Length of Stay After Childbirth in 92 Countries and Associated Factors in 30 Low- and Middle-Income Countries: Compilation of Reported Data and a Cross-sectional Analysis from Nationally Representative Surveys

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http://eprints.org/relation/isVersionOf https://datacompass.lshtm.ac.uk/id/document/1897 http://eprints.org/relation/isVolatileVersionOf https://datacompass.lshtm.ac.uk/id/document/1897 http://eprints.org/relation/issmallThumbnailVersionOf https://datacompass.lshtm.ac.uk/id/document/1897 indefinite Thumbnails conversion from Text to thumbnail_small archive 3 disk0/00/00/01/98 2016-04-22 10:08:04 2022-03-25 09:29:40 2016-04-22 10:08:04 data_collection show Campbell Oona 0000-0002-9311-0115 TRUE 5631c5c02885f7b982910855e883ffbc Cegolon Luca TRUE 7a498d04ff2d7175ba783643f3122c31 Macleod David 0000-0002-2371-5709 TRUE c5b5e33838dc4dceb66a6aa3cded6cd7 Benova Lenka TRUE 214376d437781c37e6c619154a92e83d London School of Hygiene & Tropical Medicine, London, United Kingdom Length of Stay After Childbirth in 92 Countries and Associated Factors in 30 Low- and Middle-Income Countries: Compilation of Reported Data and a Cross-sectional Analysis from Nationally Representative Surveys EPID EPPH Labor and delivery Labour and delivery Linear regression analysis Birth Cesarean section Infants Background: Following childbirth, women need to stay sufficiently long in health facilities to receive adequate care. Little is known about length of stay following childbirth in low- and middle-income countries or its determinants. Methods and Findings: We described length of stay after facility delivery in 92 countries. We then created a conceptual framework of the main drivers of length of stay, and explored factors associated with length of stay in 30 countries using multivariable linear regression. Finally, we used multivariable logistic regression to examine the factors associated with stays that were “too short” (<24 h for vaginal deliveries and <72 h for cesarean-section deliveries). Across countries, the mean length of stay ranged from 1.3 to 6.6 d: 0.5 to 6.2 d for singleton vaginal deliveries and 2.5 to 9.3 d for cesarean-section deliveries. The percentage of women staying too short ranged from 0.2% to 83% for vaginal deliveries and from 1% to 75% for cesarean-section deliveries. Our conceptual framework identified three broad categories of factors that influenced length of stay: need-related determinants that required an indicated extension of stay, and health-system and woman/family dimensions that were drivers of inappropriately short or long stays. The factors identified as independently important in our regression analyses included cesarean-section delivery, birthweight, multiple birth, and infant survival status. Older women and women whose infants were delivered by doctors had extended lengths of stay, as did poorer women. Reliance on factors captured in secondary data that were self-reported by women up to 5 y after a live birth was the main limitation. Conclusions: Length of stay after childbirth is very variable between countries. Substantial proportions of women stay too short to receive adequate postnatal care. We need to ensure that facilities have skilled birth attendants and effective elements of care, but also that women stay long enough to benefit from these. The challenge is to commit to achieving adequate lengths of stay in low- and middle-income countries, while ensuring any additional time is used to provide high-quality and respectful care. 2016-03-08 completed PLOS Medicine Dataset London School of Hygiene & Tropical Medicine, London, United Kingdom unknown public Dataset Quantitative en Data record - Figshare https://figshare.com/articles/Length_of_Stay_After_Childbirth_in_92_Countries_and_Associated_Factors_in_30_Low_and_Middle_Income_Countries_Compilation_of_Reported_Data_and_a_Cross_sectional_Analysis_from_Nationally_Representative_Surveys/3105706 data Publication - PLOS Medicine https://doi.org/10.1371/journal.pmed.1001972 dataresource Length of Stay After Childbirth in 92 Countries and Associated Factors in 30 Low- and Middle-Income Countries: Compilation of Reported Data and a Cross-sectional Analysis from Nationally Representative Surveys. http://researchonline.lshtm.ac.uk/id/eprint/2537628 2016-03-08