Labour companionship and women's experiences of mistreatment during childbirth: results from a multi-country community-based survey.
Labour companionship and women's experiences of mistreatment during childbirth: results from a multi-country community-based survey.
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DOI：
10.1136/bmjgh-2020-003564
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发表时间：
2020-11
影响因子：
8.1
通讯作者：
Tunçalp Ö
中科院分区：
文献类型：
--
作者：
Balde MD;Nasiri K;Mehrtash H;Soumah AM;Bohren MA;Diallo BA;Irinyenikan TA;Maung TM;Thwin SS;Aderoba AK;Vogel JP;Mon NO;Adu-Bonsaffoh K;Tunçalp Ö
有证据表明，分娩期间陪伴分娩是有好处的。很少有研究使用标准化工具记录低收入和中等收入国家在分娩期间没有劳动伙伴与妇女受到虐待之间的关系。我们对世卫组织关于分娩期间妇女如何受到治疗的多国研究进行了第二次分析，在加纳、几内亚、尼日利亚和缅甸对分娩后8 周的妇女进行了横断面社区调查。使用描述性分析和多变量Logistic回归来检验劳动陪伴是否与不同类型的虐待有关。在2672名女性中，约有一半(50.4%)报告有分娩伴侣。这些妇女中约有一半(49.6%)报告说，提供支助的时间是在分娩期间和分娩后，大多数陪伴分娩的人(47.0%)是她们的家庭成员。在加纳、几内亚和尼日利亚，与有劳工陪伴的妇女相比，没有劳动伴侣的妇女更有可能报告身体虐待、未经同意的医疗程序和沟通不畅。然而，国家一级的情况有所不同。在几内亚，没有分娩陪伴与任何身体虐待、言语虐待或污名或歧视有关(调整后的OR(AOR)3.6、1.9-6.9)和未经同意的阴道检查(AOR 3.2、1.6-6.4)。在加纳，它与未经同意的阴道检查(AOR 2.3，1.7-3.1)和沟通不良(AOR 2.0，1.3-3.2)有关。在尼日利亚，这与更长的等待时间有关(AOR 0.6，0.3-0.9)。陪伴分娩与妇女在分娩期间遭受的某些形式的虐待程度较低有关，这取决于具体情况。还需要进一步的工作，以确定如何最好地实施针对具体情况的劳动陪伴，以确保福利，同时保持妇女的选择和自主权。
Evidence has shown the benefits of labour companions during childbirth. Few studies have documented the relationship between the absence of labour companions and mistreatment of women during childbirth in low-income and middle-income countries using a standardised tool. We conducted a secondary analysis of the WHO multi-country study on how women are treated during childbirth, where a cross-sectional community survey was conducted with women up to 8 weeks after childbirth in Ghana, Guinea, Nigeria and Myanmar. Descriptive analysis and multivariable logistic regression were used to examine whether labour companionship was associated with various types of mistreatment. Of 2672 women, about half (50.4%) reported the presence of a labour companion. Approximately half (49.6%) of these women reported that the timing of support was during labour and after childbirth and most of the labour companions (47.0%) were their family members. Across Ghana, Guinea and Nigeria, women without a labour companion were more likely to report physical abuse, non-consented medical procedures and poor communication compared with women with a labour companion. However, there were country-level variations. In Guinea, the absence of labour companionship was associated with any physical abuse, verbal abuse, or stigma or discrimination (adjusted OR (AOR) 3.6, 1.9–6.9) and non-consented vaginal examinations (AOR 3.2, 1.6–6.4). In Ghana, it was associated with non-consented vaginal examinations (AOR 2.3, 1.7–3.1) and poor communication (AOR 2.0, 1.3–3.2). In Nigeria, it was associated with longer wait times (AOR 0.6, 0.3–0.9). Labour companionship is associated with lower levels of some forms of mistreatment that women experience during childbirth, depending on the setting. Further work is needed to ascertain how best to implement context-specific labour companionship to ensure benefits while maintaining women’s choices and autonomy.
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影响因子：
2.7
作者：
Johansson, M.;Fenwick, J.;Premberg, A.
通讯作者：
Premberg, A.
DOI：
10.1016/j.ijgo.2014.12.005
发表时间：
2015-06-01
影响因子：
3.8
作者：
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DOI：
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发表时间：
2011-01-01
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影响因子：
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作者：
Kabakian-Khasholian, Tamar;Bashour, Hyam;Elsheikh, Ohoud
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影响因子：
168.9
作者：
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