Perceptional gaps among women, husbands and family members about intentions for birthplace: a cross-sectional study.
Yoko Shimpuku, Frida Elikana Madeni, Shigeko Horiuchi and 1 others
PMID 28146180WHAT IT FOUND
Women, husbands and family members in rural Tanzania did not agree about who decides birthplace or who will prepare for birth.
Nurses should not assume family agreement when supporting birth preparation.
Key findings
01Knowledge, perceived behavioral control and subjective norms predicted intention for birthplace, while subjective norms had a negative influence.
02Most pregnant women said the husband decides where to give birth, but husbands and family members less often said the husband was the decision-maker.
03Only 32.5% of pregnant women agreed they would prepare for childbirth with family, compared with 61.8% of husbands and 81.4% of family members.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The sample was small and recruited through village leaders rather than random sampling, so it may not represent other communities. The questionnaire was newly developed, and its reliability and validity need further work. The short response scale made it harder to detect differences. The study measured intention, not actual birthplace or delivery outcomes. The design was cross-sectional, so it cannot show which factors caused intention.
Declared interests
The work was supported by the Japan Society for the Promotion of Science. The supplied text does not report other conflicts of interest.
The easy way to misread this
Do not read the perceptional gaps as proof that family discussion will increase facility births. The study measured intention in a non-random survey and did not test whether family discussion changes birthplace.