Continuous Labor Support and Person-Centered Maternity Care: A Cross-Sectional Study with Women in Rural Kenya.
Autor: | Kiti, Gift, Prata, Ndola, Afulani, Patience A. |
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Předmět: |
MATERNAL health services
STATISTICS CONFIDENCE intervals RURAL conditions CROSS-sectional method MULTIPLE regression analysis MULTIVARIATE analysis PATIENT-centered care INTERVIEWING LABOR coaching (Obstetrics) SURVEYS T-test (Statistics) COMMUNICATION AUTONOMY (Psychology) DESCRIPTIVE statistics CHI-squared test RESEARCH funding DIGNITY RESPECT WOMEN'S health |
Zdroj: | Maternal & Child Health Journal; Jan2022, Vol. 26 Issue 1, p205-216, 12p, 6 Charts, 1 Graph |
Abstrakt: | Objective: This study assessed whether having continuous support during labor is associated with better person-centered maternity care (PCMC) among women in rural Kenya. Methods: Data are from a cross-sectional survey with women aged 15–49 years who delivered in the 9 weeks preceding survey completion (N = 865). PCMC was operationalized using a validated 13-item scale, with a summative score developed from responses that capture dignity and respect, communication and autonomy, and supportive care from providers (excluding support from a lay companion). Continuous support was operationalized as the continuous presence of a lay companion (friend or family) during labor. We carried out bivariate analyses using chi-squared and t-tests and ran multivariable linear regression models to examine the association between continuous labor support and PCMC. Results: The average PCMC score was 24.2 (SD = 8.4) out of a total score of 39. About two-thirds (68%) of women had continuous support during labor. The average PCMC scores among women who had continuous support was 25.7 (SD = 8.4) compared to 21.0 (SD = 7.6) among those who did not have continuous support (p-value ≤ 0.001). After controlling for various confounders this association was still significant (coefficient = 4.0; 95% CI 2.9, 5.2; p-value ≤ 0.001). Conclusions: Women who have continuous labor support during childbirth are more likely to have improved PCMC. Efforts to promote PCMC should thus include continuous labor support. [ABSTRACT FROM AUTHOR] |
Databáze: | Complementary Index |
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