Department of Nursing, University of Johannesburg, Doornfontein, Johannesburg, South Africa.
Department of Nursing, University of Johannesburg, Doornfontein, Johannesburg, South Africa.
Women Birth. 2023 Sep;36(5):e461-e470. doi: 10.1016/j.wombi.2023.04.002. Epub 2023 May 5.
All women have the right to the highest attainable standards of health, including the right to respectful maternity care (RMC). A qualitative body of knowledge describing midwives' and women's experiences of the value and importance of RMC exists. However, no qualitative synthesis exists about midwives' and women's views of respectful care.
This review aims to present a qualitative synthesis of global perceptions and experiences of midwives and women regarding RMC.
A systematic search was conducted in October 2021 and updated in March 2023 on Science Direct, EBSCO host, PubMed, Nexus and ProQuest databases. The synthesis included qualitative studies published between 2010 and 2023. Qualified midwives and pregnant and postnatal women were the samples of the review. The studies' screening and selection for inclusion in the review are presented using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) flow chart, and the quality of the included studies was appraised using the Critical Appraisal Screening Programme (CASP) tool. Thematic analysis was conducted.
Fifteen studies met the review inclusion criteria involving 266 women and 147 midwives. Five themes were identified from the data: commitment to women's rights; excellence in midwifery knowledge and skills; a facilitative built environment; optimising the interpersonal dimension; and the development of women's resourcefulness and resilience.
Maternity care is collaborative, and midwives and women are partners in the process. Midwives play a significant role in promoting women's rights, fostering interpersonal working and client relationships, and addressing women's rights and needs.
所有妇女都有权享有能达到的最高标准的健康，包括享有尊重的孕产妇保健（RMC）的权利。已经有大量的知识体系描述了助产士和妇女对 RMC 的价值和重要性的体验。然而，关于助产士和妇女对尊重性护理的看法，没有定性的综合评价。
本综述旨在呈现全球助产士和妇女对 RMC 的看法和体验的定性综合评价。
于 2021 年 10 月进行了系统搜索，并于 2023 年 3 月在 Science Direct、EBSCO host、PubMed、Nexus 和 ProQuest 数据库进行了更新。综述纳入了 2010 年至 2023 年期间发表的定性研究。合格的助产士和孕妇及产后妇女是本综述的样本。使用系统评价和荟萃分析的首选报告项目（PRISMA）流程图呈现研究的筛选和纳入情况，使用批判性评价筛查计划（CASP）工具评价纳入研究的质量。进行了主题分析。
符合综述纳入标准的研究有 15 项，涉及 266 名妇女和 147 名助产士。从数据中确定了五个主题：对妇女权利的承诺；卓越的助产士知识和技能；促进性的建筑环境；优化人际维度；以及培养妇女的机智和适应力。
孕产妇保健是协作性的，助产士和妇女是这一过程的合作伙伴。助产士在促进妇女权利、培养人际工作和客户关系以及解决妇女权利和需求方面发挥着重要作用。
