Associations between perceptions of care and women’s childbirth experience: a population-based cross-sectional study in Rwanda

BMC Pregnancy and Childbirth

Research Article

Joseph Ntaganira¹  Laetitia Nyirazinyoye¹  Marie Berg²  Anna Dencker²  Judith U. Mukamurigo³ 

[1] College of Medicine and Health Sciences, School of Public Health, University of Rwanda, Kigali, Rwanda;Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Box, 457, 405 30, Gothenburg, Sweden;Centre for Person-Centred Care (GPCC), Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden;Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Box, 457, 405 30, Gothenburg, Sweden;College of Medicine and Health Sciences, School of Public Health, University of Rwanda, Kigali, Rwanda;

关键词: Childbirth;    Experience;    Women;    Quality of care;    Rwanda;   

DOI  :  10.1186/s12884-017-1363-z

 received in 2016-05-11, accepted in 2017-05-31,  发布年份 2017

来源: Springer

【 摘 要 】

BackgroundIn recent years Rwanda has achieved remarkable improvement in quality of maternity care services but there is evidence of deficiencies in care quality in terms of disrespectful care. Women’s overall childbirth experience is an important outcome of childbirth and a factor in assessing quality of care. The aim of this study was to investigate how women’s overall childbirth experience in Rwanda was related to their perceptions of childbirth care.MethodsA cross-sectional household study of women who had given birth 1–13 months earlier (n = 921) was performed in the Northern Province and in the capital city. Data was collected via structured interviews following a questionnaire. Significant variables measuring perceptions of care were included in a stepwise forward selection logistic regression model with overall childbirth experience as a dichotomised target variable to find independent predictors of a good childbirth experience.ResultsThe majority of women (77.5%) reported a good overall childbirth experience. In a logistic regression model five factors of perceived care were significant independent predictors of a good experience: confidence in staff (Adjusted OR 1.73, 95% CI 1.20–2.49), receiving enough information (AOR 1.44, 95% CI 1.03–2.00), being treated with respect (AOR 1.69, 95% CI 1.18–2.43), getting support from staff (AOR 1.75, 95% CI 1.20–2.56), and having the baby skin-to-skin after birth (AOR 2.21, 95% CI 1.52–3.19).ConclusionsTo further improve childbirth care in Rwanda and care for women according to their preferences, it is important to make sure that the childbirth care includes the following quality aspects in national and clinical guidelines: build confidence, provide good information, treat women and families with respect, provide good professional support during childbirth and put the newborn baby skin-to-skin with its mother early after birth.

【 授权许可】

CC BY   
© The Author(s). 2017