Implementation of the presence of companions during hospital admission for childbirth: data from the Birth in Brazil national survey

Cad Saude Publica. 2014 Aug:30 Suppl 1:S1-14. doi: 10.1590/0102-311x00127013.
[Article in English, Portuguese]

Abstract

Robust evidence of the benefits of continuous support during childbirth led to the recommendation that it should be offered for all women. In Brazil, it has been guaranteed by law since 2005, but scarce data on implementation is available. We aimed to estimate the frequency and associated socio-demographic, obstetric and institutional predictors of women having companionship during childbirth in the Birth in Brazil survey. Descriptive statistical analysis was done for the characterization of companions (at different moments of hospital stay), maternal and institutional factors; associations were investigated in bivariate and multivariate models. We found that 24.5% of women had no companion at all, 18.8% had continuous companionship and 56.7% had partial companionship. Independent predictors of having no or partial companionship at birth were: lower income and education, brown color of skin, using the public sector, multiparity, and vaginal delivery. Implementation of companionship was associated with having an appropriate environment, and clear institution al rules about women's rights to companionship.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Attitude of Health Personnel*
  • Brazil
  • Cesarean Section / statistics & numerical data
  • Child
  • Female
  • Guideline Adherence / legislation & jurisprudence
  • Guideline Adherence / statistics & numerical data*
  • Health Promotion
  • Hospitalization / legislation & jurisprudence
  • Hospitalization / statistics & numerical data*
  • Hospitals
  • Humans
  • Male
  • Maternal Health Services / legislation & jurisprudence
  • Maternal Health Services / standards*
  • Natural Childbirth / statistics & numerical data
  • Parturition*
  • Patient Satisfaction
  • Pregnancy
  • Socioeconomic Factors
  • Visitors to Patients* / legislation & jurisprudence
  • Visitors to Patients* / statistics & numerical data
  • Young Adult