Intrapartum care experience and assessment of the factors associated with it as voiced by women

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Date
2019-12
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International Journal of Midwifery and Nursing Practice
Abstract
Childbirth experience plays a crucial role in how mothers foster positive feelings towards theirnewborn, good self-esteem, adaptation to the roles of motherhood, and future delivery. It is thereforeimportant to identify factors that positively or negatively influence the birth experience. The studyobjective was to determine the social-demographic variables associated with intrapartum careexperience at a tertiary Hospital in Kenya. This cross-sectional descriptive design employed systematicsampling to recruit 109 mothers. An established research instrument with local cultural adaptations wasused. Independent variables were; parity, marital status, occupation, monthly income and educationlevel. Dependent variables were effective communication; respect, care and dignity and emotionalsupport. Almost half of the mothers were aged between 20-24 years, over two thirds (71.6%) weremarried, with almost half (48.6) attaining primary education and over a third (37.6%), secondary.Nearly half (45%) were self-employed, (52%) earned US$ 50-99.9 per month. Marital status (rs=-0.192, p=0.046) was significantly associated with midwives explanations, perceived to be inunderstandable terms. An inverse significant rs=-0.192, p=0.045 correlation, was found between beingemployed and explanation of procedures being performed. There was an inverse significant (rs=-0.216,p=0.024) correlation between being employed and genuine interest displayed by midwives. An inversesignificant (rs=-0.202, p=0.036) correlation, was found between marital status and mothers being askedfor consent before procedures. Majority reported being treated with respect, were accorded privacy,and had consent requested before procedures. Many reported they were left alone (88.1%), and almostall mothers were "scolded" by their midwives during child birth (97.2%).The study revealed that various sociodemographic factors influence mothers’ experience of care duringthe intrapartum period. Midwives need to be cognizant of this in order to improve quality of maternalcare in Kenya. (PDF) Intrapartum care experience and assessment of the factors associated with it as voiced by women. Available from: https://www.researchgate.net/publication/372080792_Intrapartum_care_experience_and_assessment_of_the_factors_associated_with_it_as_voiced_by_women#fullTextFileContent [accessed Oct 14 2024].
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