Pathak Pratima, Ghimire Bijaya
Nepal Medical College, Department of Nursing, Kathmandu University, P. O. Box 13344, Fax No. 977-1-4912118, Jorpati, Kathmandu, Nepal.
Obstet Gynecol Int. 2020 Jul 4;2020:5142398. doi: 10.1155/2020/5142398. eCollection 2020.
Respectful care during childbirth has been described as "a universal human right that encompasses the principles of ethics and respect for women's feelings, dignity, choices, and preferences." Many women experience a lack of respectful and abusive care during childbirth across the globe.
This study aimed to determine women's perception of respectful maternity care (RMC) during facility-based childbirth.
A descriptive cross-sectional study was conducted among 150 mothers admitted to the maternity ward of Nepal Medical College and Teaching Hospital using a purposive sampling technique. Data were collected through an interview technique by using a validated tool containing 15 items each measured on a scale of 5. Statistical Package for Social Science (SPSS) version 16 was used for data analysis. Frequency, percentage, mean score, standard deviation, chi-square test, and binary logistic regression were used to analyze descriptive and inferential statistics.
In total, 84.7% of the women reported that they have experienced overall RMC services with a mean score ± SD (61.70 ± 12.12). Though the majority of the women reported that they have experienced RMC services, they also revealed that they have experienced disrespectful care in various forms such as being shouted upon (30.0%), being slapped (18.7%), delayed service provision (22.7%), and not talking positively about pain and relief during childbirth (28.0%). Likewise, length of stay, parity, and time of delivery were found as factors that influenced friendly care (COR = 0.383, 95% CI: 0.157-0.934), abuse-free care (COR = 3.663, 95% CI: 1.607-8.349), and timely care (COR = 2.050, 95% CI: 1.031-4.076) dimensions of RMC, respectively.
Even though RMC emphasizes eliminating disrespectful and abusive environment from health facilities, 15.0% of participants perceived that they have not experienced overall RMC services. So, the health facility should focus on the interventions which ensure that every woman receives this basic human dignity during one of the most vulnerable times in their lives.
分娩期间的尊重性照护被描述为“一项普遍的人权，涵盖伦理原则以及对女性情感、尊严、选择和偏好的尊重”。全球许多女性在分娩期间经历了缺乏尊重和虐待性的照护。
本研究旨在确定女性在医疗机构分娩期间对尊重性孕产照护（RMC）的认知。
采用目的抽样技术，对尼泊尔医学院教学医院产科病房收治的150名母亲进行了描述性横断面研究。通过访谈技术，使用一个经过验证的包含15个条目的工具收集数据，每个条目按5分制进行测量。使用社会科学统计软件包（SPSS）16版进行数据分析。频率、百分比、平均分、标准差、卡方检验和二元逻辑回归用于分析描述性和推断性统计数据。
总体而言，84.7%的女性报告称她们体验过整体的RMC服务，平均分±标准差为（61.70±12.12）。尽管大多数女性报告称她们体验过RMC服务，但她们也透露，她们经历过各种形式的不尊重照护，如被大声呵斥（30.0%）、被扇耳光（18.7%）、服务提供延迟（22.7%）以及在分娩期间未积极谈论疼痛和缓解情况（28.0%）。同样，住院时间、产次和分娩时间被发现分别是影响RMC的友好照护（校正比值比=0.383，95%置信区间：0.157 - 0.934）、无虐待照护（校正比值比=3.663，95%置信区间：1.607 - 8.349）和及时照护（校正比值比=2.050，95%置信区间：1.031 - 4.076）维度的因素。
尽管RMC强调消除医疗机构中不尊重和虐待性的环境，但15.0%的参与者认为她们没有体验过整体的RMC服务。因此，医疗机构应专注于采取干预措施，确保每位女性在其生命中最脆弱的时期之一能获得这种基本的人类尊严。
