Coverage, associated factors, and impact of companionship during labor: A large-scale observational study in six hospitals in Nepal

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Ashish, K.C.1982-Uppsala universitet,Global hälsa - implementering och hållbarhet,Society of Public Health Physician’s Nepal, Kathmandu, Nepal (författare)

Coverage, associated factors, and impact of companionship during labor : A large-scale observational study in six hospitals in Nepal

Artikel/kapitelEngelska2019

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2019-11-25
John Wiley & Sons,2019
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LIBRIS-ID:oai:DiVA.org:uu-397994
https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-397994URI
https://doi.org/10.1111/birt.12471DOI
http://kipublications.ki.se/Default.aspx?queryparsed=id:142383527URI

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Språk:engelska
Sammanfattning på:engelska

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Ämneskategori:art swepub-publicationtype

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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.

Ämnesord och genrebeteckningar

MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Public Health, Global Health, Social Medicine and Epidemiology hsv//eng
Nepal
companionship during labor
coverage
fetal heart rate monitoring
unnecessary cesarean birth

Biuppslag (personer, institutioner, konferenser, titlar ...)

Axelin, Anna (författare)
Litorp, Helena,1980-Karolinska Institutet,Uppsala universitet,Global hälsa - implementering och hållbarhet,Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden(Swepub:uu)helli994 (författare)
Tinkari, Bhim Singh (författare)
Sunny, Avinash K (författare)
Gurung, RejinaGolden Community, Lalitpur, Nepal(Swepub:uu)rejgu160 (författare)
Uppsala universitetGlobal hälsa - implementering och hållbarhet (creator_code:org_t)

Sammanhörande titlar

Ingår i:Birth: John Wiley & Sons47:1, s. 80-880730-76591523-536X

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Av författaren/redakt...: Ashish, K.C. 198 ...; Axelin, Anna; Litorp, Helena, ...; Tinkari, Bhim Si ...; Sunny, Avinash K; Gurung, Rejina

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MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Hälsovetenskap; och Folkhälsovetensk ...

Artiklar i publikationen: Birth

Av lärosätet: Uppsala universitet; Karolinska Institutet

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