Maternal and Child Health Research Centre, Institute for Health Research, University of Bedfordshire, Putteridge Bury, Hitchin Road, Luton, Bedfordshire, LU2 8LE, UK.
School of Health Care Practice, University of Bedfordshire, Luton, Bedfordshire, UK.
Int J Public Health. 2019 Dec;64(9):1291-1299. doi: 10.1007/s00038-019-01306-0. Epub 2019 Oct 31.
To explore healthcare providers' perspectives of disrespect and abuse in maternity care and the impact on women's health and well-being.
Qualitative interpretive approach using in-depth semi-structured interviews with sixteen healthcare providers in two public health facilities in Nigeria. Interviews were audio-recorded, transcribed, and analysed thematically.
Healthcare providers' accounts revealed awareness of what respectful maternity care encompassed in accordance with the existing guidelines. They considered disrespectful and abusive practices perpetrated or witnessed as violation of human rights, while highlighting women's expectations of care as the basis for subjectivity of experiences. They perceived some practices as well-intended to ensure safety of mother and baby. Views reflected underlying gender-related notions and societal perceptions of women being considered weaker than men. There was recognition about adverse effects of disrespect and abuse including its impact on women, babies, and providers' job satisfaction.
Healthcare providers need training on how to incorporate elements of respectful maternity care into practice including skills for rapport building and counselling. Women and family members should be educated about right to respectful care empowering them to report disrespectful practices.
探讨医疗保健提供者对产妇保健中不尊重和虐待行为的看法，以及这些行为对妇女健康和福祉的影响。
采用定性解释方法，对尼日利亚两家公立医疗机构的 16 名医疗保健提供者进行了深入的半结构化访谈。对访谈进行了录音、转录和主题分析。
医疗保健提供者的叙述表明，他们意识到了尊重产妇护理所包含的内容，符合现有指南。他们认为不尊重和虐待行为是侵犯人权的行为，同时强调了妇女对护理的期望是主观体验的基础。他们认为一些做法是出于确保母婴安全的良好意愿。这些观点反映了与性别相关的观念和社会对妇女被认为比男性更脆弱的看法。人们认识到不尊重和虐待的不良影响，包括对妇女、婴儿和提供者工作满意度的影响。
医疗保健提供者需要接受培训，了解如何将尊重产妇护理的要素纳入实践，包括建立融洽关系和咨询的技能。应教育妇女和家庭成员享有尊重护理的权利，使她们能够报告不尊重的行为。
