Department of Obstetrics, Gynecology and Perinatology, Obafemi Awolowo University, Ile-Ife, Nigeria.
Department of Community Health, Obafemi Awolowo University, Ile-Ife, Nigeria.
Int J Gynaecol Obstet. 2018 Jun;141(3):360-365. doi: 10.1002/ijgo.12471. Epub 2018 Mar 24.
To determine preferences for companionship during labor and to identify associated factors.
The present prospective cross-sectional survey was conducted at a university teaching hospital in Nigeria between September 1, 2011, and February 28, 2012. Participants included women who underwent the first stage of labor and delivery at the facility, male partners, and healthcare workers from the maternity unit. Data were collected using a pretested questionnaire.
There were 226 parturients, 158 male partners, and 69 healthcare workers included in the final analysis; in all, 50 (22.1%) parturients and 37 (23.4%) male partners approved of companionship during labor, whereas 62 (90%) healthcare workers supported it. Among those who approved, a parturient's male partner was stated to be the preferred companion by 33 (66%) parturients, 32 (86%) male partners, and 58 (94%) healthcare workers. The perception of conduciveness of the labor ward for companionship was associated with approving of companionship among both the parturients (adjusted odds ratio [aOR] 2.74) and male partners (aOR 15.79). Previous home delivery (aOR 31.43) and companionship during a previous delivery (aOR 23.00) were also associated with approval.
Most couples had negative attitudes toward companionship during labor. Intensive education programs and restructuring of facilities could enable Nigerian labor wards to improve the delivery experience for both parturients and their male partners.
确定分娩期间陪伴偏好，并确定相关因素。
本前瞻性横断面研究于 2011 年 9 月 1 日至 2012 年 2 月 28 日在尼日利亚一所大学教学医院进行。参与者包括在该机构接受第一产程分娩的女性、其男性伴侣和产科病房的医护人员。使用经过预测试的问卷收集数据。
最终纳入 226 名产妇、158 名男性伴侣和 69 名医护人员进行分析；总共 50 名（22.1%）产妇和 37 名（23.4%）男性伴侣赞成分娩时陪伴，而 62 名（90%）医护人员支持。在赞成陪伴的人群中，33 名（66%）产妇、32 名（86%）男性伴侣和 58 名（94%）医护人员表示，其男性伴侣是首选陪伴者。认为分娩病房有利于陪伴与产妇（调整后的优势比 [aOR] 2.74）和男性伴侣（aOR 15.79）均赞成陪伴有关。以前在家分娩（aOR 31.43）和以前分娩时陪伴（aOR 23.00）也与赞成有关。
大多数夫妇对分娩时陪伴持负面态度。强化教育计划和设施结构调整可以使尼日利亚的分娩病房改善产妇及其男性伴侣的分娩体验。
