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Table 2 Example activities obstetric care navigator identified by mothers, physicians, nurses, and social workers

From: Improving the experience of facility-based delivery for vulnerable women through obstetric care navigation: a qualitative evaluation

  Obstetric Care Navigator Tasks
Coordinate Navigate complex hospital workflows
Facilitate transfer between levels of care (primary to tertiary referral)
Bring prior labs and imaging results
Purchase medications and supplies stocked out of public system
Bring patient samples to outside laboratory (if not available in public system)
Coordinate transportation from rural villages to hospital
Communicate Language interpretation between mothers and medical providers
Cultural interpretation between mothers and medical providers
Contextualize limitations faced by medical providers for mothers and families
Provide updates to family and traditional birth attendant
Support Continuous labor support (e.g. verbal encouragement)
Coach patient through uncomfortable procedures (e.g. cervical exam)
Companionship during hospitalization
Emotional support (e.g. express empathy, reassurance)
Take steps to protect patient dignity (e.g. shielding mother while she changes into a gown in public labor ward)
Advocate Alert nurses and doctors to mother’s needs
Encourage mothers to accept necessary interventions (ex: cervical exam)
Speak on behalf of mothers (e.g. reinforce refusal of Cesarean delivery)
Prevent or deflect mistreatment
  1. Specific obstetric care navigator roles identified through qualitative interviews (right column) fell into four broad categories (left column)