Evidence map›Paper›PMID 40830448›Full record

ArticleBMC pregnancy and childbirth2025

Labor companionship utilization and healthcare providers perceptions in Gondar public health facilities: a mixed method study.

Fasika Alemu Mekonen, Melaku Hunie Asratie, Negalgn Byadgie Gelaw, Bayew Kelkay Rade

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Article 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 4 papers.

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0cells of the map it votes in
4citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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4 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Fasika Alemu MekonenDepartment of Midwifery, Teda Health Sciences College, Gondar, Ethiopia. alemuf46@gmail.com.
Melaku Hunie AsratieDepartment of Women's and Family Health, School of Midwifery, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Negalgn Byadgie GelawDepartment of Public Health, Teda Health Sciences College, Gondar, Ethiopia.
Bayew Kelkay RadeDepartment of Women's and Family Health, School of Midwifery, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe World Health Organization strongly recommends companion of choice for all women during health facilities delivery. It is highly significant for enhancing institutional delivery. However, little is known about extent to what labor companionship is utilized and women's preferences.

objectiveTo assess Labor companionship utilization and Healthcare Providers Perceptions in Gondar Public Health facilities 2023.

methodsA mixed study design was conducted from December 1/2022 to January 30, 2023. We used simple random sampling techniques (lottery method) to select health facilities and systematic random sampling techniques to select study participants. Semi-structured questionnaires were employed. Data were entered into kobo collect software and analyzed by Stata version 14. Variables with p value ≤ 0.2 were entered into a multivariable logistic regression model and p-value < 0.05 were significant and reported with Adjusted odd ratio (AOR) and 95% confidence interval (CI). For qualitative data purposive sampling technique was used and face to face interview guide were employed. Data were transcribed, translated, and thematically analyzed by using open code software 4.03.

resultsThe magnitude of labor companionship utilization was 11.3%( 95% CI; 8.9%, 14.3%). Urban residence (AOR = 2.26, (95% CI: 1.08, 4.7)), Primiparous (AOR = 2.3, (95% CI: 1.16, 3.6)), previous history of abortion (AOR = 2.39, (95% CI: 1.15, 4.9)) and good knowledge of women about labor companionship (AOR = 2.26 (95% CI: 1.2, 5.8)) were statistically significant. The main themes that emerged as barriers to the practice of labor companionship were narrow delivery room space, absence of a partition in delivery room, overcrowding of women in one delivery room (privacy issue), lack of awareness on community and health care provider`s on labor companionship.

conclusionThe magnitude of labor companionship utilization is low. Urban residence, Primiparous, history of abortion, and having good knowledge on labor companionship were statistically significant. Narrow delivery room space, absence of a partition in delivery room, overcrowding of women in one delivery room(privacy issue), lack of awareness on community and health care provider`s on birth companionship were main barriers. Thus to meet international recommendations that every woman is offered a companion of her choice during labor, the need for multi-layered interventions includes creating private spaces using partitions or curtains to ensure conducive delivery rooms in ways that facilitate the presence of labor companionship.

Indexed as

Attitude of Health PersonnelDelivery, ObstetricHealth FacilitiesHealth PersonnelLabor, ObstetricAdultEthiopiaFemaleHumansPregnancySurveys and QuestionnairesYoung AdultEthiopiaLabor companionshipPostpartum womenUtilization

Identifiers

PMID40830448
PMCPMC12366397

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LicenceCC BY-NC-ND
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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.