Skip navigation
   
 
Scholarly Communication
Contacts

Promoting childbirth companions in South Africa: a randomised pilot study

Brown, Heather; Hofmeyr, G. Justus; Nikodem, V. Cheryl; Smith, Helen and Garner, Paul (2007) Promoting childbirth companions in South Africa: a randomised pilot study. BMC Medicine, 5 . Article Number: 7. ISSN 1741-7015

[img]
Preview
PDF
Available under License Creative Commons Attribution.

257Kb

Cited 5 times in WoS

Abstract

Background Most women delivering in South African State Maternity Hospitals do not have a childbirth companion; in addition, the quality of care could be better, and at times women are treated inhumanely. We piloted a multi-faceted intervention to encourage uptake of childbirth companions in state hospitals, and hypothesised that lay carers would improve the behaviour of health professionals. Methods We conducted a pilot randomised controlled trial of an intervention to promote childbirth companions in hospital deliveries. We promoted evidence-based information for maternity staff at 10 hospitals through access to the World Health Organization Reproductive Health Library (RHL), computer hardware and training to all ten hospitals. We surveyed 200 women at each site, measuring companionship, and indicators of good obstetric practice and humanity of care. Five hospitals were then randomly allocated to receive an educational intervention to promote childbirth companions, and we surveyed all hospitals again at eight months through a repeat survey of postnatal women. Changes in median values between intervention and control hospitals were examined. Results At baseline, the majority of hospitals did not allow a companion, or access to food or fluids. A third of women were given an episiotomy. Some women were shouted at (17.7%, N = 2085), and a few reported being slapped or struck (4.3%, N = 2080). Despite an initial positive response from staff to the childbirth companion intervention, we detected no difference between intervention and control hospitals in relation to whether a companion was allowed by nursing staff, good obstetric practice or humanity of care. Conclusion The quality and humanity of care in these state hospitals needs to improve. Introducing childbirth companions was more difficult than we anticipated, particularly in under-resourced health care systems with frequent staff changes. We were unable to determine whether the presence of a lay carer impacted on the humanity of care provided by health professionals. Trial registration: Current Controlled Trials ISRCTN33728802

Item Type:Article
Additional Information:Published: 30 April 2007. 8 pages (Page numbers not for citation purposes)
Uncontrolled Keywords:COUNTRIES; SERVICES; HEALTH; CARE
Subjects:R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
DOI:10.1186/1741-7015-5-7
Publisher's Statement:© 2007 Brown et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Related URLs:
Refereed:Yes
Status:Published
ID Code:302
Deposited On:31 Oct 2007 12:35
Last Modified:28 Mar 2012 10:26

Repository Staff Only: item control page

   
Search


Full text only
Peer reviewed only

Browse
Cross Archive Search
Find
Top 50 authors
Top 50 items
[more statistics]
 
   

These pages are maintained by Library Staff @ University of Liverpool Library

 

All pages © The University of Liverpool, 2004 | Disclaimer | Accessibility | Staff | Students