Implementation of a labour companionship model in three public hospitals in Arab middle-income countries
Implementation of a labour companionship model in three public hospitals in Arab middle-income countries
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DOI：
10.1111/apa.14540
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发表时间：
2018-12-01
期刊：
影响因子：
3.8
通讯作者：
Elsheikh, Ohoud
中科院分区：
文献类型：
--
作者：
Kabakian-Khasholian, Tamar;Bashour, Hyam;Elsheikh, Ohoud
目的评估在埃及、黎巴嫩和叙利亚的三家公立医院整合量身定制的劳动陪伴模式的可行性、可接受性、有效性和成本。方法采用混合方法分阶段实施研究。实施战略包括在医院设立指导委员会，为保健提供者举办研讨会，提供信息、教育和宣传材料，以及对产房进行调整。劳动陪伴模式包括：㈠妇女确定一名女性亲属作为劳动陪伴; ㈡向妇女和陪伴者提供信息、教育和宣传材料; ㈢允许陪伴者在整个分娩的第一阶段陪伴妇女。半结构化的采访妇女，劳动同伴和医疗保健提供者被用来评估该模型的可行性和可接受性。通过与妇女的结构化访谈，从医疗记录和成本数据中提取的信息来评估有效性。对实施前阶段和实施阶段进行了比较。结果该模式是可行的、可接受的、有效的和成本效益好的。妇女的满意度和控制感得到改善，剖腹产率显著降低。结论该模式可用于这些国家和其他具有可比卫生系统的国家。它提高了护理质量，并提供了公平和尊重产妇的服务。
Aim To assess the feasibility, acceptability, effectiveness and cost of the integration of a tailored labour companionship model in three public hospitals in Egypt, Lebanon and Syria. Methods Phased implementation research using mixed methods. Implementation strategies consisted of steering committees in hospitals, seminars for healthcare providers, information, education and communication materials, and adjustments in labour rooms. The labour companionship model consisted of (i) identification of a female relative as labour companion by women; (ii) provision of information, education and communication materials to women and companions; and (iii) allowing companions to accompany women throughout the first stage of labour. Semi-structured interviews with women, labour companions and healthcare providers were used to assess feasibility and acceptability of the model. Effectiveness was assessed through structured interviews with women, information abstracted from medical records and cost data. The comparison was made between the pre-implementation and the implementation phases. Results This model was found to be feasible, acceptable, effective and cost-beneficial. Women's satisfaction and perception of control improved and caesarean section rates were reduced significantly. Conclusion This model can be adopted for these countries and elsewhere with comparable health systems. It enhances the quality of care and the provision of equitable and respectful maternity services.