Evidence map›Paper›PMID 30453122›Full record

ArticleMidwifery2019

Client and provider factors associated with companionship during labor and birth in Kigoma Region, Tanzania.

Michelle M Dynes, Susanna Binzen, Evelyn Twentyman, Hannah Nguyen, Samantha Lobis, Nguke Mwakatundu, Paul Chaote, Florina Serbanescu

Open access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Midwifery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
3.6field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 28 citations in OpenAlex.

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  16. Male partner participation in maternity care and social support for childbearing women: a discussion paper.Philosophical transactions of the Royal Society of London. Series B, Biological sciences · 2021
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 2 countries.

Michelle M DynesDivision of Reproductive Health, Centers for Disease Control and Prevention, 4770 Buford Hwy NE, Atlanta 30341, GA, USA. Electronic address: mdynes@cdc.gov.
Susanna BinzenDivision of Reproductive Health, Centers for Disease Control and Prevention, 4770 Buford Hwy NE, Atlanta 30341, GA, USA. Electronic address: syb7@cdc.gov.
Evelyn TwentymanDivision of Reproductive Health, Centers for Disease Control and Prevention, 4770 Buford Hwy NE, Atlanta 30341, GA, USA. Electronic address: ydj2@cdc.gov.
Hannah NguyenEmory University, 201 Dowman Dr, Atlanta 30322, GA, USA. Electronic address: hannah.nguyen@alumni.emory.edu.
Samantha LobisVital Strategies, 61 Broadway #1010, New York 10006, NY, USA. Electronic address: SLobis@vitalstrategies.org.
Nguke MwakatunduThamini Uhai, Dar es Salaam, Tanzania. Electronic address: nmwakatundu@thaminiuhai.or.tz.
Paul ChaoteRegional Medical Officer, Kigoma Town, Tanzania.
Florina SerbanescuDivision of Reproductive Health, Centers for Disease Control and Prevention, 4770 Buford Hwy NE, Atlanta 30341, GA, USA. Electronic address: fxs7@cdc.gov.
Centers for Disease Control and Prevention · USEmory University · USInternational Medical and Technological University · TZVital Strategies · US

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

backgroundLabor and birth companionship is a key aspect of respectful maternity care. Lack of companionship deters women from accessing facility-based delivery care, though formal and informal policies against companionship are common in sub-Saharan African countries.

aimTo identify client and provider factors associated with labor and birth companionship

designCross-sectional evaluation among delivery clients and providers in 61 health facilities in Kigoma Region, Tanzania, April-July 2016.

methodsMultilevel, mixed effects logistic regression analyses were conducted on linked data from providers (n = 249) and delivery clients (n = 935). Outcome variables were Companion in labor and Companion at the time of birth.

findingsLess than half of women reported having a labor companion (44.7%) and 12% reported having a birth companion. Among providers, 26.1% and 10.0% reported allowing a labor and birth companion, respectively. Clients had significantly greater odds of having a labor companion if their provider reported the following traits: working more than 55 hours/week (aOR 2.46, 95% CI 1.23-4.97), feeling very satisfied with their job (aOR 3.66, 95% CI 1.36-9.85), and allowing women to have a labor companion (aOR 3.73, 95% CI 1.58-8.81). Clients had significantly lower odds of having a labor companion if their provider reported having an on-site supervisor (aOR 0.48, 95% CI 0.24-0.95). Clients had significantly greater odds of having a birth companion if they self-reported labor complications (aOR 2.82, 95% CI 1.02-7.81) and had a labor companion (aOR 44.74, 95% CI 11.99-166.91). Clients had significantly greater odds of having a birth companion if their provider attended more than 10 deliveries in the last month (aOR 3.43, 95% CI 1.08-10.96) compared to fewer deliveries. CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: These results suggest that health providers are the gatekeepers of companionship, and the work environment influences providers' allowance of companionship. Facilities where providers experience staff shortages and high workload may be particularly responsive to programmatic interventions that aim to increase staff acceptance of birth companionship.

Indexed as

Interpersonal RelationsAdolescentAdultCross-Sectional StudiesDelivery, ObstetricDoulasFemaleFriendsHealth PolicyHumansLogistic ModelsMiddle AgedNurse MidwivesPregnancyPregnant PeopleQuality of Health CareBirth companionHealth care providersHealth policyQuality of careRespectful maternity careTanzania

Identifiers

PMID30453122
PMCPMC11019777
OpenAlexW2900664910

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.