ArticleBMJ open2021
Association between newborn separation, maternal consent and health outcomes: findings from a longitudinal survey in Kenya.
Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 10 citations in OpenAlex.
- Factors Influencing Successful Breastfeeding: A Regional Survey and Comparative Review in European and Global Contexts.Children (Basel, Switzerland) · 2026Article
- FIGO statement on respectful care: Addressing disrespectful maternity care.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2025Article
- Measuring respectful maternal and newborn care in Nepal: Comparing linked observation and interview data- prospective cohort study.PLOS global public health · 2025Article
- Article
- Integrating support persons into maternity care and associations with quality of care: a postpartum survey of mothers and support persons in Kenya.BMC pregnancy and childbirth · 2024Article
- Level and correlates of disrespect and abuse among newborns in selected public hospitals of Addis Ababa, Ethiopia.Reproductive health · 2023Article
- Quality of Informed Consent Practices around the Time of Childbirth: A Cross-Sectional Study in Italy.International journal of environmental research and public health · 2022Article
- Global Research Priorities for Understanding and Improving Respectful Care for Newborns: A Modified Delphi Study.Global health, science and practice · 2022Article
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 2 countries.
Funding
Abstract
objectivesDisrespectful and poor treatment of newborns such as unnecessary separation from parents or failure to obtain parental consent for medical procedures occurs at health facilities across contexts, but little research has investigated the prevalence, risk factors or associated outcomes. This study examined these experiences and associations with healthcare satisfaction, use and breast feeding.
designProspective cohort study.
setting3 public hospitals, 2 private hospitals, and 1 health centre/dispensary in Nairobi and Kiambu counties in Kenya.
participantsData were collected from women who delivered in health facilities between September 2019 and January 2020. The sample included 1014 women surveyed at baseline and at least one follow-up at 2-4 or 10 weeks post partum. PRIMARY AND SECONDARY OUTCOME MEASURES: (1) Outcomes related to satisfaction with care and care utilisation; (2) continuation of post-discharge newborn care practices such as breast feeding.
results17.6% of women reported newborn separation at the facility, of whom 71.9% were separated over 10 min. 44.9% felt separation was unnecessary and 8.4% reported not knowing the reason for separation. 59.9% reported consent was not obtained for procedures on their newborn. Women separated from their newborn (>10 min) were 44% less likely to be exclusively breast feeding at 2-4 weeks (adjusted OR (aOR)=0.56, 95% CI: 0.40 to 0.76). Obtaining consent for newborn procedures corresponded with 2.7 times greater likelihood of satisfaction with care (aOR=2.71, 95% CI: 1.67 to 4.41), 27% greater likelihood of postpartum visit attendance for self or newborn (aOR=1.27, 95% CI: 1.05 to 1.55), and 33% greater likelihood of exclusive breast feeding at 10 weeks (aOR=1.33, 95% CI: 1.10 to 1.62).
conclusionsNewborns, mothers and families have a right to high-quality, respectful care, including the ability to stay together, be informed and properly consent for care. The implications of these experiences on health outcomes a month or more after discharge illustrate the importance of a positive experience of postnatal care.
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