Exploring perceptions of companionship during labour: A qualitative and systematic review of maternal and clinical perspectives
Lt Col Sivapriya S, Lt Col Lakshmy RS, Lt Col TA Mary Twincy, Lt Col AV Sindhu and Brig Tressa SP
Introduction: Companionship during labour involves the presence
of a supportive individual to provide emotional, physical, and informational
support to a woman during childbirth. Despite its well-established benefits,
its implementation in India remains inconsistent due to cultural,
infrastructural, and policy-related barriers.
Methods: This qualitative and systematic review explored the perceptions of
women, healthcare providers, and the general public regarding companionship
during labour. A total of 190 participants, including women who had normal
deliveries, general public members, nurse administrators, clinical nurses, and
obstetricians, were surveyed through semi-structured interviews, focus group
discussions, and systematic literature reviews. Thematic analysis was used to
identify key insights.
Results: Findings indicate that companionship during labour improves maternal
satisfaction, reduces anxiety, and enhances neonatal outcomes. Key facilitators
include supportive healthcare environments and social support networks, while
barriers include cultural norms, lack of awareness, hospital policies, and
concerns about privacy and infection control. Healthcare professionals
recognize the benefits but cite logistical challenges, particularly in
government hospitals.
Discussion: While international studies confirm the positive impact of
companionship, India faces unique challenges in its widespread implementation.
Training for healthcare providers, policy changes, and infrastructural
improvements are necessary to integrate this practice effectively.
Conclusion: The study highlights the importance of companionship during labour in
improving maternal and neonatal outcomes. Systematic policy reforms, public
awareness campaigns, and institutional support are needed to ensure its
successful adoption across diverse healthcare settings.
Lt Col Sivapriya S, Lt Col Lakshmy RS, Lt Col TA Mary Twincy, Lt Col AV Sindhu, Brig Tressa SP. Exploring perceptions of companionship during labour: A qualitative and systematic review of maternal and clinical perspectives. Int J Midwifery Nurs Pract 2025;8(1):147-153. DOI: 10.33545/26630427.2025.v8.i1c.199