Your browser doesn't support javascript.
loading
Association between decision-making during pregnancy and woman-centred care among Tanzanian pregnant women: A cross-sectional survey.
Mwakawanga, Dorkasi L; Chen, Sanmei; Mwilike, Beatrice; Lyimo, Ally Abdul; Hirose, Naoki; Shimpuku, Yoko.
Afiliación
  • Mwakawanga DL; Global Health Nursing, Graduate School of Biomedical and Health Sciences, Hiroshima University, 1-2-3 Kasumi, Minami Ward, Hiroshima 734-8553, Japan; Department of Community Health Nursing, School of Nursing, Muhimbili University of Health and Allied Sciences, P. O Box 65001, Dar es Salaam, Tanzania
  • Chen S; Global Health Nursing, Graduate School of Biomedical and Health Sciences, Hiroshima University, 1-2-3 Kasumi, Minami Ward, Hiroshima 734-8553, Japan.
  • Mwilike B; Department of Community Health Nursing, School of Nursing, Muhimbili University of Health and Allied Sciences, P. O Box 65001, Dar es Salaam, Tanzania.
  • Lyimo AA; Department of Community Health Nursing, School of Nursing, Muhimbili University of Health and Allied Sciences, P. O Box 65001, Dar es Salaam, Tanzania.
  • Hirose N; Global Health Nursing, Graduate School of Biomedical and Health Sciences, Hiroshima University, 1-2-3 Kasumi, Minami Ward, Hiroshima 734-8553, Japan.
  • Shimpuku Y; Global Health Nursing, Graduate School of Biomedical and Health Sciences, Hiroshima University, 1-2-3 Kasumi, Minami Ward, Hiroshima 734-8553, Japan. Electronic address: yokoshim@hiroshima-u.ac.jp.
Women Birth ; 37(4): 101615, 2024 Jul.
Article en En | MEDLINE | ID: mdl-38615514
ABSTRACT

BACKGROUND:

Many women in Tanzania lack autonomy in decision-making for their pregnancy and childbirth. Woman-centred care (WCC) seeks to provide each woman with the appropriate information that promotes participation and highlights their informed decision-making. Thus, decision-making has been proposed as an essential determinant of WCC. This study aimed to assess the association between decision-making and WCC among Tanzanian pregnant women.

METHODS:

We conducted a cross-sectional study among 710 pregnant women in Tanzania. The 23-item Woman-Centred Care English version questionnaire was used to assess how women perceived the care provided by midwives. Participants were categorized into two decision-making groups decision-making for the birthing place by pregnant women themselves and by others. The pre-defined cut-off point of the top 20 percentile was used to indicate a high level of WCC. Binary logistic regression models were used to determine the association between decision-making and WCC.

RESULTS:

The median score (interquartile range) of WCC was 97 (92-103) points when decisions were made by pregnant women, compared to 92 (88-96) points when decisions were made by others (p<0.001). There was a significant association between decision-maker and WCC in both unadjusted (p<0.001) and multivariable-adjusted (p=0.006) analyses. The unadjusted odds were approximately 5 times higher in the pregnant women decision-making group (OR 4.80, 95% CI 2.74-8.43) and 3 times higher (OR2.90, 95% CI 1.36-6.07) after the adjustment for covariates. We observed no significant interaction between decision-making and parity on the level of WCC (p for interaction=0.52).

CONCLUSION:

Pregnant women who made decisions for the birthing place had a higher likelihood of having a high level of WCC compared with their counterparts. Our findings suggest that women should be empowered to be involved in decision-making to increase their satisfaction with the care provided by healthcare providers and foster a positive childbirth experience.
Asunto(s)
Palabras clave
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Atención Dirigida al Paciente / Toma de Decisiones / Mujeres Embarazadas Límite: Adult / Female / Humans / Pregnancy País/Región como asunto: Africa Idioma: En Revista: Women Birth Asunto de la revista: ENFERMAGEM / OBSTETRICIA Año: 2024 Tipo del documento: Article País de afiliación: Tanzania Pais de publicación: Países Bajos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Atención Dirigida al Paciente / Toma de Decisiones / Mujeres Embarazadas Límite: Adult / Female / Humans / Pregnancy País/Región como asunto: Africa Idioma: En Revista: Women Birth Asunto de la revista: ENFERMAGEM / OBSTETRICIA Año: 2024 Tipo del documento: Article País de afiliación: Tanzania Pais de publicación: Países Bajos