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Coverage, associated factors, and impact of companionship during labor: A large-scale observational study in six hospitals in Nepal.
Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för kvinnors och barns hälsa, Internationell mödra- och barnhälsovård (IMCH), Internationell barnhälsa och nutrition.ORCID-id: 0000-0002-0541-4486
Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för kvinnors och barns hälsa, Internationell mödra- och barnhälsovård (IMCH), Internationell kvinno- och mödrahälsovård och migration.
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2019 (Engelska)Ingår i: Birth, ISSN 0730-7659, E-ISSN 1523-536XArtikel i tidskrift (Refereegranskat) Epub ahead of print
Abstract [en]

BACKGROUND: Companionship at the time of birth is a nonclinical intervention that has been proven to improve the quality of intrapartum care. This study aims to evaluate the coverage, associated factors, and impact of companionship during labor at public hospitals in Nepal.

METHODS: We conducted a cross-sectional observational study in six public hospitals in Nepal. The study was conducted from July 2018 to August 2018. Data were collected on sociodemographic, maternal, obstetric, and neonatal characteristics from patient case notes and through predischarge interviews. Coverage of companionship during labor and its association with intrapartum care was analyzed. Bivariate and multivariate analyses were done to assess the association between companionship during labor and demographic, obstetric, and neonatal characteristics.

RESULTS: A total of 63 077 women participated in the study with 19% of them having a companion during labor. Women aged 19-24 years had 65% higher odds of having a companion during labor compared with women aged 35 years and older (aOR 1.65 [95% CI, 1.40-1.94]). Women who were from an advantaged ethnic group (Chhetri/Brahmin) had fourfold higher odds of having a companion than women from a disadvantaged group (aOR 3.84; [95% CI, 3.24-4.52]). Women who had companions during labor had fewer unnecessary cesarean births than those who had no companions (5.2% vs 6.8%, P < .001).

CONCLUSIONS: In Nepal, sociodemographic factors affect women's likelihood of having a companion during labor. As companionship during labor is associated with improved quality of care, health facilities should encourage women's access to birth companions.

Ort, förlag, år, upplaga, sidor
2019.
Nyckelord [en]
Nepal, companionship during labor, coverage, fetal heart rate monitoring, unnecessary cesarean birth
Nationell ämneskategori
Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi
Identifikatorer
URN: urn:nbn:se:uu:diva-397994DOI: 10.1111/birt.12471PubMedID: 31765037OAI: oai:DiVA.org:uu-397994DiVA, id: diva2:1374203
Tillgänglig från: 2019-11-29 Skapad: 2019-11-29 Senast uppdaterad: 2019-11-29

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KC, AshishLitorp, Helena

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Internationell barnhälsa och nutritionInternationell kvinno- och mödrahälsovård och migration
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Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi

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