Discussionmentioning

confidence: 99%

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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“…The World Health Organization (WHO) recommends that vaginal examination are offered to women at regular intervals of not less than 4 hours and only performed when justifiably necessary. In addition, it is a physically invasive procedure which can have psychological consequences causing disruption to the natural body rhythms as well as emotional and physical pain (Bonilla-Escobar et al, 2016).…”

Section: Discussionmentioning

confidence: 99%

Women's Feelings regarding Vaginal Examination during Normal Childbirth

et al. 2018

Egyptian Journal of Health Care

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The study aimed to assess women's feelings regarding vaginal examination during childbirth. Design: Descriptive study design Setting: This study was conducted at labor unit of Obstetric and Gynecological Department at Benha university Hospital for all pregnant women in active phase of labor. Sampling: convenient sample included 200 pregnant women in active phase of labor were recruited in the current study. Tools: An interviewing questionnaire was used to collect data related to women's feelings regarding vaginal examination Results: The present study revealed that vaginal examination was conducted too frequently with range (5-12 times) by different providers and this increase women's feeling of pain. The proportion of women who received high frequency of vaginal examination during childbirth was significantly larger in primipara as compared to multipara. Conclusion: The study concluded that most of women had feeling of pain regarding vaginal examination during childbirth. Recommendation: Health care provider who conducted vaginal examination should be perform the ideal exam and only when necessary, carefully without causing pain, with minimal discomfort to women and with dignity.

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Panamanian women׳s experience of vaginal examination in labour: A questionnaire validation

Cited by 15 publications

References 11 publications

Potential excess of vaginal examinations during the management of labor: frequency and associated factors in 13 Peruvian hospitals

Potential excess of vaginal examinations during the management of labor: frequency and associated factors in 13 Peruvian hospitals

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

Women's Feelings regarding Vaginal Examination during Normal Childbirth

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