Women’s Experience of Birth Companion in Facility Based Birth Setting

Abstract

Introduction: Improving maternal and newborn care is a priority globally and in Nepal, where maternal mortality remains high. Women’s experiences play a crucial role in the utilization of health facilities, and engagement with maternity services.
Methods: This phenomenological study used in-depth interviews with eight postnatal women selected through purposive sampling. Data were collected via audio recordings and field notes. The content analysis yielded four themes from 12 categories.
Results: Four themes were identified: support person, type of support, staff interactions and positive birth experiences. Husbands were the preferred companions. Birth companions offer physical, emotional, and informational support that bridges care gaps caused by staff shortages. Their presence reduces fear, pain perception, and communication barriers while fostering respect and advocacy. Companions contribute to non-pharmacological pain management, reassurance, and stronger family bonds. Women with companions reported more positive birth experiences, enhanced self-esteem, and motivation for future vaginal births, women ask for woman-centered care that respects their autonomy in choosing birth companions.
Conclusion: Companions during childbirth significantly enhance maternal well-being by addressing physical, psychological, and emotional needs, fostering positive birth experiences. Prioritizing women’s autonomy in companion choice and adopting a woman-centered approach can bridge care gaps and improve care quality.