Every woman in the world must have respectful care during childbirth: a reflection

Belizán, José M.; Miller, Suellen; Williams, Caitlin R.; Pingray, Verónica

doi:10.1186/s12978-020-0855-x

Cited by 13 publications

(8 citation statements)

References 18 publications

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“…In Latin America and the Caribbean, efforts to ensure respectful maternity care began in the 1970s 5 . Following the issuing of the Ceará Declaration in 2000, birth advocates and public health researchers worked in tandem to support the passage of laws enshrining the rights of childbearing persons 6 .…”

Section: Introductionmentioning

confidence: 99%

“…4 In Latin America and the Caribbean, efforts to ensure respectful maternity care began in the 1970s. 5 Following the issuing of the Ceará Declaration in 2000, birth advocates and public health researchers worked in tandem to support the passage of laws enshrining the rights of childbearing persons. 6 In Argentina, obstetric violence is addressed by the Humanized Birth Law, the Law against Gender Violence, and Safe and Family-Centered Maternities program, a public policy that stimulates respect for and protection of birthing individuals' rights.…”

Section: Introductionmentioning

confidence: 99%

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Observations and reports of incidents of how birthing persons are treated during childbirth in two public facilities in Argentina

Correa

Klein

Ceballos-Vásquez

et al. 2021

Intl J Gynecology & Obste

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Objective: This study sought to estimate the frequency and types of mistreatment during childbirth and explore health professionals' opinions on barriers/facilitators to providing respectful childbirth care.Methods: This prospective mixed-methods investigation consisted of direct observations of childbirth (n = 250), at-home surveys with birthing individuals (n = 45), and qualitative in-depth health staff interviews (n = 6), conducted between January and July 2019, in two public facilities in Argentina. Frequencies of clinical practices and mistreatment and 5% confidence intervals were calculated. A logistic regression analysis was also conducted to examine associations between mistreatment and covariates of interest, with P < 0.05 considered statistically significant.Results: Overall, 61/250 (24.4%, confidence interval 19.6%-30.6%) observations recorded instances of mistreatment; 20/45 surveyed participants (44.4%) reported at least one episode of mistreatment. The most frequent perpetrators were physicians (35.6%), birth companions (24.4%), midwives (22.2%), and nurses (13.3%). Participants with lower educational attainment and those racialized as non-white had higher odds of being mistreated. Health providers reported that respectful childbirth is currently widely implemented due to authorities' and communities' awareness on respectful birth´s rights. Conclusion:Almost a quarter of birthing people were observed to suffer mistreatment -primarily verbal abuse -and 44.4% of surveyed individuals reported mistreatment.Future research is needed to determine how to ensure the provision of respectful childbirth care for all.A quarter of participants experienced mistreatment; mostly those with lower educational attainment and/or racialized as non-white. Further research on implementation of respectful childbirth is warranted.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Observations and reports of incidents of how birthing persons are treated during childbirth in two public facilities in Argentina

Correa

Klein

Ceballos-Vásquez

et al. 2021

Intl J Gynecology & Obste

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show abstract

“…Respectful care is a fundamental human right and necessary in promoting maternal and child healthcare services utilisation [ 65 ]. It forms a central component of family-centred care which focuses on the positive aspects of care that patients and their families deserve [ 66 , 67 ]. Respect and dignity, as well as effective communication form vital components of quality care in a health system [ 65 ].…”

Section: Discussionmentioning

confidence: 99%

Socio-cultural barriers to the delivery and utilisation of child healthcare services in rural Ghana: a qualitative study

Nyande

Ricks

Williams

et al. 2022

BMC Health Serv Res

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Background Over half of global deaths among children under five years of age occur in sub-Saharan Africa. Prompt and consistent access to and utilisation of child healthcare services improves child health outcomes. However, socio-cultural barriers impede the utilisation of child healthcare services among rural dwellers in Ghana. There is a paucity of studies that explore the experiences of nurses and caregivers regarding the socio-cultural barriers to the delivery and utilisation of child healthcare services in rural areas in Ghana such as the Nkwanta South Municipality. Purpose The purpose of this study was to explore the experiences of nurses and caregivers regarding the socio-cultural barriers that impede the delivery and utilisation of child healthcare services by caregivers for their children in the Nkwanta South Municipality, Ghana. Methods Data were collected through semi-structured interviews conducted with a purposive sample of ten nurses and nine caregivers of children under five years of age who utilised the available child healthcare services in a rural setting. The consent of all participants was sought and given before interviews were conducted. Data analysis entailed coding and the generation of themes the codes. Results The exploration of experiences of nurses and caregivers of children under-five years of age revealed that certain socio-cultural beliefs and practices, language barriers and reliance of caregivers on self-medication were the main socio-cultural barriers that impeded the delivery and utilisation of child healthcare services in the Nkwanta South Municipality. Conclusion Nurses and caregivers experienced several socio-cultural barriers which either delayed care seeking by caregivers for their sick children or interfered with the smooth and prompt delivery of needed child healthcare services by nurses. Some of the barriers negatively affected the interaction between nurses and caregivers with the tendency to affect subsequent child healthcare service utilisation. It is recommended that healthcare managers and nurses should foster close collaboration with caregivers and community leaders to address these socio-cultural barriers and facilitate prompt and consistent utilisation of child healthcare service in rural areas.

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“…These perspectives are evidence of the entrenched power imbalance between health providers and clients, particularly in low-resource settings. 22 In contrast, Swedish women described their childbirth process as respectful when they were fully engaged and participated in the decisions regarding their birth. 2 A study of post-partum women in Nigeria reported that many had not given consent for episiotomy during labour and they judged this as mistreatment.…”

Section: Discussionmentioning

confidence: 99%

A qualitative inquiry into pregnant women’s perceptions of respectful maternity care during childbirth in Ibadan Metropolis, Nigeria

Esan

Maswime

Blaauw

2022

Sexual and Reproductive Health Matters

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Women’s perceptions of respectful maternity care (RMC) are critical to its definition and measurement globally. We evaluated these in relation to globally defined RMC norms. We conducted a descriptive study involving eight focus group discussions with 50 pregnant women attending antenatal clinic at one primary and one secondary health facility each in the North-west and South-west local government areas of Ibadan Metropolis, Nigeria. One focus group each with primigravidae and multiparas were held per facility between 21 and 25 October 2019. Shakibazadeh et al’s 12 domains of RMC served as the thematic framework for data analysis. The women’s perceptions of RMC resonated well with seven of its domains, emphasising provider-client inter-personal relationships, preserving their dignity, effective communication, and non-abandonment of care, but with mixed perceptions for two domains. However, their perceptions deviated for four domains, namely maintaining privacy and confidentiality; ensuring continuous access to family support such as birth companions; obtaining informed consent; and respecting women’s choices about mobility during labour, food and fluid intake, and birth position. The physical environment was not mentioned as contributing to an experience of RMC. Whilst the perceptions of the Nigerian women studied about RMC were similar to those accepted internationally, there were significant deviations which may be related to cultural differences and societal disparities. Different interpretations of RMC may influence women’s demand for such care in different settings and challenge strategies for promoting a universal standard of care.

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Every woman in the world must have respectful care during childbirth: a reflection

Cited by 13 publications

References 18 publications

Observations and reports of incidents of how birthing persons are treated during childbirth in two public facilities in Argentina

Observations and reports of incidents of how birthing persons are treated during childbirth in two public facilities in Argentina

Socio-cultural barriers to the delivery and utilisation of child healthcare services in rural Ghana: a qualitative study

A qualitative inquiry into pregnant women’s perceptions of respectful maternity care during childbirth in Ibadan Metropolis, Nigeria

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