Person-Centered Maternity Care During Childbirth And Associated Factors Among Mothers Who Gave Birth At Arsi Zone Hospitals, Oromia, Ethiopia

Abstract

Background: Poor person- centered maternity care contributes both directly and indirectly to maternal death globally. Despite the relevance of person-centered maternity care on ensuring experience and outcomes of women during childbirth, there is in adequate literature on the status of person-centered maternity care provision to women during labor and childbirth in Ethiopia. Objectives: This study aimed to assess the level of person-centered maternity care during childbirth and associated factors among mothers who gave birth at hospitals in Arsi zone, Oromia, Ethiopia, 2022. Methods: An institution-based Cross-sectional with concurrent mixed method design was conducted on mothers who gave birth at randomly selected hospitals in the Arsi zone from September 1st to October 15, 2022. Multistage sampling was applied to enroll the study participants. The data was collected through interviewer administered structured questionnaire. The collected data was exported from Kobo tool box to Excel and then to SPSS version 25 software for analysis. Simple and multiple linear regressions were fitted. Then, statistical significance was declared at p-value ≤ 0.05. Ten key informants were sampled purposely from OCP’s and interviewed. Qualitative data was analyzed thematically using MAX QDA software. Finally, the finding results were presented in texts, graphs, tables and in narration for qualitative. Results: The mean score of person centered maternity care for this study was 57.2 with SD of (±11.59) out of 90. Mothers educational level college and above (β=8.368, CI:5.117, 11.619), having labour companionship (β=5.546, CI: 4.003, 7.088), urban residence (β=3.670, CI:2.062, 5.277), day time delivery (β=3.567, CI: 2.148, 4.986), domestic violence victim (β =-3.466, CI:- 5.168, -1.764), alive outcome of birth (β=6.370, CI: 3.261, 9.478), ANC contacts ≥ four (β=2.291, CI: 0.594, 3.98) and were factors significantly associated with PCMC during childbirths. The physical structure, case overloads and understaffing were the major barriers identified by qualitative investigation. Conclusion and Recommendations: The level of person-centered maternity care in Arsi Zone Hospitals was low as compared to other studies. So that, stakeholders at Hospitals and health care providers should have to implement the guideline for positive childbirth experience to advance the provision of person centered maternity care during childbirth in facility.