Spousal participation in labor and delivery in Nigeria

Vehviläinen‐Julkunen, Katri; Emelonye, Abigail Uchenna

doi:10.4103/2141-9248.139290

Cited by 24 publications

(20 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In public health facilities in Ethiopia, a woman is not allowed to choose a birth companion for support during the course of childbirth in a labor ward. Denying women this support is not only against evidence-based practice [ 20 ], but is also associated with dissatisfaction of women with childbirth services [ 21 ]. In addition, institutional rules and strategies that restrict the presence of a birth companion are reported to be a significant barrier to humanized birth care [ 7 , 18 ], exacerbating facility-based disrespect and abuse during childbirth.…”

Section: Discussionmentioning

confidence: 99%

Status of respectful and non-abusive care during facility-based childbirth in a hospital and health centers in Addis Ababa, Ethiopia

2015

View full text Add to dashboard Cite

BackgroundAccording to the 2011 Ethiopian Demographic and Health Survey, 90.1% of mothers do not deliver in health facilities, with 29.5% citing non-customary service as causative. A low level of skilled attendance at birth is among the leading causes of maternal mortality in low - and middle-income countries.MethodsA cross-sectional study was undertaken in four health facilities (one specialized teaching hospital and its three catchment health centers) in Addis Ababa, Ethiopia, to quantitatively determine the level and types of disrespect and abuse faced by women during facility-based childbirth, along with their subjective experiences of disrespect and abuse. A questionnaire was administered to 173 mothers immediately prior to discharge from their respective health facility. Reported disrespect and abuse during childbirth was measured under seven categories using 23 performance indicators.ResultsAmong multigravida mothers (n = 103), 71.8% had a history of a previous institutional birth and 78% (75.3% in health centers and 81.8% in hospital; p = 0.295) of respondents experienced one or more categories of disrespect and abuse. The violation of the right to information, informed consent, and choice/preference of position during childbirth was reported by all women who gave birth in the hospital and 89.4% of respondents in health centers. Mothers were left without attention during labor in 39.3% of cases (14.1% in health centers and 63.6% in hospital; p < 0.001). Although 78.6% (n = 136) of respondents objectively faced disrespect and abuse, only 22 (16.2%) subjectively experienced disrespect and abuse.ConclusionsThis quantitative study reveals a high level of disrespect and abuse during childbirth that was not perceived as such by the majority of respondents. It is every woman’s right to give birth in woman-centered environment free from disrespect and abuse. Understanding how women define abuse is crucial if Ethiopia is to succeed in increasing the uptake of facility-based births.

show abstract

Section: Discussionmentioning

confidence: 99%

Status of respectful and non-abusive care during facility-based childbirth in a hospital and health centers in Addis Ababa, Ethiopia

2015

View full text Add to dashboard Cite

show abstract

“…This echoes findings from another study on partner’s participation in maternity care in Rwanda [ 10 ]. Denial of companionship by the person a woman wants has been studied elsewhere in the sub-Saharan region [ 22 ] and has been described as a crime against humanity [ 23 ]. The World Health Organization recently recommended, in suggested intrapartum guidelines, that a parturient woman should be encouraged to have a supportive companion she trusts and can feel at ease with in labour and birth [ 16 ].…”

Section: Discussionmentioning

confidence: 99%

The meaning of a poor childbirth experience – A qualitative phenomenological study with women in Rwanda

et al. 2017

View full text Add to dashboard Cite

ObjectiveBeing pregnant and giving birth is a pivotal life event and one that a woman ordinarily remembers for most of her life. A negative childbirth experience can affect a woman’s health well beyond the episode of the labour and birth itself. This study explored the meaning of a poor childbirth experience, as expressed by women who had given birth in Rwanda.MethodsIn a cross-sectional household study conducted in Northern Province and in Kigali City, the capital of Rwanda, a structured questionnaire was answered by women who had given birth one to 13 months earlier. One question, answered by 898 women, asked them to rate their overall experience of childbirth from 0 (very bad) to 10 (very good). Of these, 28 women (3.1%) who had rated their childbirth experience as bad (≤ 4) were contacted for individual interviews. Seventeen of these women agreed to participate in individual in-depth interviews. The texts were analysed with a reflective lifeworld approach.ResultsThe essential meaning of a “poor” childbirth experience was that the women had been exposed to disrespectful care, constituted by neglect, verbal or physical abuse, insufficient information, and denial of their husband as a companion. The actions of carers included abandonment, humiliation, shaming and insult, creating feelings of insecurity, fear and distrust in the women. Two of the women did not report any experience of poor care; their low rating was related to having suffered from medical complications.ConclusionIt is challenging that the main finding is that women are exposed to disrespectful care. In an effort to provide an equitable and high quality maternal health care system in Rwanda, there is a need to focus on activities to implement respectful, evidence-based care for all. One such activity is to develop and provide education programmes for midwives and nurses about professional behaviour when caring for and working with women during labour and birth.

show abstract

“…The item development of two of the questionnaires, Abuja Instrument for Midwives (AIM) and Abuja Instrument for Parturient Pain (AIPP), was developed from a prestudy review of literatures of spousal participation during parturiency [6, 10, 14–16, 20] and the third questionnaire, the Abuja Instrument for Parturient Spouses (AIPS), was derived from modifying the English version of the Kuopio instrument for fathers (KIF) which was developed by Sapountzi-Krepia and colleagues [18] after obtaining consent of the authors. The multidimensional questionnaires for this pilot study targeted spousal presence as an intervention for parturient pain from a tripartite perspective: the parturients, their spouses, and midwives.…”

Section: Methodsmentioning

confidence: 99%

“…Spousal presence during childbirth is also instrumental in relieving the distress associated with uncertainty and anxiety faced by parturients when they feel physically and psychologically vulnerable [6, 13]. Additionally, there are enormous benefits accruing from spousal support during childbirth including emotional comfort, improved family communication, bonding, pain relief without analgesia, and positive birth experience [14]. …”

Section: Introductionmentioning

confidence: 99%

Spousal Presence as a Nonpharmacological Pain Management during Childbirth: A Pilot Study

Emelonye

Pitkäaho

Vehviläinen‐Julkunen

2015

Nursing Research and Practice

View full text Add to dashboard Cite

Background. Measures of spousal effect during parturient pain should take a tripartite approach involving the parturients, spouses, and midwives. Aim. To develop and validate three questionnaires measuring spousal presence in management of parturient pain in Nigeria. Methods. There are two phases: (1) development of questionnaires, Abuja Instrument for Midwives (AIM), Abuja Instrument for Parturient Pain (AIPP), and Abuja Instrument for Parturient Spouses (AIPS), utilizing literatures, Kuopio instrument for fathers (KIF) and expertise of health professionals, and (2) pilot study to validate the questionnaires which were administered in two hospitals in Nigeria: midwives (n = 10), parturients (n = 10), and spouses (n = 10). Results. Internal consistency for the three questionnaires indicated Cronbach's alpha coefficient of 0.789 (AIM), 0.802 (AIPP), and 0.860 (AIPS), while test-retest reliability was r = 0.99 (AIM), r = 0.99 (AIPP), and r = 0.90 (AIPS). Conclusions. AIM, AIPP, and AIPS provide a means of investigating the effectiveness of spousal presence in management of parturient pain in Nigeria. However, further testing of each instrument is needed in a larger population to replicate the beneficial findings of AIMS, AIPP, and AIPS which can contribute rigor to future studies.

show abstract

Spousal participation in labor and delivery in Nigeria

Cited by 24 publications

References 11 publications

Status of respectful and non-abusive care during facility-based childbirth in a hospital and health centers in Addis Ababa, Ethiopia

Status of respectful and non-abusive care during facility-based childbirth in a hospital and health centers in Addis Ababa, Ethiopia

The meaning of a poor childbirth experience – A qualitative phenomenological study with women in Rwanda

Spousal Presence as a Nonpharmacological Pain Management during Childbirth: A Pilot Study

Contact Info

Product

Resources

About