Mukamurigo Judith U, Berg Marie, Ntaganira Joseph, Nyirazinyoye Laetitia, Dencker Anna
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.
BMC Pregnancy Childbirth. 2017 Jun 9;17(1):181. doi: 10.1186/s12884-017-1363-z.
In 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.
A 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.
The 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).
To 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.
近年来，卢旺达在孕产妇护理服务质量方面取得了显著改善，但有证据表明在护理质量方面存在不尊重护理的缺陷。妇女的整体分娩体验是分娩的一个重要结果，也是评估护理质量的一个因素。本研究的目的是调查卢旺达妇女的整体分娩体验与她们对分娩护理的看法之间的关系。
在北部省份和首都对1 - 13个月前分娩的妇女（n = 921）进行了一项横断面家庭研究。通过问卷调查后的结构化访谈收集数据。将测量护理看法的重要变量纳入逐步向前选择逻辑回归模型，将整体分娩体验作为二分目标变量，以找出良好分娩体验的独立预测因素。
大多数妇女（77.5%）报告了良好的整体分娩体验。在逻辑回归模型中，五个护理感知因素是良好体验的显著独立预测因素：对工作人员的信心（调整后的比值比1.73，95%置信区间1.20 - 2.49）、获得足够信息（调整后的比值比1.44，95%置信区间1.03 - 2.00）、受到尊重（调整后的比值比1.69，95%置信区间1.18 - 2.43）、得到工作人员的支持（调整后的比值比1.75，
