Publication:

The impact of birth companion on respectful maternity care and labor outcomes among Indian women: a prospective comparative study

Background Childbirth is a transformative experience for women, and the presence of a birth companion has been shown to have positive effects on the labor process. This study aimed to investigate the influence of having a birth companion on respectful maternity care (RMC) and labor outcomes. The study was conducted at Pandit Bhagwat Dayal Sharma post graduate institute of medical sciences, Rohtak, India, from February 2020 to March 2021.

Methods The study included two groups: group 1 (n=200) with a birth companion and group 2 (n=200) without a birth companion. Participants were recruited from laboring women at the labor ward, ensuring representation and minimizing bias. Inclusion criteria encompassed women between 37-41 weeks gestational age in active labor, with specific prerequisites for having a birth companion. Data were collected using a pre-set questionnaire to assess RMC, pain scores, behavior of medical personnel, and patient satisfaction. Secondary outcomes included the mode of delivery, duration of labor, complications, and the women's experience with their birth companion.

Results The study revealed significant differences between group 1 and group 2 in various aspects. Group 1 exhibited lower rates of physical and verbal abuse, improved consented and confidential care, and higher overall scores for RMC. Group 1 also reported lower pain scores, more favorable behavior from healthcare providers, and better overall hospital experiences. Additionally, group 1 had fewer instrumental deliveries and cesarean sections, as well as a shorter duration of labor compared to group 2.

Conclusions This study demonstrates that having a birth companion during labor significantly improves RMC, pain management, and labor outcomes. Women accompanied by a birth companion experience reduced rate of abuse, increased satisfaction with healthcare providers, and a more positive overall labor experience. Encouraging the presence of birth companions during childbirth can enhance women's experiences, promote RMC, and contribute to improved labor outcomes.