Evidence map›Paper›PMID 39939934›Full record

SynthesisBMC pregnancy and childbirth2025

Person-centred maternity care during childbirth: a systematic review in low and middle-income countries.

Zemenu Yohannes Kassa, Abel F Dadi, Habtamu Mellie Bizuayehu, Tahir A Hassen, Kedir Y Ahmed, Daniel Bekele Ketema, Erkihun Amsalu, Meless G Bore, Getiye Dejenu Kibret, Addisu Alehegn Alemu and 4 more

Abstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in BMC pregnancy and childbirth, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
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

10 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
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

14 authors.

Zemenu Yohannes KassaRural Health Research Institute, Charles Sturt University, Orange, NSW, Australia. zemenu2013@gmail.com.
Abel F DadiMenzies School of Health Research, Charles Darwin University, Casuarina, NT, Australia.
Habtamu Mellie BizuayehuFirst Nations Cancer and Wellbeing (FNCW) Research Program, School of Public Health, The University of Queensland, Brisbane, QLD, Australia.
Tahir A HassenCenter for Women's Health Research, College of Health, Medicine and Wellbeing, the University of Newcastle, Newcastle, NSW, Australia.
Kedir Y AhmedRural Health Research Institute, Charles Sturt University, Orange, NSW, Australia.
Daniel Bekele KetemaSchool of Public Health, College of Medicine and Health Sciences, Debre Markos University, Debre Markos, Ethiopia.
Erkihun AmsaluSydney Medical School, Faculty of Medicine and Health, University of Sydney, Sydney, NSW, Australia.
Meless G BoreCollege of Medicine and Health Sciences, Hawassa University, Hawassa, Ethiopia.
Getiye Dejenu KibretSchool of Public Health, College of Medicine and Health Sciences, Debre Markos University, Debre Markos, Ethiopia.
Addisu Alehegn AlemuSchool of Women's and Children's Health, University of New South Wales, Kensington, Sydney, NSW, Australia.
Animut Alebel AyalewSchool of Public Health, College of Medicine and Health Sciences, Debre Markos University, Debre Markos, Ethiopia.
Jemal E ShifaSchool of Public Health, Faculty of Health, University of Technology Sydney, Ultimo, Sydney, NSW, Australia.
Asres BedasoThe Daffodil Centre, University of Sydney, a joint venture with Cancer Council, Sydney, NSW, Australia.
Cheru Tesema LeshargieRural Health Research Institute, Charles Sturt University, Orange, NSW, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundImproving the quality of intrapartum and immediate postnatal care is critical for reducing maternal and neonatal mortality in low- and middle-income countries (LMICs). This review aimed to assess the extent of Person-Centred Maternity Care (PCMC) practices during childbirth in LMICs.

methodsWe retrieved studies from four databases, including PubMed/Medline, Embase, CINAHL, and Maternal and Infant Care, up to 30 May 2023 and updated 26 April 2024. Additionally, manual searching was performed to identify additional studies. Our study included studies that examined PCMC using PCMC scale. The included studies were assessed using the Joanna Briggs Institute (JBI) checklist for quality appraisal.

findingsTwelve articles out of 888 were retained in the review. Among these, nine studies specifically examined various elements of PCMC, such as dignity and respect, communication and autonomy, and supportive care. The lowest and highest levels of the mean (± SD-standard deviation) PCMC were 46.5 (6.9) and 60.2 (12.3) out of 90 total scores in Ghana and urban Kenya, respectively. The lowest score was reported in the communication and autonomy subscale domain of PCMC at a mean (± SD) score of 8.3 (3.3). Women who were wealthier and educated, and those who received ANC and birthing care by the same health care providers were found to have a higher level of PCMC during childbirth. Whereas those women who did not have ANC follow-up, visited health facilities for ANC in the second or third trimester, stayed at health facilities after birth for 2-7 days, had complications, and received care from auxiliary midwives, nurses, or assisted by unskillled attendants were associated with a lower level of PCMC during childbirth.

conclusionsOur findings indicated that the communication and autonomy components of PCMC are notably low, affecting the rapport between healthcare providers and women, as well as decision-making and the execution of procedures. To enhance PCMC, continuity of care through antenatal and intrapartum care provided by the same healthcare providers, along with fostering a supportive environment for both women and healthcare providers during childbirth is imperative. PROSPERO ID: CRD42023426638.

Indexed as

Delivery, ObstetricMaternal Health ServicesParturitionPatient-Centered CareDeveloping CountriesFemaleGhanaHumansKenyaPregnancyRespectChildbirthLow and Middle-Income CountriesPerson-Centred Maternity Care

Identifiers

PMID39939934
PMCPMC11817757

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.