“There is no time for knowing each other”: Quality of care during childbirth in a low resource setting

Mgawadere, Florence; Smith, Helen; Asfaw, Atnafu Getachew; Lambert, Jaki; Broek, Nynke van den

doi:10.1016/j.midw.2019.04.006

Cited by 24 publications

(50 citation statements)

References 30 publications

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“…"As for me I feel relaxed when a midwife greets me upon my arrival. Just a greeting and a smile assures me of good care" [34].…”

Section: Description Of Themesmentioning

confidence: 99%

“…Women stated that the care they received compromised their privacy due to lack of partition and protective cover in the delivery rooms as they were seen by people passing by [33] "Even when I was giving birth maintenance people were passing by, they were looking at me and there were no curtains. I felt embarrassed" [34].…”

Section: ) Lack Of Privacy and Confidential Carementioning

confidence: 99%

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Enablers and Barriers to Respectful Maternity Care in Low and Middle-Income Countries: A Literature Review of Qualitative Research

Mgawadere¹,

Shuaibu²

2021

IJCM

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Background: Low and Middle-Income Countries (LMIC) account for 94% of maternal deaths annually. Interventions to reduce these deaths include; access to Emergency Obstetric Care (EmOC) and Skilled Birth Attendant (SBA) at childbirth. However, evidence indicates increasing access to EmOC, and SBA only does not translate into positive maternal and newborn outcome due to disrespectful care faced by women during labour. World Health Organization (WHO) guidelines emphasize on positive birth experience through Respectful Maternity Care (RMC). Therefore, this review aims to explore enablers and barriers to respectful maternity care in low and middle-income countries. Methods: We conducted an exhaustive literature search for studies that reported on enablers and barriers to respectful maternity care. Qualitative studies done in low and middle-income countries, published in English Language from the year 2000 to June 2020 were included in this study. Articles were screened by two researchers for eligibility and critical appraisal skills programme checklist was used to appraise the quality. The themes and quotes from the studies were extracted and synthesized using thematic synthesis. Results: The search strategy generated 14,190 articles and 54 studies met the inclusion criteria. Two main themes: interpersonal relationship and support, and privacy and confidential care were reported as both enablers and barriers to respectful maternity care. Strategies to promote RMC were: health education to pregnant women on care expected during labour, good communication between maternity staff and women, capacity building of staff on RMC and staff motivation. Conclusion: Respectful maternity care plays a big role in promoting health-seeking behaviours among pregnant women. However, women experience barriers ranging from provider behaviour, work environment and health system challenges. Ensuring a dignified and respectful How to cite this paper: Mgawadere, F. and Shuaibu, U.

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“…"As for me I feel relaxed when a midwife greets me upon my arrival. Just a greeting and a smile assures me of good care" [34].…”

Section: Description Of Themesmentioning

confidence: 99%

Section: ) Lack Of Privacy and Confidential Carementioning

confidence: 99%

Enablers and Barriers to Respectful Maternity Care in Low and Middle-Income Countries: A Literature Review of Qualitative Research

Mgawadere¹,

Shuaibu²

2021

IJCM

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“…[55] In underfunded facilities, fatigue and stress of health workers likely influences their ability to provide high-quality care. [56,57] On the other hand, providers may have been trained to promote practices that are no longer evidenced-based, such as misconceptions around separation for infection control. [58] Although drivers of poor quality and disrespectful care are not fully understood, [47] these findings suggest that they are likely multi-faceted and interactive.…”

Section: Discussionmentioning

confidence: 99%

Separating Newborns from Mothers and Maternal Consent for Newborn Care and the Association with Health Care Satisfaction, Use and Breastfeeding: Findings from a longitudinal survey in Kenya

Nakphong¹,

Sacks²,

Opot³

et al. 2020

Preprint

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Objectives Disrespectful and poor treatment of newborns such as unnecessary separation from parents or failure to obtain parental consent for medical procedures occurs at health facilities across contexts, but little research has investigated the prevalence, risk factors, or associated outcomes. This study aimed to examine these practices and associations with health care satisfaction, use, and breastfeeding. Design Prospective cohort study Setting Health facilities in Nairobi and Kiambu counties in Kenya Participants Data were collected from women who delivered in health facilities between September 2019 and January 2020. The sample included 1,014 women surveyed at baseline and at least one follow-up at 2-4 or 10 weeks postpartum. Primary and secondary outcome measures 1) Outcomes related to satisfaction with care and care utilization, 2) Continuation of post-discharge newborn care practices such as breastfeeding. Results 17.6% of women reported being separated from their newborns at the facility after delivery, of whom 71.9% were separated over 10 minutes. 44.9% felt separation was unnecessary and 8.4% reported not knowing the reason for separation. 59.9% reported consent was not obtained for procedures on their newborn. Women separated from their newborn (>10 minutes) were 44% less likely to be exclusively breastfeeding at 2-4 weeks (aOR=0.56, 95%CI: 0.40, 0.76). Obtaining consent for newborn procedures corresponded with 2.7 times greater likelihood of satisfaction with care (aOR=2.71, 95%CI: 1.67, 4.41), 27% greater likelihood of postpartum visit attendance for self or newborn (aOR=1.27, 95%CI: 1.05, 4.41), and 33% greater likelihood of exclusive breastfeeding at 10 weeks (aOR=1.33, 95%CI: 1.10, 1.62). Conclusions Newborns, mothers, and families have a right to high quality, respectful care, including the ability to stay together, be informed and have proper consent for care. The implications of these practices on health outcomes a month or more after discharge illustrate the importance of a positive experience of postnatal care.

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“…Related to this review, research has been conducted by Freedman et al (22); Freedman and Kruk (21), that women feel unappreciated, experience loneliness and are not supported, physical violence and speech and less given autonomy in decision making. Based on the results of Lambert et al research (24), organizational and structural challenges such as staff shortages, many cases were referred and poor referral pathways, supply shortages, hospital layout and structure (25)(26)(27) are often barriers that do not allow midwives to do what they know about good practice (15,19). Based on the results of research by Burrowes et al (28) and Bayes et al (19) the mistreatment of women during childbirth in the form of verbal abuse, rejection of assistance and lack of choice in the position of birth, and when midwives find women who do not comply.…”

Section: Discussionmentioning

confidence: 99%

“…There are differences in women's experiences in obstetric care in developing countries (10,16,24,27,28) and developed countries ( 1 , 17 , 31 , 34 -37 ) . Midwives in developing countries have similar care characteristics.…”

Section: Discussionmentioning

confidence: 99%

Experiences and Partnership Expectation Women and Midwife in Midwifery Care: A Review of Qualitative Study Systhematic

Vaira

2020

JNKI

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The partnership of Midwives and women is the philosophy of Midwifery care in the period of decline, which occurred the violence and not mutually appreciated especially during childbirth in developing countries. The aim to explore the experiences of women and Midwives, strategy and expectation of women and Midwives in Midwifery services. This study using electronic methods Searches of PubMed bibliographic database, ScienceDirect, Proquest is done systematically from 2008 to 2018. Quality Articles are chosen based on the criteria of inclusion and extracting results from article 858 into 10 Articles, and then classify the comparison results to developing countries and developed countries. Based on the results of the review found the experience of women and Midwives for care in developing countries less well Because there is no Accompanying childbirth, there is physical or verbal violence, and hospital facilities that do not support. While the experience of women in developed countries and Midwives Midwives, either Because the present critical period in time, there is a sense of care from Midwives who Become partners for women. Partnership Midwives and women since pregnancy Contribute to vaginal birth. Midwives and women have hope that Midwifery services can be given a maximum, qualified and manifested a sense of mutual understanding and respect for each other. The condition of Midwifery care in developing countries need particular attention. The importance of the presence of a midwife, care of ongoing and Partnered with women can suppress violence in orphanages. The Government needs to provide training to Midwives on counselling skills, build interpersonal relations, and effective leadership in Midwifery services.

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“There is no time for knowing each other”: Quality of care during childbirth in a low resource setting

Cited by 24 publications

References 30 publications

Enablers and Barriers to Respectful Maternity Care in Low and Middle-Income Countries: A Literature Review of Qualitative Research

Enablers and Barriers to Respectful Maternity Care in Low and Middle-Income Countries: A Literature Review of Qualitative Research

Separating Newborns from Mothers and Maternal Consent for Newborn Care and the Association with Health Care Satisfaction, Use and Breastfeeding: Findings from a longitudinal survey in Kenya

Experiences and Partnership Expectation Women and Midwife in Midwifery Care: A Review of Qualitative Study Systhematic

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