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\begin{document}

\title{Factors associated with labor companionship in Rwanda: A facility-based
mixed methods study.}



\author[1]{Christian Mazimpaka}%
\author[2]{Emmy Basonga}%
\author[2]{Chris Adrien Kanakuze}%
\author[3]{Bikorimana Laban}%
\author[1]{Egide Freddy Muragijimana}%
\author[2]{Gerard Kaberuka}%
\author[2]{Samson Habimana}%
\author[2]{Patrick Bagambe Gatsinzi}%
\author[1]{Samson Radeny}%
\author[2]{Diomede Ntasumbumuyange}%
\affil[1]{IntraHealth International Inc}%
\affil[2]{University of Rwanda College of Medicine and Health Sciences}%
\affil[3]{Partners In Health}%


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  \date{May 22, 2024}


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\begin{abstract}
\textbf{Background:} Labor companionship has been demonstrated to
enhance the childbirth experience and contribute to better maternal and
neonatal outcomes. Despite this evidence, the practice remains
underexplored in Rwanda. The present study aimed to investigate the
perspectives and experiences of both women and healthcare providers
concerning labor companionship in selected hospitals across Rwanda.
\textbf{Methods:} We conducted a mixed-method study surveying 393
postpartum mothers within 48 hours of delivery and interviewing 23
healthcare providers and 16 mothers. Data were analyzed using
frequencies, percentages, Chi-square tests, and logistic regression.
\textbf{Results:} 95\% (n=373) of mothers brought a chosen companion to
the health facility, but only 11.2\% (n=42) were allowed their
companion's presence during childbirth. About 47\% who had companions
present had reservations, mainly due to embarrassment (47\%), gossip
fears (14\%), and privacy issues (40\%). Mother's age, education,
economic status, and pregnancy planning status influenced companion
presence. Barriers to labor companionship occurred at individual,
provider, and institutional levels. \textbf{Conclusion:} This study
underscores labor companionship's role in boosting maternal-neonatal
health in Rwanda, though implementation remains limited due to location,
education, and socio-economic disparities. It advocates for policies and
guidelines facilitating companionship during labor and delivery and
emphasizes the need for healthcare provider training to enhance its
application.%
\end{abstract}%



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\textbf{Hosted file}

\verb`Labor companionship_Manuscript_Basonga.docx`  available at \url{https://authorea.com/users/762150/articles/738760-factors-associated-with-labor-companionship-in-rwanda-a-facility-based-mixed-methods-study}

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