Transparency in Maternity Care: Empowering Women to Make Educated Choices

McAllister, Elan

doi:10.1624/105812408x364062

Cited by 5 publications

(9 citation statements)

References 2 publications

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“…In this study, women’s decision making power was significantly associated with increased C-section. In an effort to educate women about their birthing rights and options, guides are provided for women on healthy birth mode [ 27 ]. Educating expectant mothers with information on pregnancy, delivery and hospital C-section rates could assist women in making informed choices, leading to increase in C-section.…”

Section: Discussionmentioning

confidence: 99%

Disparities in caesarean section prevalence and determinants across sub-Saharan Africa countries

Yaya

Uthman

Amouzou

et al. 2018

glob health res policy

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BackgroundAccess to safe Cesarean section (C-section) in resource-constrained settings such as sub-Sahara Africa (SSA) region is a foremost approach to reduce maternal mortality. C-section is an obstetric operative procedure used appropriately to improve delivery outcomes. However, errors in the procedure have enormous potential harm that may outweigh the benefits. This study assessed the prevalence and determinants of C-section in several SSA countries. This study examined the prevalence and determinants associated with cesarean delivery in SSA countries.MethodsSecondary data of women of reproductive age (15-49 years) from the current Demographic and Health Survey (DHS) in 34 SSA countries was utilized in this study. The mode of delivery among women was the primary outcome variable. Percentage and descriptive statistics were used to conduct univariate analyses. Furthermore, multivariable multilevel logistic regression was used to investigate correlates of C-section among SSA women.ResultsResults showed disparities in the percentage of C-section among women from 34 SSA countries. C-section at public healthcare settings ranged from 3% in Burkina Faso to 15.6% in Ghana. However, in private healthcare settings, C-section ranged from 0% in Sao Tome and Principe to 64.2% in Rwanda. Overall, C-section was 7.9% from public healthcare and 12.3% from private healthcare facilities respectively. In the adjusted regression model; women aged 35–49 had increase in the odds of C-section, while a unit increase in the number of children ever born had 17 and 20% significant reduction in the odds of C-section in public and private healthcare respectively. Assessing public healthcare settings; women from richer/richest households, male and large size children at birth had increase in the odds of C-section, while those from rich neighbourhood had reduction in the odds of C-section. In private healthcare settings, women with high decision making power and multiple births had increase in the odds of C-section, while those who attended ANC visits had significant reduction in the odds of C-section.ConclusionThe findings from this study would help formulate health policies and implement actions that would improve the outcome of C-section care. Monitoring of emergency obstetric care services is necessary to address issues connected to poor C-section outcomes in resource-constrained settings. Also training of medical personnel including midwives and nurses in emergency obstetric care, ensuring accessibility to life-saving drugs and supplies should be encouraged in health care system.

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Section: Discussionmentioning

confidence: 99%

Disparities in caesarean section prevalence and determinants across sub-Saharan Africa countries

Yaya

Uthman

Amouzou

et al. 2018

glob health res policy

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“…Vogelsmeier and Scott-Cawiezell (2007) use openly, to describe how errors should be handled in healthcare. McAllister (2008) outlined a definition at the beginning of her article using the word open as an equivalent to transparency.…”

Section: Attributes Of Transparencymentioning

confidence: 99%

“…Goldstein and Blumenthal (2008) discussed that sharing existing information can transform an organization and bring about transparency. Other terms used that implied sharing were: communicating (Gregg, 2009), providing (Kerfoot, 2004;Kurtzman, 2008;McAllister, 2008), and making information readily available (Kerfoot, 2008).…”

Section: Attributes Of Transparencymentioning

confidence: 99%

Transparency

Horne

2012

Nurs Sci Q

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This column is a review of the use of the term transparency as it relates to healthcare with specific emphasis on nursing practice. Concept analysis is guided by Parse's concept inventing approach. The relevance of this concept to nursing has become increasing important in the language of healthcare. There is no standard definition of the term in nursing or healthcare. Transparency or lack thereof shapes the future of disciplines. The author provides a theoretical definition of transparency for nurses to consider.

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“…Transparency and better public information on quality health care are essential to help patients make informed choices about their care (e.g., see McAllister, 2008). The day is coming when useful rating systems for health care, accessible by the Internet, will be the norm.…”

Section: Wendy C Budin Editormentioning

confidence: 99%