ArticleBMC pregnancy and childbirth2018
Women's perception of support and control during childbirth in The Gambia, a quantitative study on dignified facility-based intrapartum care.
Article in BMC pregnancy and childbirth, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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12 citing papers in PubMed.
- Factors Associated with Perceptions of Maternal Control and Support During Childbirth and Relationship with Childbirth Satisfaction Among Women in Spain.Medicina (Kaunas, Lithuania) · 2026Article
- Perinatal Anxiety and Perceived Labor Control Among Parturients in the United Arab Emirates: A Cross-Sectional Study Guided by Roy's Adaptation Model.International journal of women's health · 2026Article
- Investigating Maternal Perception of Control and Support in the Postpartum Period and Influencing Factors in Childbirth: A Multiple Linear Regression Analysis Model.Nursing open · 2025Article
- Article
- Assessing the Gap Between Women's Expectations and Perceptions of the Quality of Intrapartum Care in Jordan: A Two-Stage Study Using the SERVQUAL Model.Health expectations : an international journal of public participation in health care and health policy · 2024Article
- "We always felt psychologically unstable": A qualitative study of midwives' experiences in providing maternity care during the COVID-19 pandemic in Tanzania.Nursing open · 2024Article
- A critical review: developing a birth integrity framework for epidemiological studies through meta-ethnography.BMC women's health · 2023Review
- Development and Validity of an Intrapartum Self-Assessment Scale Aimed at Instilling Midwife-Led Care Competencies Used at Freestanding Midwifery Units.International journal of environmental research and public health · 2023Review
- The effect of shared decision-making in choosing the method of labor analgesia on childbirth experience among primiparous women.PloS one · 2023Article
- Development and psychometric properties of Iranian women childbirth experience questionnaire.Nursing open · 2021Review
- Perception of Person-Centred Maternity Care and Its Associated Factors Among Post-Partum Women: Evidence From a Cross-Sectional Study in Enugu State, Nigeria.International journal of public health · 2021Article
- Undignified Maternity Care During Childbirth: An Ethnographic Study on Midwives' Perspectives in a Community Healthcare Centre in South Africa.Global qualitative nursing researchArticle
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4 authors.
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Abstract
backgroundIn The Gambia, a woman faces 1 in 24-lifetime risk of maternal death due to pregnancy and childbirth, yet, only 57% of deliveries are conducted by skilled birth attendants. However, poor provider attitude has been identified as one of the contributing factors hampering the efforts of the government in improving access to skilled care during childbirth. This study, therefore, explored women's perception of support and control during childbirth in The Gambia.
methodsA descriptive cross-sectional study was employed. A convenience sampling method was used to select participants in two regions in The Gambia. A sample size of 200 women who met the eligibility criteria was recruited after informed consent. The demographic-obstetric information sheet and the Support and Control in Birth scale (SCIB) were used to collect data. Data analysis was done using SPSS software version 23.0.
resultsWomen's perceptions of support and control were low. External control 1.85 (SD ± 0.43) recorded the least perception compared to internal control 2.41 (SD ± 0.65) and perception of support 2.52 (SD ± 0.61). Participants reported the lowest perceptions in pain control, involvement in decision making, information sharing and the utilization of different position during birth. Women's age (p < .001) and mode of delivery (p = .01), significantly predicted women's perception of internal control. Educational status (p = .02), mode of delivery (p = .04), place of delivery (p < .001) and perception of support (p < .001) significantly predicted women's perception of external control, whilst birth plan (p = .001), mode of delivery (p = .04), and perception of external control (p < .001) significantly predicted women's perception of support.
conclusionThis study concluded that an environment that promotes women feeling a sense of control and support during childbirth should be created in order to ensure a dignified intrapartum care in The Gambia. This can be achieved through effective training of skilled birth attendants on non-pharmacological pain management, effective communication with clients and promoting women's participation in decision-making regarding their care throughout the process of childbirth.
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