Ahmed Jemal, Habte Aklilu, Agide Feleke Doyore
Siltie Zone Health Department Central Ethiopia Region Ethiopia.
School of Public Health, College of Medicine and Health Sciences Wachemo University Hossana Ethiopia.
Health Sci Rep. 2024 Dec 17;7(12):e70279. doi: 10.1002/hsr2.70279. eCollection 2024 Dec.
The provision of compassionate, respectful, and caring healthcare is an essential component of health workforces because it builds deep relationships between healthcare practitioners and mothers. However, respectful maternity care has received less attention in practice, and existing research is inconclusive as well. Therefore, this study is aimed to assess respectful maternity care and its predictors during childbirth in Siltie Zone, Ethiopia.
We conducted a cross-sectional study on 374 mothers from May 1 to 30, 2021. A systematic random sampling technique was used to select the study participants. A structured questionnaire was used to collect the data. The data was entered into Epi Data 3.1, and the analysis was done using SPSS 24.0. Binary logistic regression was employed to identify candidate variables for multivariable logistic regression. In the multivariable analysis, variables having a -value of less than 0.05 were taken as measures of the degree of association between independent variables and the outcome variable.
The result of the study revealed that the overall prevalence of respectful maternal care is 41.0%. Rapport built through communication during antenatal care (AOR = 6.32, 95% CI: 2.81, 16.67), pre-communication of husband and wife (AOR = 2.45, 95% CI: 2.01, 13.69), clearly known communication of family with mother (AOR = 0.35, 95% CI: 0.11, 0.69), caring culturally and appropriately (AOR = 7.45, 95% CI: 2.88, 19.28), perceived length of the stay during labor (AOR = 1.36, 95% CI: 0.230, 0.551), number of ANC received (AOR = 1.98, 95% CI: 0.037, 0.260), and number of deliveries (AOR = 1.36, 95% CI: 0.230, 0.551) were independent predictors of the outcome variable.
The study revealed that respectful maternity care was provided very low. Multidimensional communication with the mother was identified as a significant proximal predictor of respectful maternity care. The study suggests that stakeholders should improve respectful maternity care through the provision of professional health training and create guidelines to identify and address challenges to its practice.
提供富有同情心、尊重和关爱的医疗保健是卫生人力的重要组成部分，因为它能在医疗从业者和母亲之间建立深厚的关系。然而，尊重孕产妇保健在实践中受到的关注较少，现有研究也尚无定论。因此，本研究旨在评估埃塞俄比亚锡尔蒂地区分娩期间的尊重孕产妇保健及其预测因素。
我们于2021年5月1日至30日对374名母亲进行了一项横断面研究。采用系统随机抽样技术选取研究参与者。使用结构化问卷收集数据。数据录入Epi Data 3.1，并使用SPSS 24.0进行分析。采用二元逻辑回归确定多变量逻辑回归的候选变量。在多变量分析中，P值小于0.05的变量被视为自变量与结果变量之间关联程度的度量。
研究结果显示，尊重孕产妇保健的总体患病率为41.0%。产前保健期间通过沟通建立的融洽关系（调整后比值比[AOR]=6.32，95%置信区间[CI]：2.81，16.67）、夫妻之间的预先沟通（AOR=2.45，95%CI：2.01，13.69）、家人与母亲之间明确知晓的沟通（AOR=0.35，95%CI：0.11，0.69）、文化上适当的关怀（AOR=7.45，95%CI：2.88，19.28）、分娩期间的感知住院时长（AOR=1.36，95%CI：0.230，0.551）、接受产前检查的次数（AOR=1.98，95%CI：0.037，0.260）以及分娩次数（AOR=1.36，95%CI：0.230，0.551）是结果变量的独立预测因素。
研究表明，尊重孕产妇保健的提供情况非常低。与母亲的多维度沟通被确定为尊重孕产妇保健的重要近端预测因素。该研究建议，利益相关者应通过提供专业健康培训来改善尊重孕产妇保健，并制定指南以识别和应对其实践中的挑战。
