Yeroam Consultancy and University of South Africa, Addis Ababa, Ethiopia.
BMC Pregnancy Childbirth. 2022 Oct 26;22(1):792. doi: 10.1186/s12884-022-05129-5.
The study aims to assess quality of obstetric and newborn care including respectfulness of the maternity care.
The study used explanatory sequential mixed methods design .
This study was conducted in 50 health centres in Addis Ababa city administration January 25 to April 31, 2021.
During the quantitative phase 500 women in postpartum period were interviewed using structured questionnaire. In the second phase in-depth interview was conducted with 20 midwives and 13 health centre managers. The quantitative data was analysed using Statistical Package for Social Sciences (SPSS). The qualitative data was analysed using Colaizzi's seven step process.
Only 24.6% of women had respectful maternity care (RMC). Only 46% of women had effective communication during child birth. Only 9.6% of women had emotional support during child birth. Majority of women were encouraged to mobilize, take food and be on labor position of their choice. However, only 22.4 and 18.8% of women respectively had a companion of choice and any pharmacologic pain relief during child birth. One in seven women (15%) had one form of disrespect and abuse during child birth.
Ensuring respectful maternity care needs strong policy direction to health facilities, public education on their right to respectful maternity care, training of care givers and monitoring care through engagement of frontline staff and clients.
本研究旨在评估产科和新生儿护理质量，包括对产妇护理的尊重程度。
本研究采用解释性序贯混合方法设计。
本研究于 2021 年 1 月 25 日至 4 月 31 日在亚的斯亚贝巴市行政区域的 50 个卫生中心进行。
在定量阶段，采用结构化问卷对 500 名产后妇女进行访谈。在第二阶段，对 20 名助产士和 13 名卫生中心管理人员进行深入访谈。定量数据采用社会科学统计软件包（SPSS）进行分析。定性数据采用科拉齐的七步流程进行分析。
只有 24.6%的妇女得到了尊重产妇护理（RMC）。只有 46%的妇女在分娩时有有效的沟通。只有 9.6%的妇女在分娩时有情感支持。大多数妇女都被鼓励动员起来，进食，并选择自己喜欢的分娩姿势。然而，只有 22.4%和 18.8%的妇女分别在分娩时有自己选择的陪伴者和任何药物止痛。每七个妇女中就有一个（15%）在分娩过程中受到了一种形式的不尊重和虐待。
确保尊重产妇护理需要向卫生机构提供强有力的政策指导，对妇女享有尊重产妇护理的权利进行公众教育，培训护理人员，并通过让一线工作人员和客户参与来监测护理。
