Does Institutional Maternity Services Contribute to the Fear of Childbirth? A Focus Group Interview Study

dc.contributor.authorOnchonga, David
dc.contributor.authorKeraka, Margaret
dc.contributor.authorMoghaddamHosseini, Vahideh
dc.contributor.author´ Varnagy ´, Akos
dc.date.accessioned2024-02-27T06:15:49Z
dc.date.available2024-02-27T06:15:49Z
dc.date.issued2021
dc.descriptionarticleen_US
dc.description.abstractBackground: The quality of institutional maternity services offered significantly determine the health outcomes of pregnant women and their infants. Objectives: The study aimed at understanding perceptions and experiences of new mothers diagnosed with the fear of childbirth in Kenya; regarding the institutional maternity services offered and if they contribute to the fear of childbirth (FOC). Methods: This was a qualitative descriptive study. A total of 29 women who had given birth recently in a maternity institution, and had been screened with the fear of childbirth at 32 weeks’ gestation period participated in focus group interviews. The Framework for Assessing the Quality of Care of institutional maternity services (FAQC) developed by the University of Southampton was adopted in this study. Thematic analyses were used. Results: It was reported that institutional maternity services contributed directly and indirectly to FOC. The direct contribution included the performance of unintended caesarian sections, severe and prolonged labour pains and negative attitude of healthcare providers. The indirect contribution was in form of challenges in the provision of care and the experience of care in the maternity institutions. In the provision of care; human and physical resources, inadequate referral systems, and inadequate management of emergencies were reported. In the experience of care; lack of cognition, respect, dignity, equity and inadequacies in emotional support were reported. Conclusion: The study identified systemic challenges related to both the provision and the experience of care. Therefore, there is need to astutely analyze all critical steps identified in the FAQC, as this will greatly improve the uptake of institutional maternity services.en_US
dc.identifier.citationOnchonga, D., Keraka, M., MoghaddamHosseini, V., & Varnagy, A. (2021). Does institutional maternity services contribute to the fear of childbirth? A focus group interview study. Sexual & Reproductive Healthcare, 30, 100669.en_US
dc.identifier.urihttps://doi.org/10.1016/j.srhc.2021.100669
dc.identifier.urihttps://ir-library.ku.ac.ke/handle/123456789/27681
dc.language.isoenen_US
dc.publisherElsevier B.Ven_US
dc.subjectPrenatalen_US
dc.subjectFear of childbirthen_US
dc.subjectInstitutional maternity servicesen_US
dc.subjectFocus group interviewsen_US
dc.subjectKenyaen_US
dc.titleDoes Institutional Maternity Services Contribute to the Fear of Childbirth? A Focus Group Interview Studyen_US
dc.typeArticleen_US
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