Silesh Mulualem, Demisse Tesfanesh Lemma, Abebe Kidist Ayalew, Taye Birhan Tsegaw, Moltot Tebabere, Chekole Moges Sisay, Kasahun Fetene, Mekuriyaw Abebayehu Melesew, Kebede Tirusew Nigussie, Hailemeskel Kibret
Department of Midwifery, Asrat Woldeyes Health Science Campus, Debre Berhan University, Debre Berhan, Ethiopia.
School of Medicine, Asrat Woldeyes Health Science Campus, Debre Berhan University, Debre Berhan, Ethiopia.
Front Glob Womens Health. 2025 Jan 7;5:1426502. doi: 10.3389/fgwh.2024.1426502. eCollection 2024.
Allowing women to have a companion of their choice during labor and delivery is a cost-effective strategy to enhance the quality of maternal care and promote a positive birth experience. Due to the limited studies on women's preferences for labour companionship, this study aimed to assess the desire for labour companionship and its associated factors among pregnant women attending ante-natal care at public health facilities in Debre Berhan City.
A facility-based cross-sectional study was conducted from August 1-30, 2022. A face-to-face questionnaire administered was used to collect data. Then, entered into Epi-Data version 4.6 and exported to SPSS version 25 for data analysis. In multivariable logistic regression analysis, variables with < 0.05 with AOR and 95% CI were considered statistically significant.
Of 408 participants, 68.6% [95% CI: 63.8, 73.9] of pregnant women desired to have companionship in labour. Women who were living in urban [AOR: 2.32; 95% CI: 1.336, 4.022], had secondary level of education [AOR: 0.39; 95% CI: 0.207, 0.726], being pregnant for the first time [AOR: 1.88; 95% CI: 1.197, 2.945], women who had a good knowledge towards labour companion [AOR: 2.4; 95% CI: 1.522, 3.797] were statistically significant with desire on labour companionship.
The magnitude of desire towards labour companionship in this study area was found high. Place of residence, educational attainment, number of pregnancies (gravidity), and level of knowledge about labour companions significantly contribute to women's desire for labour companionship. Therefore, to increase the desire for labor companions; antenatal education about its benefits should emphasized, particularly in rural areas and among less-educated communities. Providing tailored support for primigravida women and underserved populations can also help to integrate labor companionship into maternal care.
允许女性在分娩过程中有自己选择的陪伴者是一种具有成本效益的策略，可提高孕产妇护理质量并促进积极的分娩体验。由于关于女性对分娩陪伴偏好的研究有限，本研究旨在评估德布雷伯汉市公共卫生设施中接受产前护理的孕妇对分娩陪伴的需求及其相关因素。
于2022年8月1日至30日进行了一项基于机构的横断面研究。使用面对面问卷调查收集数据。然后，将数据录入Epi-Data 4.6版本并导出到SPSS 25版本进行数据分析。在多变量逻辑回归分析中，AOR和95%CI小于0.05的变量被认为具有统计学意义。
在408名参与者中，68.6%[95%CI：63.8，73.9]的孕妇希望在分娩时有陪伴者。居住在城市的女性[AOR：2.32；95%CI：1.336，4.022]、受过中等教育的女性[AOR：0.39；95%CI：0.207，0.726]、首次怀孕的女性[AOR：1.88；95%CI：1.197，2.945]、对分娩陪伴有充分了解的女性[AOR：2.4；95%CI：1.522，3.797]与对分娩陪伴的需求具有统计学意义。
本研究区域内对分娩陪伴的需求程度较高。居住地点、教育程度、怀孕次数（妊娠次数）以及对分娩陪伴的了解程度对女性对分娩陪伴的需求有显著影响。因此，为了增加对分娩陪伴的需求；应强调关于其益处的产前教育，特别是在农村地区和受教育程度较低的社区。为初产妇和服务不足的人群提供量身定制的支持也有助于将分娩陪伴纳入孕产妇护理。
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