Understanding variation in person-centered maternity care: Results from a household survey of postpartum women in 6 regions of Ethiopia

Stierman, Elizabeth; Zimmerman, Linnea; Shiferaw, Solomon; Seme, Assefa; Ahmed, Saifuddin; Creanga, Andreea A.

doi:10.1016/j.xagr.2022.100140

Cited by 6 publications

(4 citation statements)

References 54 publications

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“…The high prevalence of disrespectful maternity care may be attributed to Ethiopia's maternity care model, which primarily focuses on medical procedures rather than woman-centred approaches [28]. The prevalence of disrespectful maternity care in this study was greater than that reported in studies performed in other regions (Tigray, Amhara, Oromia and Southern Nations, Nationalities and People of Ethiopia) (36%) [19] and northern Ethiopia (22%) [26].…”

Section: Discussioncontrasting

confidence: 66%

“…Approximately three-quarters of respondents in this study (78.2%) reported being treated disrespectfully, which is comparable to the outcomes of similar research conducted in Addis Abeba (79%) the capital city of Ethiopia [ 27 ]. The high prevalence of disrespectful maternity care may be attributed to Ethiopia’s maternity care model, which primarily focuses on medical procedures rather than woman-centred approaches [ 28 ]. The prevalence of disrespectful maternity care in this study was greater than that reported in studies performed in other regions (Tigray, Amhara, Oromia and Southern Nations, Nationalities and People of Ethiopia) (36%) [ 19 ] and northern Ethiopia (22%) [ 26 ].…”

Section: Discussionmentioning

confidence: 99%

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Impact of disrespectful maternity care on childbirth complications: a multicentre cross-sectional study in Ethiopia

Yohannes,

Moti,

Gelan

et al. 2024

BMC Pregnancy Childbirth

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Background Globally, disrespectful, and abusive childbirth practices negatively impact women’s health, create barriers to accessing health facilities, and contribute to poor birth experiences and adverse outcomes for both mothers and newborns. However, the degree to which disrespectful maternity care is associated with complications during childbirth is poorly understood, particularly in Ethiopia. Aim To determine the extent to which disrespectful maternity care is associated with maternal and neonatal-related complications in central Ethiopia. Methods A multicentre cross-sectional study was conducted in the West Shewa Zone of Oromia, Ethiopia. The sample size was determined using the single population proportion formula. Participants (n = 440) were selected with a simple random sampling technique using computer-generated random numbers. Data were collected through face-to-face interviews with a pretested questionnaire and were entered into Epidata and subsequently exported to STATA version 17 for the final analysis. Analyses included descriptive statistics and binary logistic regression, with a 95% confidence interval (CI) and an odds ratio (OR) of 0.05. Co-founders were controlled by adjusting for maternal sociodemographic characteristics. The primary exposure was disrespectful maternity care; the main outcomes were maternal and neonatal-related complications. Results Disrespectful maternity care was reported by 344 women (78.2%) [95% CI: 74–82]. Complications were recorded in one-third of mothers (33.4%) and neonates (30%). Disrespectful maternity care was significantly associated with maternal (AOR = 2.22, 95% CI: 1.29, 3.8) and neonatal-related complications (AOR = 2.78, 95% CI: 1.54, 5.04). Conclusion The World Health Organization advocates respectful maternal care during facility-based childbirth to improve the quality of care and outcomes. However, the findings of this study indicated high mistreatment and abuse during childbirth in central Ethiopia and a significant association between such mistreatment and the occurrence of both maternal and neonatal complications during childbirth. Therefore, healthcare professionals ought to prioritise respectful maternity care to achieve improved birth outcomes and alleviate mistreatment and abuse within the healthcare sector.

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Section: Discussioncontrasting

confidence: 66%

Section: Discussionmentioning

confidence: 99%

Impact of disrespectful maternity care on childbirth complications: a multicentre cross-sectional study in Ethiopia

Yohannes,

Moti,

Gelan

et al. 2024

BMC Pregnancy Childbirth

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“…The aforementioned findings constitute one of the most important contributions of this research, since although they have partially been previously described, 19–22 there is no information on the experiences of indigenous women in Peruvian health institutions, where rigorous protocols are prioritized without a real use of intercultural approach and humanized birth care. It should be noted that said intercultural regulations have existed in Peru since 2005, 12 but until now there has been no evidence of its application in a rural community of Quechua‐speaking indigenous women, located in a distant part of Peru.…”

Section: Discussionmentioning

confidence: 95%

Factors associated with negative birth experience in Peruvian Quechua‐speaking indigenous women in a context of contagion due to COVID‐19

Olaza‐Maguiña,

De La Cruz‐Ramirez

2023

Intl J Gynecology & Obste

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ObjectiveThe aim of this study was to determine the factors associated with negative birth experience in Peruvian Quechua‐speaking indigenous women in the context of contagion due to COVID‐19.MethodsThis was a cross‐sectional study, with 142 women from the Olleros community (Huaraz‐Peru, 3336 m a.s.l.), whose birth occurred between November 2020 and December 2021. Two questionnaires were applied between January and June 2022, prior voluntary informed consent and approval by an ethics committee. The SPSS program version 24 and the odds ratio (OR) were used with 95% confidence interval (CI).ResultsA total of 62.7% of women (89/142) had a negative birth experience. The main factors associated were hospital and biosafety factors, highlighting the restriction to choose the position during birth (OR = 15.64, CI: 1.89–128.99, P = 0.001), care of women in a language other than Quechua (OR = 5.86, CI: 1.51–22.76, P = 0.005) and fear of health personnel when approaching women due to COVID‐19 (OR = 10.61, CI: 3.94–28.56, P < 0.001).ConclusionHospital and biosafety factors are associated with negative birth experience in Peruvian Quechua‐speaking indigenous women, with less emphasis on sociodemographic and obstetric factors. The results found show that, in the case of this research, the negative birth experience is not only due to the restrictions imposed by COVID‐19 pandemic, but also to the limited application of the intercultural approach in Peru, where the opinion of women is not taken into account. In this sense, intervention actions are required through health policies with an intercultural approach that involve the active participation of women.

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“…To date, the PCMC has been translated and validated has been validated across multiple settings including low-, middle-, and high-income countries [ 4 , 26 ], including in India [ 27 ], the United States [ 26 ], Turkey [ 24 ], and Cambodia [ 28 ], Sri Lanka [ 29 ], Nigeria [ 30 ], and Ethiopia [ 31 , 32 ] where it has been found to have good psychometric properties. No study has, however, been conducted to assess the validity and reliability of PCMC in China.The purpose of this study is therefore to translate and determine the reliability and validity of the Chinese version of the PCMC with postpartum women in China.…”

Section: Introductionmentioning

confidence: 99%

Cross-cultural adaptation and psychometric properties of the Chinese version of the Person-Centered Maternity Care Scale

Zhong,

Hu,

Afulani

et al. 2023

BMC Pregnancy Childbirth

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Background Increasing evidence show that women across the world face unacceptable mistreatment during childbirth. Person-centered maternity care is fundamental and essential to quality of healthcare services. The aim of this study was to translate and determine the psychometric properties of the Person-Centered Maternity Care (PCMC) Scale among Chinese postpartum women. Methods A cross-sectional study was conducted among 1235 post-partum women in China. The cross-cultural adaptation process followed the Beaton intercultural debugging guidelines. A total of 1235 women were included to establish the psychometric properties of the PCMC. A demographic characteristics form and the PCMC were used for data collection. The psychometric properties of the PCMC were evaluated by examining item analysis, exploratory factor analysis, known-groups discriminant validity, and internal consistency. Results The number of extracted common factors was limited to three (dignity & respect, communication & autonomy, supportive care), explaining a total variance of 40.8%. Regarding internal consistency, the Cronbach’s alpha coefficient and split-half reliability of the full PCMC score were 0.989 and 0.852, respectively. Conclusions The Chinese version of the PCMC is a reliable and valid tool to assess person-centered care during childbirth in China.

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Understanding variation in person-centered maternity care: Results from a household survey of postpartum women in 6 regions of Ethiopia

Cited by 6 publications

References 54 publications

Impact of disrespectful maternity care on childbirth complications: a multicentre cross-sectional study in Ethiopia

Impact of disrespectful maternity care on childbirth complications: a multicentre cross-sectional study in Ethiopia

Factors associated with negative birth experience in Peruvian Quechua‐speaking indigenous women in a context of contagion due to COVID‐19

Cross-cultural adaptation and psychometric properties of the Chinese version of the Person-Centered Maternity Care Scale

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