Department of Midwifery, Mizan Tepi University, Mizan Teferi, Ethiopia.
Department of Nursing, Mizan Tepi University, Mizan Teferi, Ethiopia.
Front Public Health. 2023 Jan 4;10:1055898. doi: 10.3389/fpubh.2022.1055898. eCollection 2022.
One of the primary barriers to reducing maternal morbidity and mortality is disrespect and abuse during childbirth in biomedical facilities. Despite the serious consequences of disrespect and abuse during childbirth, there is no evidence of the prevalence of respectful maternity care in Southwest Ethiopia. This study aimed to assess the prevalence of respectful maternity care and associated factors among mothers who gave birth in three hospitals in Southwest Ethiopia.
An institution-based cross-sectional study was conducted among 348 mothers who gave birth in three hospitals in Southwest Ethiopia. Bivariable and multivariable binary logistic regression were used to identify the factors of respectful maternity care.
In this study, 348 mothers with their newborns were included, making a response rate of 100%. The overall prevalence of respectful maternity care was 81.2%. Maternal age [AOR = 2.54; 95% CI (1.01-6.43)]; maternal occupation [AOR = 5.23; 95% CI (1.15-23.72)]; antenatal care follows-up [AOR = 2.86; 95% CI (1.01-8.20)]; and discussions with the provider about the place of delivery during antenatal care follow up [AOR = 5.58; 95% CI: (2.12-14.70)] were found to be the most significant components of respectful maternity care.
The provision of respectful maternity care was high, but there are complaints of disrespect and abuse still present in three hospitals in Southwest Ethiopia. Maternal age, maternal occupation, antenatal follow up, and discussion with the provider about the place of delivery during antenatal follow-up were associated with respectful maternity care. Thus, improving antenatal care service utilization and discussions with health care providers about the place of delivery during antenatal care follow-up should be focused on.
降低产妇发病率和死亡率的主要障碍之一是在生物医学设施中分娩时受到不尊重和虐待。尽管分娩时不尊重和虐待会产生严重后果，但在埃塞俄比亚西南部没有尊重产妇护理的流行证据。本研究旨在评估在埃塞俄比亚西南部的三家医院分娩的母亲中，尊重产妇护理的流行情况及其相关因素。
这是一项在埃塞俄比亚西南部的三家医院进行的基于机构的横断面研究。采用单变量和多变量二项逻辑回归来确定尊重产妇护理的因素。
在这项研究中，共纳入了 348 名在三家医院分娩的母亲及其新生儿，应答率为 100%。尊重产妇护理的总体流行率为 81.2%。产妇年龄 [AOR = 2.54；95%CI（1.01-6.43）]；母亲职业 [AOR = 5.23；95%CI（1.15-23.72）]；产前护理随访 [AOR = 2.86；95%CI（1.01-8.20）]；以及在产前护理随访期间与提供者讨论分娩地点 [AOR = 5.58；95%CI：（2.12-14.70）]，被认为是尊重产妇护理的最重要组成部分。
尊重产妇护理的提供情况很高，但在埃塞俄比亚西南部的三家医院仍存在不尊重和虐待的投诉。产妇年龄、母亲职业、产前随访以及在产前随访期间与提供者讨论分娩地点与尊重产妇护理相关。因此，应重点关注改善产前护理服务的利用，并在产前护理随访期间与医疗保健提供者讨论分娩地点。
