Alshifa School of Public Health, AlShifa Trust, Rawalpindi 46200, Pakistan.
Department of Preventive Dental Sciences, College of Dentistry, King Faisal University, Hofuf 31982, Saudi Arabia.
Medicina (Kaunas). 2023 Oct 16;59(10):1842. doi: 10.3390/medicina59101842.
: Respectful maternity care promotes practices that acknowledge women's preferences and women and newborns' needs. It is an individual-centered strategy founded on ethical and human rights principles. The objective of this systematic review is to identify the impact of income on maternal care and respectful maternity care in low- and middle-income countries. : Data were searched from Google Scholar, PubMed, Web of Science, NCBI, CINAHL, National Library of Medicine, ResearchGate, MEDLINE, EMBASE database, Scopus, Cochrane Central Register of Controlled Trials (CENTRAL), and Maternity and Infant Care database. This review followed PRISMA guidelines. The initial search for publications comparing low- and middle-income countries with respectful maternity care yielded 6000 papers, from which 700 were selected. The review articles were further analyzed to ensure they were pertinent to the comparative impact of income on maternal care. A total of 24 articles were included, with preference given to those published from 2010 to 2023 during the last fourteen years. : Considering this study's findings, respectful maternity care is a crucial component of high-quality care and human rights. It can be estimated that there is a direct association between income and maternity care in LMICs, and maternity care is substandard compared to high-income countries. Moreover, it is determined that the evidence for medical tools that can enhance respectful maternity care is sparse. : This review highlights the significance of improving maternal care experiences, emphasizing the importance of promoting respectful practices and addressing disparities in low- and middle-income countries.
尊重产妇护理促进了承认妇女偏好和妇女及新生儿需求的实践。它是一种以伦理和人权原则为基础的以个人为中心的策略。本次系统评价的目的是确定收入对中低收入国家产妇护理和尊重产妇护理的影响。
数据从谷歌学术、PubMed、Web of Science、NCBI、CINAHL、美国国家医学图书馆、ResearchGate、MEDLINE、EMBASE 数据库、Scopus、Cochrane 对照试验中心注册库（CENTRAL）和母婴护理数据库中进行搜索。本评价遵循 PRISMA 指南。最初搜索比较中低收入国家与尊重产妇护理的出版物产生了 6000 篇论文，从中选择了 700 篇。进一步分析综述文章，以确保它们与收入对产妇护理的比较影响有关。共有 24 篇文章被纳入，优先考虑在过去 14 年中（即 2010 年至 2023 年）发表的文章。
考虑到本研究的结果，尊重产妇护理是高质量护理和人权的重要组成部分。可以估计，在中低收入国家，收入与产妇护理之间存在直接关联，而且与高收入国家相比，产妇护理的标准较低。此外，确定可以增强尊重产妇护理的医疗工具的证据很少。
本次评价强调了改善产妇护理体验的重要性，强调了在中低收入国家促进尊重实践和解决差异的重要性。
