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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...
Autores principales: | , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2022
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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 |
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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 |
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