Cargando…

CLEVER maternity care: A before-and-after study of women’s experience of childbirth in Tshwane, South Africa

BACKGROUND: Birthing care matters to women and some women experience mistreatment during childbirth. AIM: To determine the effect the ‘CLEVER Maternity Care’ package, a multi-faceted intervention to improve respectful, quality obstetric care. SETTING: Ten midwife-led obstetric units in Tshwane healt...

Descripción completa

Detalles Bibliográficos
Autores principales: Oosthuizen, Sarie J., Bergh, Anne-Marie, Grimbeek, Jackie, Pattinson, Robert C.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: AOSIS 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7669945/
https://www.ncbi.nlm.nih.gov/pubmed/33181878
http://dx.doi.org/10.4102/phcfm.v12i1.2560
_version_ 1783610639809249280
author Oosthuizen, Sarie J.
Bergh, Anne-Marie
Grimbeek, Jackie
Pattinson, Robert C.
author_facet Oosthuizen, Sarie J.
Bergh, Anne-Marie
Grimbeek, Jackie
Pattinson, Robert C.
author_sort Oosthuizen, Sarie J.
collection PubMed
description BACKGROUND: Birthing care matters to women and some women experience mistreatment during childbirth. AIM: To determine the effect the ‘CLEVER Maternity Care’ package, a multi-faceted intervention to improve respectful, quality obstetric care. SETTING: Ten midwife-led obstetric units in Tshwane health district, South Africa; five intervention and five control units. METHODS: We conducted an anonymous baseline and end-line survey to measure the change in women’s perceptions and experiences of childbirth care after the implementation of the CLEVER package. A convenience sample of women returning for a postnatal follow-up visit was obtained at baseline (n = 653) and after implementation of CLEVER (n = 679). RESULTS: Six survey items were selected as proxies for respectful clinical care. There was no significant change in proportions of responses regarding one question, and with regard to patients receiving attention within 15 min of arrival, both the intervention and control group units showed a significant increase in positive responses (odds ratios of 8.4 and 6.1, respectively, and p values of 0.0001 and 0.0007). For the remaining four items (asking permission before doing an examination, positive communication, respectful treatment and overall satisfaction), only the intervention group showed a significant positive change (odds ratios ranging from 2.4 to 4.3; p ≤ 0.0018), with no significant change for the control group (odds ratios between 1.0 and 1.8; p ≥ 0.0736). CONCLUSION: After the implementation of CLEVER Maternity Care, women reported a more positive experience of childbirth. The CLEVER intervention is a potential strategy for addressing respectful, quality obstetric care that warrants further investigation.
format Online
Article
Text
id pubmed-7669945
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher AOSIS
record_format MEDLINE/PubMed
spelling pubmed-76699452020-11-24 CLEVER maternity care: A before-and-after study of women’s experience of childbirth in Tshwane, South Africa Oosthuizen, Sarie J. Bergh, Anne-Marie Grimbeek, Jackie Pattinson, Robert C. Afr J Prim Health Care Fam Med Original Research BACKGROUND: Birthing care matters to women and some women experience mistreatment during childbirth. AIM: To determine the effect the ‘CLEVER Maternity Care’ package, a multi-faceted intervention to improve respectful, quality obstetric care. SETTING: Ten midwife-led obstetric units in Tshwane health district, South Africa; five intervention and five control units. METHODS: We conducted an anonymous baseline and end-line survey to measure the change in women’s perceptions and experiences of childbirth care after the implementation of the CLEVER package. A convenience sample of women returning for a postnatal follow-up visit was obtained at baseline (n = 653) and after implementation of CLEVER (n = 679). RESULTS: Six survey items were selected as proxies for respectful clinical care. There was no significant change in proportions of responses regarding one question, and with regard to patients receiving attention within 15 min of arrival, both the intervention and control group units showed a significant increase in positive responses (odds ratios of 8.4 and 6.1, respectively, and p values of 0.0001 and 0.0007). For the remaining four items (asking permission before doing an examination, positive communication, respectful treatment and overall satisfaction), only the intervention group showed a significant positive change (odds ratios ranging from 2.4 to 4.3; p ≤ 0.0018), with no significant change for the control group (odds ratios between 1.0 and 1.8; p ≥ 0.0736). CONCLUSION: After the implementation of CLEVER Maternity Care, women reported a more positive experience of childbirth. The CLEVER intervention is a potential strategy for addressing respectful, quality obstetric care that warrants further investigation. AOSIS 2020-10-15 /pmc/articles/PMC7669945/ /pubmed/33181878 http://dx.doi.org/10.4102/phcfm.v12i1.2560 Text en © 2020. The Authors https://creativecommons.org/licenses/by/4.0/ Licensee: AOSIS. This work is licensed under the Creative Commons Attribution License.
spellingShingle Original Research
Oosthuizen, Sarie J.
Bergh, Anne-Marie
Grimbeek, Jackie
Pattinson, Robert C.
CLEVER maternity care: A before-and-after study of women’s experience of childbirth in Tshwane, South Africa
title CLEVER maternity care: A before-and-after study of women’s experience of childbirth in Tshwane, South Africa
title_full CLEVER maternity care: A before-and-after study of women’s experience of childbirth in Tshwane, South Africa
title_fullStr CLEVER maternity care: A before-and-after study of women’s experience of childbirth in Tshwane, South Africa
title_full_unstemmed CLEVER maternity care: A before-and-after study of women’s experience of childbirth in Tshwane, South Africa
title_short CLEVER maternity care: A before-and-after study of women’s experience of childbirth in Tshwane, South Africa
title_sort clever maternity care: a before-and-after study of women’s experience of childbirth in tshwane, south africa
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7669945/
https://www.ncbi.nlm.nih.gov/pubmed/33181878
http://dx.doi.org/10.4102/phcfm.v12i1.2560
work_keys_str_mv AT oosthuizensariej clevermaternitycareabeforeandafterstudyofwomensexperienceofchildbirthintshwanesouthafrica
AT berghannemarie clevermaternitycareabeforeandafterstudyofwomensexperienceofchildbirthintshwanesouthafrica
AT grimbeekjackie clevermaternitycareabeforeandafterstudyofwomensexperienceofchildbirthintshwanesouthafrica
AT pattinsonrobertc clevermaternitycareabeforeandafterstudyofwomensexperienceofchildbirthintshwanesouthafrica