Assessment of respectful maternity care during childbirth: Experiences among mothers in Manipur

Rajkumari, Bishwalata; Devi, Ningthoukhonjam Shugeta; Ningombam, Joenna; Ingudam, Dayananda

doi:10.4103/ijph.ijph_430_19

Cited by 10 publications

(6 citation statements)

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“…In studies conducted elsewhere, it ranged from 77.2 to 98%. [ 8 9 10 11 12 13 ] This may be due to the inclusion of facility and environment in the calculation of disrespect and abuse which remains inadequate because of low resource in public hospital setting.…”

Section: Discussionmentioning

confidence: 99%

“…More than one-third (37.5%) of the respondents reported that there was no adequate water in the facility. Poor maintenance of facility and environment (77.5%) constituted a major proportion according to Rajkumari B et al ,[ 11 ] but studies conducted elsewhere[ 23 24 25 ] reported a much lower proportions which may be due to disparity in the type of facility and availability better infrastructure in the larger states.…”

Section: Discussionmentioning

confidence: 99%

“…There are few studies in India and elsewhere[ 8 9 10 11 12 13 ] which highlighted disrespect and abuse to pregnant women delivering at health facilities. Disrespect and abuse of women during labour, childbirth and immediate postpartum period in health facilities is one of the reasons which deter them from further utilizing maternal health care services.…”

Section: Introductionmentioning

confidence: 99%

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Respectful maternity care during childbirth: Experiences and observation among mothers in a tertiary-care institute in Manipur

Devi,

Meetei,

Suriya

et al. 2024

Journal of Family Medicine and Primary Care

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Background: Respectful maternity care (RMC) refers to the humane and dignified treatment of a childbearing woman throughout her pregnancy, childbirth and immediate postpartum period. Disrespect and abuse of women during labour, childbirth and immediate postpartum period in health facilities is one of the reasons which deter them from further utilizing maternal healthcare services. The present study was thus undertaken to determine to what extent RMC practices are being followed in a health facility in Manipur. Materials and Methods: A cross-sectional study was conducted from May 2022 to August 2022 in a Health facility among women coming for institutional delivery along with direct observations of the labour room. The study tool comprises a semistructured questionnaire related to respectful maternity care which was adapted from the Person-Centered Maternity Care Scale, a validated instrument. The direct observation method was carried out using a checklist adapted from a standardized tool developed by the United States Agency for International Development (USAID). Descriptive statistics were generated and approval of the study was obtained from the Institutional Ethics Committee. Results: A total of 336 (99.1%) women reported at least one form of disrespect or abuse during childbirth. Maximum abuse (91.4%) was reported in the facility and environment domain. Direct observation done on 22 deliveries in the labour room found that 72.7% of the women experienced at least one form of disrespect and abuse. Two (9.1%) women were observed to face physical force or abusive behaviour. Conclusion: Almost all the women reported at least one form of disrespect or abuse during childbirth. There is a need to improve the health facilities and women need to be treated with dignity and respect as it is being violated according to the findings in many studies as with ours.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Respectful maternity care during childbirth: Experiences and observation among mothers in a tertiary-care institute in Manipur

Devi,

Meetei,

Suriya

et al. 2024

Journal of Family Medicine and Primary Care

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“…Ce constat est similaire aux résultats d’une revue systématique, avec une prévalence combinée de 44% du manque de respect et de la maltraitance des femmes pendant l’accouchement dans les établissements de santé en Afrique subsaharienne. 34 Au Nigeria, 62% avaient subi au moins une forme de manque de respect pendant l’accouchement, 35 65% au Ghana, 36 97% en Inde, 37 98% en Palestine, 38 et 78% en Éthiopie. 39 …”

Section: Discussionunclassified

“…This observation is in line with the results of a systematic review, with a combined prevalence of 44% for lack of respect and mistreatment of women during childbirth in healthcare facilities in sub-Saharan Africa. 34 In Nigeria, 62% had experienced at least one form of disrespect during childbirth, 35 65% in Ghana, 36 97% in India, 37 98% in Palestine, 38 and 78% in Ethiopia. 39 The perception of mistreatment during childbirth can have long-term effects on the self-esteem of the affected women and could influence their decision regarding another pregnancy.…”

Section: Discussionmentioning

confidence: 99%

L’expérience de l’accouchement en milieu surveillé dans la province d’Essaouira au Maroc: Quelle réalité?

Kajjoune,

de Brouwere,

Manoussi

et al. 2023

Sexual and Reproductive Health Matters

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Résumé Une expérience positive de l’accouchement (EPA) est fondamentale pour des soins maternels de qualité. Toutefois, de nombreuses femmes subissent des comportements non respectueux lors de ce moment crucial. Au Maroc, peu d’études ont mesuré cette expérience, et les éléments l’influençant demeurent insuffisamment documentés. Nous avons conduit une recherche mixte dans la province d’Essaouira entre avril et décembre 2021. Notre enquête, basée sur un questionnaire, a sollicité l’avis de 240 femmes issues de huit centres de santé choisis au hasard. Par ailleurs, des entretiens semi-directifs ont été conduits avec 20 femmes, 47 professionnels de santé et quatre responsables administratifs. Les données quantitatives ont été soumises à des analyses descriptives, bi- et multivariées, tandis que les entretiens ont été analysés selon une approche de contenu thématique. Les données révèlent que 59.2% des participantes ont eu une expérience défavorable lors de leur dernier accouchement. Parmi elles, la majorité a déploré des soins non consentis (86.7%), un manque de respect de leur intimité (45.4%) et des abus verbaux (25%). L’EPA était principalement associée à la qualité de l’environnement de l’accouchement, au soutien pour l’allaitement, à la propreté des installations, au type d’établissement (privé) et à l’absence de complications médicales pendant le travail. Les entretiens ont révélé que le manque de motivation des professionnels de santé, l’absence de formation continue appropriée et des lacunes organisationnelles et managériales ont affecté l’EPA. Notre étude souligne le besoin crucial de formation continue axée sur le respect des patients, l’éthique et la déontologie, et met en lumière l’importance d’une politique motivante pour les professionnels de santé, notamment dans le secteur public.

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Development and validation of questionnaire assessing the perception of hospital patient safety practices in public health facilities of India

Krishnamoorthy

Samuel

Elangovan

et al. 2022

International Journal for Quality in Health Care

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Background In ‘‘To Err is Human’’ released by the Institute of Medicine Committee on Quality of Health Care, it was emphasized that it is important to establish a safety culture in the hospitals and ensure that the patients are not inadvertently harmed by the errors. Hence, we developed and validated a questionnaire for assessing the perception of patient safety practices across the secondary and tertiary care facilities in India. Methods The scale was developed based on literature review and expert opinion. It consisted of 10 questions and response to these items were based on a 5-point Likert scale ranging from “strongly agree” to “strongly disagree”. All the analysis was performed using STATA version 14.2 software. Exploratory factor analysis (EFA) was run using principal components analysis with oblique Promax rotation, and confirmatory factor analysis (CFA) using structural equation modelling with maximum likelihood estimation. Results The entire dataset was split into testing set to run EFA (with 692 participants) and validation set to run CFA (with 645 participants). In EFA, two factors were retained as they had eigenvalue more than one (4.76, 1.09) and the scree plot also showed that the slope flattens off after two factors. Factor loadings were generated using oblique promax rotation. Factor 1 consisted of seven items (Item 1, Item 2, Item 3, Item 4, Item 5, Item 6, Item 7 – questions related to patient-doctor communication, hospital environment and procedures) accounting for 47.6% of variance, and Factor 2 had three items (Item 8, Item 9, Item 10 – infection prevention and control practices in hospital) explaining 10.9% of the variance. Thus, together the two factors explained 58.5% of the variance. CFA revealed good confirmatory fit indices of 0.85, standardized root mean square residual of 0.07 and acceptable Tucker-Lewis Index of 0.80. The reliability coefficient was 0.88 indicating very good internal consistency. Conclusion This study develops and validates a scale that can be used universally for assessing the patients’ perception on hospital safety practices across secondary and tertiary care facilities in India.

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Assessment of respectful maternity care during childbirth: Experiences among mothers in Manipur

Cited by 10 publications

References 0 publications

Respectful maternity care during childbirth: Experiences and observation among mothers in a tertiary-care institute in Manipur

Respectful maternity care during childbirth: Experiences and observation among mothers in a tertiary-care institute in Manipur

L’expérience de l’accouchement en milieu surveillé dans la province d’Essaouira au Maroc: Quelle réalité?

Development and validation of questionnaire assessing the perception of hospital patient safety practices in public health facilities of India

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