A qualitative exploratory interview study on birth companion support actions for women during childbirth
Open accessAbstract
BACKGROUND: The World Health Organization recommends that women are supported continuously throughout labor by a companion of their choice. And, that companions have clearly designated roles and responsibilities to ensure that their presence is beneficial to both the woman and her health care providers. Presently, there is lack of strong evidence regarding specific support actions in relation to women's needs of care. Thus, we aimed to explore birth companion support actions for women during childbirth. METHODS: This was an exploratory descriptive qualitative study conducted between August 2019 and December 2019; at a referral hospital in the Eastern part of Uganda. Ten women were purposively selected: those who were admitted in early labor, expecting a normal delivery, and had fulltime birth companion. Nonparticipant direct observation and in-depth interviews were used to collect data. Latent content analysis was used. RESULTS: Three themes were identified: "Support actions aiding a good childbirth experience", "Support actions hindering coping with labor", and "Women's needs and expectations of care". Support actions aiding a good experience described were; emotional presence, motivation, providing nourishments, messenger activities, body massage for pain relief, assisting in ambulation and coaching. Companion fearful behaviors and disrespectful care in form of unacknowledged needs and hostility from birth companions were reported to hinder coping. The women desired thoughtful communication, trust, for birth companions to anticipate their needs and recognize non perceptive phases of labor to allow them focus on themselves. CONCLUSION: Birth companions from this study largely supported women emotionally, and attended to their physical needs. The greater part of support actions provided were esteemed by the women. Presence of birth companion will be of benefit when individual needs of women are put into consideration. Also, more guidance for birth companions is necessary to boost their role and mitigate shortcomings of their presence during childbirth.
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Having a familiar companion during childbirth can significantly improve women's confidence and sense of control by providing emotional support and a safe psychological environment.
“Having a familiar companion during childbirth can significantly improve women’s confidence and sense of control by providing emotional support and a safe psychological environment [46].”
From Effect of midwifery students’ continuity of care program on women’s experiences of maternity care: A randomised controlled trial (2026) · cites this paper as [46]
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- Authors
- Wanyenze, E. W., Byamugisha, J. K., Tumwesigye, N. M., Muwanguzi, P. A., & Nalwadda, G. K.
- Affiliations
- Mbarara University of Science and Technology (UG)
- Makerere University (UG)
- Corresponding author
- Wanyenze, Eva Wodeya
- Venue
- BMC Pregnancy and Childbirth
- Published
- 2022-01-22
- Volume
- 22
- Issue
- 1
- Pages
- 63-63
- ISSN
- 1471-2393 (ISSN-L)
- PMC
- PMC8785438
- OpenAlex
- W4206898847
- Cited by
- 42
- References
- 34
- Citations by year
- 2026: 6 · 2025: 14 · 2024: 12 · 2023: 9 · 2022: 1
- FWCI
- 9.02
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- BMC Pregnancy and Childbirth (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Styrelsen för Internationellt Utvecklingssamarbete
- Topics
- Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
- Health Sciences › Medicine › Epidemiology › Breastfeeding Practices and Influences
- Health Sciences › Health Professions › General Health Professions › Maternal and Neonatal Healthcare
- Keywords
- birth companions, childbirth support, emotional presence, respectful care, trust in care, childbirth experience
- MeSH terms
- Adolescent, Adult, Female, Humans, Labor, Obstetric, Pregnancy, Quality of Health Care, Uganda, Caregivers, Friends, Qualitative Research, Parturition, Delivery, Obstetric, Young Adult
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