Assessing quality of maternity care in Hungary: expert validation and testing of the mother-centered prenatal care (MCPC) survey instrument

Rubashkin, Nicholas; Szebik, Imre; Baji, Petra; Szántó, Zsuzsa; Susánszky, Éva; Vedam, Saraswathi

doi:10.1186/s12978-017-0413-3

Cited by 15 publications

(16 citation statements)

References 33 publications

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“…It is difficult to compare the overall level of violations from this study with other studies due to different research criteria and study instruments Although in Poland there has been reports of situations described by Bowser, such as sexual violence, delivery without attendant or dirty beds on the obstetrics ward [6], our study found that the majority of reported abuse was associated with lack of informed consent for medical and obstetric examinations or treatment. An Hungarian study examined consent for performing an episiotomy and found that 62% of Hungarian were not asked for informed consent prior to receiving an episiotomy [33, 34], in our Polish study this percentage was 30.5%.…”

Section: Discussionmentioning

confidence: 63%

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Is there respectful maternity care in Poland? Women’s views about care during labor and birth

Baranowska

Doroszewska

Kubicka-Kraszyńska³

et al. 2019

BMC Pregnancy Childbirth

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BackgroundAbuse against women in labor starts with subtle forms of discrimination that can turn into overt violence. Therefore it is crucial to work towards prevention and elimination of disrespect and ill-treatment in medical facility perinatal care in which staff allows such abuse.The aim of the study was to analyze the experiences of women related to perinatal care. Special emphasis was put on experiences that had traits indicating disrespectful and offensive care during childbirth in medical facilities providing perinatal care.MethodsThis was a cross-sectional survey. A questionnaire was prepared for respondents who gave birth in medical facilities. Information about the study was posted on the website of a non-governmental foundation dealing with projects aimed at improving perinatal care. The respondents gave online consent for processing the submitted data. 8378 questionnaires were submitted. The study was carried out between February 06 and March 20, 2018. The results were analyzed using the Chi-square independence test. The analysis was carried out at the significance level of 0.05 in Excel, R and SPSS.ResultsDuring their hospital stay, 81% of women in the study experienced violence or abuse from medical staff on at least one occasion. The most common abuse was having medical procedures without prior consent. Inappropriate comments made by staff related to their own or a woman’s situation were reported in 25% of situations, whilst 20% of women experienced nonchalant treatment. In the study 19.3% of women reported that the staff did not properly care for their intimacy and 1.7% of the respondents said that the worst treatment was related to feeling anonymous in the hospital.ConclusionsThe study shows that during Polish perinatal care women experience disrespectful and abusive care. Most abuse and disrespect involved violation of the right to privacy, the right to information, the right to equal treatment, and the right to freedom from violence. The low awareness of abuses and complaints reported in the study may result from women’s ignorance about relevant laws related to human rights.

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Section: Discussionmentioning

confidence: 63%

“…Payment for care processes vary across studies. Research in Serbia, Ukraine and Hungary indicate an informal system of fees for the choice of a doctor during labor, helping to facilitate more dignified care [34–36]. In our study 9.8% respondents declared that they had to pay during the stay in a hospital.…”

Section: Discussionmentioning

confidence: 66%

Is there respectful maternity care in Poland? Women’s views about care during labor and birth

Baranowska

Doroszewska

Kubicka-Kraszyńska³

et al. 2019

BMC Pregnancy Childbirth

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“…The results showed that the tool had a Context validity of 98%. Compared to the tool used in the present study, it had the same differences of Taavoni's study regarding to the number of items asked, the different community, the likelihood of bias, and the time taken to complete the questionnaire were presented (12).…”

Section: Discussionmentioning

confidence: 99%

“…The RMC Questionnaire is a 15-items questionnaire, which is classi ed into four subscales on the basis of a 5-point Likert scale including; strongly agree (5), agree (4), don't know (3), disagree (2), and strongly disagree (1). The questionnaire included 4 dimensions of friendly care ( rst 7 questions), non-discriminatory care (questions 8, 9, 10), free care (questions 11,12,13) and timely care (questions 14, 15). At the beginning, the original questionnaire was translated to Persian from English (Forward translation-FWT).…”

Section: Questionnaire/tool and Translating Proceduresmentioning

confidence: 99%

Psychometric properties of a Persian version of Respectful Maternity Care Questionnaire

Esmkhani

Namadian

Nooroozy

2020

Preprint

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Background: Getting a high quality and respectful care during pregnancy and delivery is one of the ways to reduce complications in women. Respectful care is a type of care that requires a valid instrument to measure. This study was conducted to determine the validity and reliability of the Persian version of the Respectful Maternity Care (RMC) questionnaire in 2018.Methods: This study was performed on 150 women (In the first 48 hours after delivery), who were admitted in the postpartum wards of public hospitals from 1st January until 6th April 2018 in Zanjan city in Iran. Participants were selected randomly using Poisson distribution (Time) sampling method. After receiving the permission from the questionnaire’s author, the internal consistency of the tool was measured by Cronbach's alpha coefficient after the Forward translation of Persian version of the tool under the supervision of experts. The reliability of the modified questionnaire was assessed using a test-retest method in 10 eligible postpartum women, who completed the same questionnaire after 72 hours again. The validity of the tool was confirmed by exploratory and confirmatory factor analysis using LISREL and SPSS soft wares. Results: The original RMC tool was achieved an overall high internal reliability (α =0.839). Confirmatory factor analysis of original RMC scores demonstrated poor fit indices. In LISREL proposed paths for model, one item was excluded and a re-exploratory factor analysis was performed with the remaining 14 items. Four new subscales were defined for the revised tool including Abusive Care, Effective Care, Friendly Care, and Respectful Communication , which explained 60% of the variance. Conclusions: The revised included four subscales of Abusive Care, Effective Care, Friendly Care, and Respectful Communication in 14 items which explained 60% of the variance. Given the importance of providing a high quality care in maternity, and variety of cultures and service delivery in different countries, further researches are needed on this RMC tool to be used in maternity care in different places.

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“…Appropriate and reliable tools must be used for accurate measurement of any study subject (9). The questionnaires available to measure mothers' perceptions of postpartum care are all designed and used to evaluate postpartum nursing care in the hospital only (2,5,10); whereas, most of postpartum and child care is provided at health centers. Patient-centered reproductive care has been recognized as an important factor in improving overall reproductive health.…”

Section: Introductionmentioning

confidence: 99%

Design and Psychometric Evaluation of Mothers' Perception of Postpartum Care in Comprehensive Health Centers

Vizeshfar

Ahmadinezhad

Pakniat

2020

Preprint

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Background: In order to properly evaluate postpartum services in comprehensive health centers, encouraging women to use these services and presence of a reliable and valid tool, is necessary to design and assess mothers' perceptions of postpartum care.Aim: Designed to evaluate the psychometric dimensions of Iranian version of Mothers' Perception of Postpartum Health care Questionnaire at Comprehensive Health Centers. Methods: This is a cross-sectional study. The verbatim translation was used to translate the questionnaire from English to Persian. Face, content, and structural validity as well as reliability of the questionnaire were evaluated. Findings: The results showed that the face, content, and structure validity as well as reliability of this questionnaire to be appropriate. The calculated Cronbach's alpha coefficient for the whole questionnaire was 0.668. Interclass correlation coefficient was 0.688, which confirmed divergent validity.Conclusion: Mothers' Perception of Postpartum Health care Questionnaire at Comprehensive Health Centers is a valid and reliable questionnaire to measure mothers’ perceptions of these vital services.

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Assessing quality of maternity care in Hungary: expert validation and testing of the mother-centered prenatal care (MCPC) survey instrument

Cited by 15 publications

References 33 publications

Is there respectful maternity care in Poland? Women’s views about care during labor and birth

Is there respectful maternity care in Poland? Women’s views about care during labor and birth

Psychometric properties of a Persian version of Respectful Maternity Care Questionnaire

Design and Psychometric Evaluation of Mothers' Perception of Postpartum Care in Comprehensive Health Centers

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