Sociodemographic factors associated with mothers’ experiences of psychosocial care and communication by midwives during childbirth in Nairobi, Kenya
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Date
2019-08-05Author
Kabo, Jane
Holroyd, Eleanor
Edwards, Grace
Sarki, Ahmed
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Purpose: To clarify sociodemographic and socioeconomic factors associated with mothers’ experiences of psychosocial
care and communication by midwives during childbirth in Nairobi, Kenya.
Design: A descriptive cross-sectional study conducted in a government national referral hospital. Respondents
were 109 systematically sampled mothers who delivered in the study hospital. Mothers’ experiences of intrapartum
care were assessed using three subscales from the Experience of Psychosocial Care and
Communication during Childbirth Questionnaire (effective communication; emotional support; and respect, care
and dignity). Simple and multivariable logistic regression analyses were used to assess associations between
sociodemographic factors, socioeconomic factors and mothers’ experiences of intrapartum care.
Findings: The majority of respondents were aged 20–24 years (45.9%), married (71.6%), had primary school
education (48.6%) and were self-employed (45%). The majority reported positive experiences of communication,
respect, dignity and emotional support from their midwives. Being an older mother was significantly associated
with a positive experience of intrapartum care (adjusted odds ratio [AOR] 7.32; 95% Confidence
Interval (CI): 1.17–45.9). The odds of having a positive intrapartum care experience was significantly lower
among women with parity of four or more (AOR 0.09; 95% CI: 0.01–0.56) and tertiary education (AOR 0.11;
95% CI: 0.01–0.91).
Conclusion: Attention to the use of respectful language and adherence to clear communication must be an integral
part of quality improvement for midwifery care in Kenya.
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