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Abstract
Discussion Forum (0)
Introduction: Nigeria has the 4th highest maternal morality rate globally. Utilization of skilled birth attendants (SBAs), doctors, nurses or midwives at delivery saves lives. However, only 43% of Nigerian women utilize SBAs during childbirth, despite 64% using SBAs for prenatal care. This study provides a wholistic understanding of women’s preferences regarding childbirth and SBAs.
Methods: The study included 23 in-depth interviews as well as 6 focus groups. Participants were purposively recruited by community health workers from clinics and churches. Study participants included women, husbands, traditional birth attendants (TBA), and SBAs, who were asked about their childbirth experiences and socio-cultural factors influencing women’s birth preferences. A Grounded Theory approach and Atlas/ti was used to analyze the qualitative data.
Results: Women in the study are influenced by several factors in deciding whether to use an SBA/TBA: having a healthy baby, receiving emotional support, decision-making power, clinic cost, avoiding medical interventions, maintaining modesty and cultural needs, such as herbal medicines and labor massages. Women, husbands, and SBAs also reported women experiencing verbal insults, hitting and neglect during labor. Decreasing clinic cost and training SBAs to be more respectful was recommended by study participants.
Conclusion/Implications: Women in the study wanted a birthing experience that results in a healthy baby, is respectful, and incorporates cultural practices. Adopting a woman-centered care approach may encourage more women to transition from prenatal care to childbirth with SBAs. Efforts should be placed on training SBAs as well as investigating how non-harmful cultural practices can be integrated into local health care systems.
Methods: The study included 23 in-depth interviews as well as 6 focus groups. Participants were purposively recruited by community health workers from clinics and churches. Study participants included women, husbands, traditional birth attendants (TBA), and SBAs, who were asked about their childbirth experiences and socio-cultural factors influencing women’s birth preferences. A Grounded Theory approach and Atlas/ti was used to analyze the qualitative data.
Results: Women in the study are influenced by several factors in deciding whether to use an SBA/TBA: having a healthy baby, receiving emotional support, decision-making power, clinic cost, avoiding medical interventions, maintaining modesty and cultural needs, such as herbal medicines and labor massages. Women, husbands, and SBAs also reported women experiencing verbal insults, hitting and neglect during labor. Decreasing clinic cost and training SBAs to be more respectful was recommended by study participants.
Conclusion/Implications: Women in the study wanted a birthing experience that results in a healthy baby, is respectful, and incorporates cultural practices. Adopting a woman-centered care approach may encourage more women to transition from prenatal care to childbirth with SBAs. Efforts should be placed on training SBAs as well as investigating how non-harmful cultural practices can be integrated into local health care systems.
Introduction: Nigeria has the 4th highest maternal morality rate globally. Utilization of skilled birth attendants (SBAs), doctors, nurses or midwives at delivery saves lives. However, only 43% of Nigerian women utilize SBAs during childbirth, despite 64% using SBAs for prenatal care. This study provides a wholistic understanding of women’s preferences regarding childbirth and SBAs.
Methods: The study included 23 in-depth interviews as well as 6 focus groups. Participants were purposively recruited by community health workers from clinics and churches. Study participants included women, husbands, traditional birth attendants (TBA), and SBAs, who were asked about their childbirth experiences and socio-cultural factors influencing women’s birth preferences. A Grounded Theory approach and Atlas/ti was used to analyze the qualitative data.
Results: Women in the study are influenced by several factors in deciding whether to use an SBA/TBA: having a healthy baby, receiving emotional support, decision-making power, clinic cost, avoiding medical interventions, maintaining modesty and cultural needs, such as herbal medicines and labor massages. Women, husbands, and SBAs also reported women experiencing verbal insults, hitting and neglect during labor. Decreasing clinic cost and training SBAs to be more respectful was recommended by study participants.
Conclusion/Implications: Women in the study wanted a birthing experience that results in a healthy baby, is respectful, and incorporates cultural practices. Adopting a woman-centered care approach may encourage more women to transition from prenatal care to childbirth with SBAs. Efforts should be placed on training SBAs as well as investigating how non-harmful cultural practices can be integrated into local health care systems.
Methods: The study included 23 in-depth interviews as well as 6 focus groups. Participants were purposively recruited by community health workers from clinics and churches. Study participants included women, husbands, traditional birth attendants (TBA), and SBAs, who were asked about their childbirth experiences and socio-cultural factors influencing women’s birth preferences. A Grounded Theory approach and Atlas/ti was used to analyze the qualitative data.
Results: Women in the study are influenced by several factors in deciding whether to use an SBA/TBA: having a healthy baby, receiving emotional support, decision-making power, clinic cost, avoiding medical interventions, maintaining modesty and cultural needs, such as herbal medicines and labor massages. Women, husbands, and SBAs also reported women experiencing verbal insults, hitting and neglect during labor. Decreasing clinic cost and training SBAs to be more respectful was recommended by study participants.
Conclusion/Implications: Women in the study wanted a birthing experience that results in a healthy baby, is respectful, and incorporates cultural practices. Adopting a woman-centered care approach may encourage more women to transition from prenatal care to childbirth with SBAs. Efforts should be placed on training SBAs as well as investigating how non-harmful cultural practices can be integrated into local health care systems.
Women Centered Care: Investigating Childbirth Preferences of Women in Benin City, Nigeria
debra eluobaju
Abstract
Discussion Forum (0)
Introduction: Nigeria has the 4th highest maternal morality rate globally. Utilization of skilled birth attendants (SBAs), doctors, nurses or midwives at delivery saves lives. However, only 43% of Nigerian women utilize SBAs during childbirth, despite 64% using SBAs for prenatal care. This study provides a wholistic understanding of women’s preferences regarding childbirth and SBAs.
Methods: The study included 23 in-depth interviews as well as 6 focus groups. Participants were purposively recruited by community health workers from clinics and churches. Study participants included women, husbands, traditional birth attendants (TBA), and SBAs, who were asked about their childbirth experiences and socio-cultural factors influencing women’s birth preferences. A Grounded Theory approach and Atlas/ti was used to analyze the qualitative data.
Results: Women in the study are influenced by several factors in deciding whether to use an SBA/TBA: having a healthy baby, receiving emotional support, decision-making power, clinic cost, avoiding medical interventions, maintaining modesty and cultural needs, such as herbal medicines and labor massages. Women, husbands, and SBAs also reported women experiencing verbal insults, hitting and neglect during labor. Decreasing clinic cost and training SBAs to be more respectful was recommended by study participants.
Conclusion/Implications: Women in the study wanted a birthing experience that results in a healthy baby, is respectful, and incorporates cultural practices. Adopting a woman-centered care approach may encourage more women to transition from prenatal care to childbirth with SBAs. Efforts should be placed on training SBAs as well as investigating how non-harmful cultural practices can be integrated into local health care systems.
Methods: The study included 23 in-depth interviews as well as 6 focus groups. Participants were purposively recruited by community health workers from clinics and churches. Study participants included women, husbands, traditional birth attendants (TBA), and SBAs, who were asked about their childbirth experiences and socio-cultural factors influencing women’s birth preferences. A Grounded Theory approach and Atlas/ti was used to analyze the qualitative data.
Results: Women in the study are influenced by several factors in deciding whether to use an SBA/TBA: having a healthy baby, receiving emotional support, decision-making power, clinic cost, avoiding medical interventions, maintaining modesty and cultural needs, such as herbal medicines and labor massages. Women, husbands, and SBAs also reported women experiencing verbal insults, hitting and neglect during labor. Decreasing clinic cost and training SBAs to be more respectful was recommended by study participants.
Conclusion/Implications: Women in the study wanted a birthing experience that results in a healthy baby, is respectful, and incorporates cultural practices. Adopting a woman-centered care approach may encourage more women to transition from prenatal care to childbirth with SBAs. Efforts should be placed on training SBAs as well as investigating how non-harmful cultural practices can be integrated into local health care systems.
Introduction: Nigeria has the 4th highest maternal morality rate globally. Utilization of skilled birth attendants (SBAs), doctors, nurses or midwives at delivery saves lives. However, only 43% of Nigerian women utilize SBAs during childbirth, despite 64% using SBAs for prenatal care. This study provides a wholistic understanding of women’s preferences regarding childbirth and SBAs.
Methods: The study included 23 in-depth interviews as well as 6 focus groups. Participants were purposively recruited by community health workers from clinics and churches. Study participants included women, husbands, traditional birth attendants (TBA), and SBAs, who were asked about their childbirth experiences and socio-cultural factors influencing women’s birth preferences. A Grounded Theory approach and Atlas/ti was used to analyze the qualitative data.
Results: Women in the study are influenced by several factors in deciding whether to use an SBA/TBA: having a healthy baby, receiving emotional support, decision-making power, clinic cost, avoiding medical interventions, maintaining modesty and cultural needs, such as herbal medicines and labor massages. Women, husbands, and SBAs also reported women experiencing verbal insults, hitting and neglect during labor. Decreasing clinic cost and training SBAs to be more respectful was recommended by study participants.
Conclusion/Implications: Women in the study wanted a birthing experience that results in a healthy baby, is respectful, and incorporates cultural practices. Adopting a woman-centered care approach may encourage more women to transition from prenatal care to childbirth with SBAs. Efforts should be placed on training SBAs as well as investigating how non-harmful cultural practices can be integrated into local health care systems.
Methods: The study included 23 in-depth interviews as well as 6 focus groups. Participants were purposively recruited by community health workers from clinics and churches. Study participants included women, husbands, traditional birth attendants (TBA), and SBAs, who were asked about their childbirth experiences and socio-cultural factors influencing women’s birth preferences. A Grounded Theory approach and Atlas/ti was used to analyze the qualitative data.
Results: Women in the study are influenced by several factors in deciding whether to use an SBA/TBA: having a healthy baby, receiving emotional support, decision-making power, clinic cost, avoiding medical interventions, maintaining modesty and cultural needs, such as herbal medicines and labor massages. Women, husbands, and SBAs also reported women experiencing verbal insults, hitting and neglect during labor. Decreasing clinic cost and training SBAs to be more respectful was recommended by study participants.
Conclusion/Implications: Women in the study wanted a birthing experience that results in a healthy baby, is respectful, and incorporates cultural practices. Adopting a woman-centered care approach may encourage more women to transition from prenatal care to childbirth with SBAs. Efforts should be placed on training SBAs as well as investigating how non-harmful cultural practices can be integrated into local health care systems.
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