Cargando…

Partnership-defined quality approach to companionship during labour and birth in East New Britain, Papua New Guinea: A mixed-methods study

Companionship during labour and birth is a critical component of quality maternal and newborn care, resulting in improved care experiences and better birth outcomes. Little is known about the preferences and experiences of companionship in Papua New Guinea (PNG), and how it can be implemented in a c...

Descripción completa

Detalles Bibliográficos
Autores principales: Wilson, Alyce N., Melepia, Pele, Suruka, Rose, Hezeri, Priscah, Kabiu, Dukduk, Babona, Delly, Wapi, Pinip, Bohren, Meghan A., Vogel, Joshua P., Kelly-Hanku, Angela, Morgan, Alison, Beeson, James G., Morgan, Christopher, Spotswood, Naomi, Scoullar, Michelle J. L., Vallely, Lisa M., Homer, Caroline S. E.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10021905/
https://www.ncbi.nlm.nih.gov/pubmed/36962285
http://dx.doi.org/10.1371/journal.pgph.0000102
_version_ 1784908608860848128
author Wilson, Alyce N.
Melepia, Pele
Suruka, Rose
Hezeri, Priscah
Kabiu, Dukduk
Babona, Delly
Wapi, Pinip
Bohren, Meghan A.
Vogel, Joshua P.
Kelly-Hanku, Angela
Morgan, Alison
Beeson, James G.
Morgan, Christopher
Spotswood, Naomi
Scoullar, Michelle J. L.
Vallely, Lisa M.
Homer, Caroline S. E.
author_facet Wilson, Alyce N.
Melepia, Pele
Suruka, Rose
Hezeri, Priscah
Kabiu, Dukduk
Babona, Delly
Wapi, Pinip
Bohren, Meghan A.
Vogel, Joshua P.
Kelly-Hanku, Angela
Morgan, Alison
Beeson, James G.
Morgan, Christopher
Spotswood, Naomi
Scoullar, Michelle J. L.
Vallely, Lisa M.
Homer, Caroline S. E.
author_sort Wilson, Alyce N.
collection PubMed
description Companionship during labour and birth is a critical component of quality maternal and newborn care, resulting in improved care experiences and better birth outcomes. Little is known about the preferences and experiences of companionship in Papua New Guinea (PNG), and how it can be implemented in a culturally appropriate way. The aim of this study was to describe perspectives and experiences of women, their partners and health providers regarding labour and birth companionship, identify enablers and barriers and develop a framework for implementing this intervention in PNG health facilities. A mixed methods study was conducted with five facilities in East New Britain, PNG. Data included 5 facility audits, 30 labour observations and 29 in-depth interviews with women who had recently given birth, partners and maternity care providers. A conceptual framework was developed drawing on existing quality care implementation frameworks. Women and partners wanted companions to be present, whilst health providers had mixed views. Participants described benefits of companionship including encouragement and physical support for women, better communication and advocacy, improved labour outcomes and assistance with workforce issues. Adequate privacy and space constraints were highlighted as key barriers to address. Of the women observed, only 30% of women had a companion present during labour, and 10% had a companion at birth. A conceptual framework was used to highlight the interconnected inputs required at community, facility and provincial health system levels to improve the quality of care. Key elements to address included attitudes towards companionship, the need for education and training and restrictive hospital policies. Supporting women to have their companion of choice present during labour and birth is critical to improving women’s experiences of care and improving the quality of maternal and newborn care. In order to provide companionship during labour and birth in PNG, a complex, intersecting, multi-faceted approach is required.
format Online
Article
Text
id pubmed-10021905
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher Public Library of Science
record_format MEDLINE/PubMed
spelling pubmed-100219052023-03-17 Partnership-defined quality approach to companionship during labour and birth in East New Britain, Papua New Guinea: A mixed-methods study Wilson, Alyce N. Melepia, Pele Suruka, Rose Hezeri, Priscah Kabiu, Dukduk Babona, Delly Wapi, Pinip Bohren, Meghan A. Vogel, Joshua P. Kelly-Hanku, Angela Morgan, Alison Beeson, James G. Morgan, Christopher Spotswood, Naomi Scoullar, Michelle J. L. Vallely, Lisa M. Homer, Caroline S. E. PLOS Glob Public Health Research Article Companionship during labour and birth is a critical component of quality maternal and newborn care, resulting in improved care experiences and better birth outcomes. Little is known about the preferences and experiences of companionship in Papua New Guinea (PNG), and how it can be implemented in a culturally appropriate way. The aim of this study was to describe perspectives and experiences of women, their partners and health providers regarding labour and birth companionship, identify enablers and barriers and develop a framework for implementing this intervention in PNG health facilities. A mixed methods study was conducted with five facilities in East New Britain, PNG. Data included 5 facility audits, 30 labour observations and 29 in-depth interviews with women who had recently given birth, partners and maternity care providers. A conceptual framework was developed drawing on existing quality care implementation frameworks. Women and partners wanted companions to be present, whilst health providers had mixed views. Participants described benefits of companionship including encouragement and physical support for women, better communication and advocacy, improved labour outcomes and assistance with workforce issues. Adequate privacy and space constraints were highlighted as key barriers to address. Of the women observed, only 30% of women had a companion present during labour, and 10% had a companion at birth. A conceptual framework was used to highlight the interconnected inputs required at community, facility and provincial health system levels to improve the quality of care. Key elements to address included attitudes towards companionship, the need for education and training and restrictive hospital policies. Supporting women to have their companion of choice present during labour and birth is critical to improving women’s experiences of care and improving the quality of maternal and newborn care. In order to provide companionship during labour and birth in PNG, a complex, intersecting, multi-faceted approach is required. Public Library of Science 2022-02-28 /pmc/articles/PMC10021905/ /pubmed/36962285 http://dx.doi.org/10.1371/journal.pgph.0000102 Text en © 2022 Wilson et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Wilson, Alyce N.
Melepia, Pele
Suruka, Rose
Hezeri, Priscah
Kabiu, Dukduk
Babona, Delly
Wapi, Pinip
Bohren, Meghan A.
Vogel, Joshua P.
Kelly-Hanku, Angela
Morgan, Alison
Beeson, James G.
Morgan, Christopher
Spotswood, Naomi
Scoullar, Michelle J. L.
Vallely, Lisa M.
Homer, Caroline S. E.
Partnership-defined quality approach to companionship during labour and birth in East New Britain, Papua New Guinea: A mixed-methods study
title Partnership-defined quality approach to companionship during labour and birth in East New Britain, Papua New Guinea: A mixed-methods study
title_full Partnership-defined quality approach to companionship during labour and birth in East New Britain, Papua New Guinea: A mixed-methods study
title_fullStr Partnership-defined quality approach to companionship during labour and birth in East New Britain, Papua New Guinea: A mixed-methods study
title_full_unstemmed Partnership-defined quality approach to companionship during labour and birth in East New Britain, Papua New Guinea: A mixed-methods study
title_short Partnership-defined quality approach to companionship during labour and birth in East New Britain, Papua New Guinea: A mixed-methods study
title_sort partnership-defined quality approach to companionship during labour and birth in east new britain, papua new guinea: a mixed-methods study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10021905/
https://www.ncbi.nlm.nih.gov/pubmed/36962285
http://dx.doi.org/10.1371/journal.pgph.0000102
work_keys_str_mv AT wilsonalycen partnershipdefinedqualityapproachtocompanionshipduringlabourandbirthineastnewbritainpapuanewguineaamixedmethodsstudy
AT melepiapele partnershipdefinedqualityapproachtocompanionshipduringlabourandbirthineastnewbritainpapuanewguineaamixedmethodsstudy
AT surukarose partnershipdefinedqualityapproachtocompanionshipduringlabourandbirthineastnewbritainpapuanewguineaamixedmethodsstudy
AT hezeripriscah partnershipdefinedqualityapproachtocompanionshipduringlabourandbirthineastnewbritainpapuanewguineaamixedmethodsstudy
AT kabiudukduk partnershipdefinedqualityapproachtocompanionshipduringlabourandbirthineastnewbritainpapuanewguineaamixedmethodsstudy
AT babonadelly partnershipdefinedqualityapproachtocompanionshipduringlabourandbirthineastnewbritainpapuanewguineaamixedmethodsstudy
AT wapipinip partnershipdefinedqualityapproachtocompanionshipduringlabourandbirthineastnewbritainpapuanewguineaamixedmethodsstudy
AT bohrenmeghana partnershipdefinedqualityapproachtocompanionshipduringlabourandbirthineastnewbritainpapuanewguineaamixedmethodsstudy
AT vogeljoshuap partnershipdefinedqualityapproachtocompanionshipduringlabourandbirthineastnewbritainpapuanewguineaamixedmethodsstudy
AT kellyhankuangela partnershipdefinedqualityapproachtocompanionshipduringlabourandbirthineastnewbritainpapuanewguineaamixedmethodsstudy
AT morganalison partnershipdefinedqualityapproachtocompanionshipduringlabourandbirthineastnewbritainpapuanewguineaamixedmethodsstudy
AT beesonjamesg partnershipdefinedqualityapproachtocompanionshipduringlabourandbirthineastnewbritainpapuanewguineaamixedmethodsstudy
AT morganchristopher partnershipdefinedqualityapproachtocompanionshipduringlabourandbirthineastnewbritainpapuanewguineaamixedmethodsstudy
AT spotswoodnaomi partnershipdefinedqualityapproachtocompanionshipduringlabourandbirthineastnewbritainpapuanewguineaamixedmethodsstudy
AT scoullarmichellejl partnershipdefinedqualityapproachtocompanionshipduringlabourandbirthineastnewbritainpapuanewguineaamixedmethodsstudy
AT vallelylisam partnershipdefinedqualityapproachtocompanionshipduringlabourandbirthineastnewbritainpapuanewguineaamixedmethodsstudy
AT homercarolinese partnershipdefinedqualityapproachtocompanionshipduringlabourandbirthineastnewbritainpapuanewguineaamixedmethodsstudy