Hajizadeh Khadije, Vaezi Maryam, Meedya Shahla, Mohammad Alizadeh Charandabi Sakineh, Mirghafourvand Mojgan
Midwifery Students' Research Committee, Midwifery Department, Tabriz University of Medical sciences, Tabriz, Iran.
Fellowship of gynecology oncology, Alzahra teaching hospital, Tabriz University of Medical Sciences, Tabriz, Iran.
BMC Pregnancy Childbirth. 2020 Aug 17;20(1):468. doi: 10.1186/s12884-020-03118-0.
Intrapartum respectful maternity care is defined as a fundamental human right that can affect the mother's experiences. This study aimed to determine the status of respectful maternity care and its relationship with childbirth experience among Iranian women.
This prospective cohort study recruited 334 postpartum women in postpartum wards of two public and four private hospitals in Tabriz, Iran. Quota sampling was used based on the number of births in each hospital. Data were collected through interviews with the use of the following tools: sociodemographic and obstetrics characteristics questionnaire, respectful maternity care scale (6 to 18 h postpartum), and childbirth experience questionnaire (30 to 45 days postpartum). The General Linear Model was used to determine the relationship between respectful maternity care and childbirth experience.
The mean respectful maternity care score was 62.58 with a range of 15 to 75, and the total childbirth experience score was 3.29 with a range of 1 to 4. After adjusting for sociodemographic and obstetrics characteristics, a statistically significant direct correlation was found between respectful maternity care and a positive childbirth experience (P < 0.001).
The findings reveals a direct relationship between respectful maternity care and positive childbirth experience. Therefore, it is recommended that mangers and policy makers in childbirth facilities reinforce facilitating a respectful maternity care to improve women's child birth experience and prevent potential adverse effects of negative childbirth experiences.
分娩期间的尊重孕产妇护理被定义为一项可影响母亲体验的基本人权。本研究旨在确定伊朗女性中尊重孕产妇护理的现状及其与分娩体验的关系。
这项前瞻性队列研究在伊朗大不里士的两家公立医院和四家私立医院的产后病房招募了334名产后妇女。根据每家医院的分娩数量采用配额抽样。通过使用以下工具进行访谈收集数据：社会人口统计学和产科特征问卷、尊重孕产妇护理量表（产后6至18小时）以及分娩体验问卷（产后30至45天）。采用一般线性模型来确定尊重孕产妇护理与分娩体验之间的关系。
尊重孕产妇护理的平均得分为62.58，范围为15至75，分娩体验的总分为3.29，范围为1至4。在对社会人口统计学和产科特征进行调整后，发现尊重孕产妇护理与积极的分娩体验之间存在统计学上显著的直接相关性（P < 0.001）。
研究结果揭示了尊重孕产妇护理与积极分娩体验之间的直接关系。因此，建议分娩机构的管理人员和政策制定者加强促进尊重孕产妇护理，以改善女性的分娩体验并预防负面分娩体验的潜在不利影响。
