Kaphle Sabitra, Vaughan Geraldine, Subedi Madhusudan
Central Queensland University, School of Health, Medical and Applied Sciences, Melbourne, VIC, 3000, Australia.
Central Queensland University, School of Health, Medical and Applied Sciences, Sydney, NSW, 2000, Australia.
Int J Womens Health. 2022 Jul 7;14:847-879. doi: 10.2147/IJWH.S341907. eCollection 2022.
Respectful maternity care encompasses the right to continuity of care and dignified support for women during the reproductive period, enabling informed choice. However, the evidence is limited in the context of South Asia region where maternal, perinatal and newborn mortality is still a critical challenge to health systems. Evidence is required to better understand the context of respectful maternity care to inform directions for appropriate policy and practice.
The objective of this scoping review was to explore facilitators and barriers of respectful maternity care practice in South Asia.
CINAHL, EMBASE, PubMed, Medline, SCOPUS and Cochrane databases were used to identify related studies. Data were systematically synthesized and analysed thematically.
There was considerable heterogeneity in the 61 included studies from seven South Asian countries, with most of the research conducted in Nepal and India. While the experience of abuse and neglect was common, 10 critical themes emerged related to neglected choices and compromised quality of care (particularly where there were health inequities) in the context of institutional care experiences; and the imperative for improved investment in training and significant policy and legislative change to enforce equitable and respectful maternity care practice.
Evidence about respectful maternity care in South Asia indicates that women accessing professional and facility-based services experienced high levels of disrespect, abuse and maltreatment. Women from vulnerable, socially disadvantaged and economically poor backgrounds were more likely to experience higher level abuse and receive poor quality of care. There is an urgent need for a well-resourced, sustained commitment to mandate and support the provision of respectful and equitable maternity care practice in South Asia.
尊重孕产妇护理涵盖了在生殖期为女性提供持续护理和有尊严支持的权利，使她们能够做出明智的选择。然而，在南亚地区，孕产妇、围产期和新生儿死亡率仍然是卫生系统面临的重大挑战，相关证据有限。需要证据来更好地了解尊重孕产妇护理的背景情况，为适当的政策和实践提供指导方向。
本范围综述的目的是探讨南亚地区尊重孕产妇护理实践的促进因素和障碍。
使用CINAHL、EMBASE、PubMed、Medline、SCOPUS和Cochrane数据库来识别相关研究。对数据进行系统的综合和主题分析。
来自七个南亚国家的61项纳入研究存在相当大的异质性，大多数研究在尼泊尔和印度进行。虽然虐待和忽视的情况很常见，但出现了10个关键主题，涉及机构护理经历中被忽视的选择和护理质量受损（特别是在存在健康不平等的情况下）；以及必须加大培训投资，并进行重大的政策和立法变革，以确保公平和尊重的孕产妇护理实践。
南亚地区关于尊重孕产妇护理的证据表明，接受专业和机构服务的女性遭受了高度的不尊重、虐待和粗暴对待。来自弱势群体、社会处境不利和经济贫困背景的女性更有可能遭受更严重的虐待，并获得劣质护理。迫切需要提供充足资源并持续承诺，以强制规定并支持在南亚提供尊重和平等的孕产妇护理实践。
