Skip to main content

Advertisement

Log in

Women's attitudes towards psychosocial support in labour in United Arab Emirates

  • Original Article
  • Published:
Archives of Gynecology and Obstetrics Aims and scope Submit manuscript

Abstract

Objective.

The objective of this study was to determine women's attitudes and preferences regarding psychosocial support during childbirth in United Arab Emirates (UAE).

Methods.

A consecutive sample of 400 mothers with singleton normal pregnancies delivered vaginally during 2 months was interviewed postpartum about their experience and satisfaction with supportive care during labour using structured questionnaire.

Results.

Birth attendant continuously accompanied 237 (59.3%) participants including mother (59.5%), sister (31.2%), friend (7.2%), other family member (1.3%) or husband (0.8%). Preference in the no-companion group (n=163, 40.7%) was health professional (56.4%), mother (25.8%), sister (16.6%) or husband (1.2%). Labour was significantly shorter (P<0.0001) with less need for analgesia (P<0.0001), oxytocin augmentation (P<0.0001) and neonatal intensive care (P=0.03) in the companion group. Rates of instrumental delivery, episiotomy and perineal tear were similar in both groups. Three hundred and fifty (87.5%) subjects felt that psychosocial support during childbirth is essential and best provided by non-professional attendant (companion group) or midwife/obstetrician (no-companion group). 59.3% and 19.7% of mothers, respectively, reported less satisfaction and negative feelings about their perinatal experience that was more frequent in the no-companion group (P=0.001, P<0.0001; respectively).

Conclusion.

Perceptions, experiences and outcomes of companion support during childbirth in UAE, although relatively less available, are therefore not different from those described elsewhere.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Arulkumaran S, Symonds IM (1999) Psychosocial support or active management of labour or both to improve the outcome of labour. Br J Obstet Gynaecol 106:617–619

  2. Campero L, Garcia C, Diaz C, Ortiz O, Reynoso S, Langer A (1998) "Alone I wouldn't have known what to do". A qualitative study on social support. Soc Sci Med 47:395–403

  3. Chalmers B, Wolman W (1993) Social support in labour: a selective review. J Psychosom Obstet Gynecol 14:1–15

  4. Chalmers B, Wolman WL, Nikodem VC, Gulmezoglu AM, Hofmeyer GJ (1995) Companionship in labour: do the personality characteristics of labour supporters influence their effectiveness. Curationis 18:77–80

  5. Essen B, Johnsdotter S, Hovelius B, Gudmundsson S, Sjoberg NO, Friedman J et al (2000) Qualitative study of pregnancy and childbirth experiences in Somalian women resident in Sweden. Br J Obstet Gynaecol 107:1507–1512

  6. Hodnett E, Langer A (2000) Social support during childbirth. WHO Reprod Health Libr 3:1–9

  7. Hofmeyer GJ, Nikodem VC, Wolman WL, Chalmers BE, Kramer T (1991) Companionship to modify the clinical birth environment: effects on progress and perceptions of labour, and breastfeeding. Br J Obstet Gynaecol 98:756–764

  8. Kennell J, Klaus M, McGrath S, Robertson S, Hinkley C (1991) Continuous emotional support during labor in a US hospital. JAMA 265:2197–2201

  9. Klaus M, Kennell J, Berkowitz G, Klaus P (1992) Maternal assistance and support in labor: father, nurse, midwife, or doula? Clin Consult Obstet Gynecol 4:211–217

  10. Langer A, Campero A, Garcia C, Reynoso S (1998) Effects of psychosocial support during labour and childbirth on breastfeeding, medical interventions, and mother's wellbeing in a Mexican public hospital: a randomised clinical trial. Br J Obstet Gynaecol 105:1056–1063

  11. Madi BC, Sandall J, Bennett R, MacLeod C (1999) Effects of female relative support in labor: a randomised controlled trial. Birth 26:9–10

  12. McCrea BH, Wright ME (1999) Satisfaction in childbirth and perceptions of personal control in pain relief during labour. J Adv Nurs 29:877–884

  13. Page L, McCourt C, Beake S, Vail A, Hewison J (1999) Clinical interventions and outcomes of one to one midwifery practice. J Public Health Med 21:243–248

  14. Preventive Medicine Department, Ministry of Health (1999) Annual health report. Preventive Medicine Department, Ministry of Health, United Arab Emirates

  15. Rizk DEE, Khalfan M, Ezimokhai M (2001) A study of obstetric outcome in grand multiparous United Arab Emirates women. Arch Gynecol Obstet 264:194–198

  16. Rizk DEE, Nasser M, Thomas L, Ezimokhai M (2001) Women's perceptions and experiences of childbirth in United Arab Emirates. J Perinat Med 29:298–307

  17. Scott KD, Berkowitz G, Klaus M (1999) A comparison of intermittent and continuous support during labor: a meta-analysis. Am J Obstet Gynecol 180:1054–1059

  18. Scott KD, Klaus PH, Klaus MH (1999) The obstetrical and postpartum benefits of continuous support during childbirth. J Womens Health Gend Based Med 8:1257–1264

  19. Somers-Smith MJ (1999) A place for the partner? Expectations and experiences of support during childbirth. Midwife 15:101–108

  20. Thoits PA (1982) Conceptual, methodological and theoretical problems in studying social support as a buffer against life stress. J Health Soc Behav 23:145–159

  21. Thornton JG, Lilford RJ (1994) Active management of labour: current knowledge and research issues. BMJ 309:366–369

  22. Zhang J, Bernasko JW, Leybovich E, Fahs M, Hatch MC (1996) Continuous labor support from labor attendant for primiparous women: a meta-analysis. Obstet Gynecol 88:739–744

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Diaa E. E. Rizk.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Mosallam, M., Rizk, D.E.E., Thomas, L. et al. Women's attitudes towards psychosocial support in labour in United Arab Emirates. Arch Gynecol Obstet 269, 181–187 (2004). https://doi.org/10.1007/s00404-002-0448-7

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00404-002-0448-7

Keywords.

Navigation