Is the place of birth related to the mother’s satisfaction with childbirth? A cross-sectional study in a rural district of the Lao People’s Democratic Republic (Lao PDR)

BMC Pregnancy and Childbirth

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[1] 0000 0001 0685 5104, grid.267625.2, Department of Global Health, Graduate School of Health Sciences, University of the Ryukyus, 207 Uehara, Nishihara-cho, Nakagami-gun, Okinawa, Japan;0000 0001 0685 5104, grid.267625.2, Department of Global Health, Graduate School of Health Sciences, University of the Ryukyus, 207 Uehara, Nishihara-cho, Nakagami-gun, Okinawa, Japan;0000 0000 9650 2179, grid.11159.3d, Department of Health Promotion and Education, College of Public Health, University of the Philippines Manila/SEAMEO-TROPMED Regional Center for Public Health, Hospital Administration, Environmental and Occupational Health, 625 Pedro Gil Street, Ermita, Manila, Philippines;0000 0001 0685 5104, grid.267625.2, Department of Global Health, Graduate School of Health Sciences, University of the Ryukyus, 207 Uehara, Nishihara-cho, Nakagami-gun, Okinawa, Japan;Asia Health and Educational Fund, 2-17-1, Nakaochiai, Shinjuku-ku, Tokyo, Japan;Lao Tropical and Public Health Institute, Samsenthai Road, Ban Kaognot, Sisattanak District, Vientiane Capital, Lao People’s Democratic Republic;Savannakhet Provincial Health Department, Thahea village, Kaysone-Phomvihan District, Savannakhet, Lao People’s Democratic Republic;

关键词: Childbirth satisfaction;    Place of birth;    Facility-based birth;    Laos;    Maternal health;   

DOI  :  10.1186/s12884-019-2483-4

来源: publisher

【 摘 要 】

BackgroundThe place of birth has been rapidly changing from home to health facility in Lao People’s Democratic Republic (Lao PDR) following the strategy to improve the maternal and neonatal mortality. This change in the place of birth might affect the mother’s satisfaction with childbirth. The objective of this study was to assess whether the place of birth is related to the mother’s satisfaction with childbirth in a rural district of the Lao PDR.MethodsA community-based survey was implemented in 21 randomly selected hamlets in Xepon district, Savannakhet province, between February and March, 2016. Questionnaire-based interviews were conducted with mothers who experienced a normal vaginal birth in the past 2 years. Satisfaction with childbirth was measured by the Satisfaction with Childbirth Experience Questionnaire. Using the median, the outcome variable was dichotomized into “high satisfaction group” and “low satisfaction group”. Logistic regression was performed to assess the association between place of birth and satisfaction with childbirth. Three models were examined: In Model 1, only the predictor of interest (i.e., place of birth) was included. In Model 2, the predictor of interest and the obstetrical predictors were included. In Model 3, in addition to these predictors, socio-demographic and economic predictors were included. A mixed-effects model was used to account for the hierarchical structure.ResultsAmong the 226 mothers who were included in data analysis, 60.2% gave birth at the health facility and the remaining 39.8% gave birth at home. Logistic regression analysis showed that the mothers who gave birth at the health facility were significantly more likely to have a higher level of satisfaction compared to the mothers who gave birth at home (crude odds ratio: 5.44, 95% confidence interval: 3.03 to 9.75). This association remained even after adjusting for other predictors (adjusted odds ratio: 6.05, 95% confidence interval: 2.81 to 13.03).ConclusionFacility-based birth was significantly associated with a higher level of satisfaction with childbirth among the mothers in the study district where maternal and neonatal mortalities are relatively high. The findings of the present study support the promotion of facility-based birth in a rural district of the Lao PDR.

【 授权许可】

CC BY