ArticleBMJ global health2025
The use of Childbirth Experience Questionnaire (CEQ) and Birth Satisfaction Scale-Revised (BSS-R) in comparing the experiences of mothers with and without HIV in Tanzania.
Article in BMJ global health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
introductionMothers' experiences at birth and respectful maternal care are critical to achieving Sustainable Development Goal number 3 in Tanzania. However, little is known about the differences in perinatal experience quality between women with and without HIV. To address this gap, we compared mothers' experience at birth among women with and without HIV.
methodsThis cross-sectional study was conducted in four Reproductive and Child Health Clinics in Mbeya, Tanzania between June and August 2022. Childbirth experience was assessed among mothers with and without HIV 1 week after birth using the Child Birth Experience Questionnaire (CEQ) and Birth Satisfaction Scale-Revised (BSS-R) questionnaires translated to Swahili. Higher scores reflected better experiences. Using this baseline assessment, bivariate and multivariate linear regression analyses tested the associations between HIV status and other patient factors and child-birth experience scores.
resultsA total of 1252 mothers were invited, of which 626 (288 (46%) with HIV, mean (SD age 31.9±7.8 years)), were included. Mothers with HIV had lower scores in most CEQ and BSS-R domains compared with mothers without HIV. Significant mean CEQ score differences between mothers with and without HIV were observed in both CEQ and BSS-R scores: After adjusting for demographic factors, regression coefficients, β for CEQ scores were higher among mothers without HIV compared with mothers with HIV for: 'own capacity' 0.73, p<0.001, 'Professional support' 0.94, p<0.001 and 'Participation' 0.33, p<0.001. Similarly, β for BSS-R scores were higher among mothers without HIV for 'Quality of care provision' 0.87, p<0.001), 'Women's personal attributes' 0.27, p=0.002 and 'Stress experienced' 0.1, p=0.1.
conclusionsMothers with HIV in the postpartum period reported poorer CEQ and BSS-R scores compared with mothers without HIV. These results suggest a need to improve respectful maternity care at birth among the mothers with HIV.
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