Promoting Childbirth Companions in South Africa
Author Information
Author(s): Heather Brown, Justus Hofmeyr, Cheryl Nikodem, Helen Smith, Paul Garner
Primary Institution: University of the Witwatersrand
Hypothesis
Lay carers would improve the behaviour of health professionals.
Conclusion
The quality and humanity of care in these state hospitals needs to improve.
Supporting Evidence
- 84% of women reported not having a childbirth companion.
- 77% of women reported being denied food during childbirth.
- 35% of women underwent episiotomy despite evidence against its routine use.
- Women reported being shouted at or slapped during childbirth.
Takeaway
This study tried to help women have companions during childbirth, but it didn't really change how hospitals treated them.
Methodology
A pilot randomised controlled trial was conducted at 10 hospitals to promote childbirth companions through an educational intervention.
Potential Biases
Potential bias due to the subjective nature of self-reported experiences from women.
Limitations
The study was underpowered to detect modest or moderate effects and did not interview staff for insights into obstacles.
Participant Demographics
Women delivering in South African state maternity hospitals.
Statistical Information
P-Value
0.003
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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