Gender and Women's Health Unit, Centre for Health Equity, University of Melbourne School of Population and Global Health, 207 Bouverie Street, Carlton, VIC 3053, Australia.
UNDP/UNFPA/UNICEF/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP), Department of Sexual and Reproductive Health and Research, World Health Organization, Avenue Appia 20 1202 Geneva, Switzerland.
Best Pract Res Clin Obstet Gynaecol. 2020 Aug;67:113-126. doi: 10.1016/j.bpobgyn.2020.02.005. Epub 2020 Feb 21.
Respectful maternity care is recommended by the World Health Organization and refers to care that maintains dignity, privacy, confidentiality, ensures freedom from harm and mistreatment, and enables informed choice and continuous support during labour and childbirth. In this paper, we review the evidence of respectful maternity care and discuss considerations for professional practice for health care providers. While there is limited evidence on what type of interventions can improve respectful maternity care, promising skills development for providers has included training on values, transforming attitudes, and interpersonal communication. Within a health facility, enabling environments may be created by setting up quality improvement teams, monitoring experiences of poor treatment, mentorship, and improved working conditions for staff. In order to provide respectful care, health facilities and health systems must be structured in a way that supports and respects providers, and ensures adequate infrastructure and organisation of the maternity ward.
世界卫生组织建议提供尊重产妇的护理，这种护理指的是维护尊严、保护隐私、确保保密、确保免受伤害和虐待、并在分娩和分娩期间能够做出明智的选择和持续支持的护理。本文回顾了尊重产妇护理的证据，并讨论了卫生保健提供者专业实践的注意事项。虽然关于哪种类型的干预措施可以改善尊重产妇护理的证据有限，但对提供者进行有前途的技能发展包括价值观培训、改变态度和人际沟通。在医疗机构内，可以通过设立质量改进团队、监测不良待遇的体验、指导和改善员工的工作条件来创造有利的环境。为了提供尊重的护理，医疗机构和卫生系统必须以支持和尊重提供者并确保产妇病房有足够的基础设施和组织的方式进行构建。
