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三级医院分娩期及产后的尊重式产科护理:一项描述性横断面研究

Respectful Maternity Care during labour and postpartum in a tertiary hospital: A Descriptive Cross-sectional Study.

作者信息

Kc Heera, Parajuli Surya Bahadur, Gurung Alina, Mishra Anjali

机构信息

BMC-School of Nursing, Birat Medical College Teaching Hospital, Tankisinuwari, Morang, Nepal.

Department of Community Medicine, Birat Medical College Teaching Hospital, Tankisinuwari, Morang.

出版信息

JNMA J Nepal Med Assoc. 2024 May 31;62(274):363-367. doi: 10.31729/jnma.8610.

Abstract

INTRODUCTION

Respectful maternity care (RMC) is a fundamental human right for women globally. Providing respectful care during labor and postpartum is crucial for the health and well-being of both mothers and newborns. The interactions between healthcare providers and women play a significant role in shaping their future healthcare decisions. Therefore, this research aims to evaluate the prevalence of RMC during labor and postpartum from the patient's perspective at a tertiary care center.

METHODS

We conducted a descriptive cross-sectional study at a tertiary center from February 20, 2023, to September 30, 2023. Ethical approval was obtained from the Institutional Review Committee of the same institution. A total of 217 patients were included using consecutive sampling techniques. Data were collected through interviews using a structured questionnaire on respectful maternity care. The point estimate was calculated with a 95% Confidence Interval.

RESULTS

The prevalence of overall respectful maternity care (RMC) score was 81%. The score for right to confidentiality and privacy during labor was 91.7%, treated with dignity and respect was 90.87%, received equitable care free of discrimination was 86.41%, protection from physical harm and ill treatment was 84.02%, while protection of right to information/informed consent and choice'preference was 72.55%.

CONCLUSIONS

This study demonstrated a high prevalence of respectful maternity care, with most patients experiencing protection of confidentiality, dignity, equitable treatment, safety, and informed consent, indicating effective implementation of RMC practices at our tertiary care center.\ Keywords: labour; maternity care; postpartum; prevalence; tertiary hospital.

摘要

引言

尊重孕产妇护理(RMC)是全球女性的一项基本人权。在分娩和产后提供尊重性护理对母亲和新生儿的健康与福祉至关重要。医疗服务提供者与女性之间的互动在塑造她们未来的医疗决策方面发挥着重要作用。因此,本研究旨在从患者角度评估三级医疗中心分娩和产后期间尊重孕产妇护理的普及率。

方法

我们于2023年2月20日至2023年9月30日在一家三级中心进行了一项描述性横断面研究。获得了同一机构伦理审查委员会的伦理批准。采用连续抽样技术共纳入217名患者。通过使用关于尊重孕产妇护理的结构化问卷进行访谈收集数据。计算点估计值并给出95%置信区间。

结果

总体尊重孕产妇护理(RMC)得分的普及率为81%。分娩期间保密和隐私权得分91.7%,受到尊严和尊重对待得分90.87%,获得公平护理且不受歧视得分86.41%,免受身体伤害和虐待得分84.02%,而信息权/知情同意权和选择/偏好保护得分72.55%。

结论

本研究表明尊重孕产妇护理的普及率较高,大多数患者的保密权、尊严、公平待遇、安全和知情同意得到了保护,表明我们三级医疗中心有效实施了RMC措施。关键词:分娩;孕产妇护理;产后;普及率;三级医院

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Promoting a global culture of respectful maternity care.倡导全球尊重产妇护理的文化。
BMC Pregnancy Childbirth. 2023 Nov 17;23(1):798. doi: 10.1186/s12884-023-06118-y.

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