Nwafor Johnbosco Ifunanya, Onwe Blessing Idzuinya, Ibo Chukwunenye Chukwu, Onuchukwu Victor Uchenna
Department of Obstetrics and Gynaecology, Alex Ekwueme Federal University Teaching Hospital, Abakaliki, South-East Nigeria.
Niger Med J. 2022 Sep 12;63(4):295-303. doi: 10.60787/NMJ-63-4-79. eCollection 2022 Jul-Aug.
An important but little understood component of poor care that women receive during antenatal care and childbirth is disrespect and abuse perpetuated by health workers. Fear of experiencing disrespect and abuse has a negative influence on women's decision to seek care at health facility during pregnancy, labour and delivery. The objective of this study is to determine the prevalence, pattern and predictors of disrespect and abuse during labour and delivery.
This is a questionnaire-based cross-sectional study conducted from February 1, 2019, to July 31, 2019 among postnatal women delivered at Alex Ekwueme Federal University Teaching Hospital, Abakaliki. Data were analyzed using SPSS version 22.
The prevalence of disrespectful maternity care and abuse was 47.6%. The forms of disrespect and abuse experienced by the participants were detention in the health facility (40.2%), physical abuse (34.1%), non-dignified care (37.2%), non-consented care (20.1%), abandonment of care (18.9%), non-confidential care (25%) and discriminatory care (15.2%). Lack of companionship during delivery (AOR: 7.01, 95%CI: 1.27-4.49; p = 0.007), unbooked status (AOR: 2.37, 95%Cl: 0.31 - 0.92; p = 0.01) and rural residence (AOR = 4.52 95% CI: 2.33-8.75, P<0.0001) were factors associated with disrespect and abuse during childbirth.
Disrespectful maternity care and abuse during childbirth among women seeking maternity care is still prevalent (47.6%) in our hospital. Educating health workers on the importance of respectful maternity care would ensure acceptable, quality and dignified care for all women seeking maternity care in our facility.
在产前护理和分娩期间，医护人员对产妇的不尊重和虐待是产妇接受不良护理的一个重要但却鲜为人知的因素。担心遭受不尊重和虐待会对女性在孕期、分娩期及产后到医疗机构寻求护理的决定产生负面影响。本研究的目的是确定分娩期间不尊重和虐待行为的发生率、模式及预测因素。
这是一项基于问卷调查的横断面研究，于2019年2月1日至2019年7月31日期间，对在阿巴卡利基的亚历克斯·埃克乌梅联邦大学教学医院分娩的产后妇女进行。数据使用SPSS 22版进行分析。
不尊重产妇护理及虐待行为的发生率为47.6%。参与者所经历的不尊重和虐待形式包括被滞留在医疗机构（40.2%）、身体虐待（34.1%）、非尊严护理（37.2%）、未经同意的护理（20.1%）、遗弃护理（18.9%）、非保密护理（25%）和歧视性护理（15.2%）。分娩期间缺乏陪伴（比值比：7.01，95%置信区间：1.27 - 4.49；p = 0.007）、未预约状态（比值比：2.37，95%置信区间：0.31 - 0.92；p = 0.01）和农村居住（比值比 = 4.52，95%置信区间：2.33 - 8.75，P < 0.0001）是与分娩期间不尊重和虐待相关的因素。
在我院，寻求产妇护理的妇女在分娩期间遭受不尊重产妇护理及虐待的情况仍然很普遍（47.6%）。对医护人员进行关于尊重产妇护理重要性的教育，将确保为在我院寻求产妇护理的所有妇女提供可接受的、高质量且有尊严的护理。
