Naiyeju Olufunso Joseph, Saalu Tersur Terry, Tietie Lucky Enajite, Ofoegbu Okechukwu Uche, Maduagu Charity Opeoluwapo, Familusi Oluwaseun Emmanuel, Soibi-Harry Adaiah, Babah Ochuwa Adiketu
Department of Obstetrics and Gynaecology, Lagos University Teaching Hospital, Idi-Araba, Lagos, Nigeria.
Faculty of Clinical Sciences, College of Medicine, University of Lagos, Idi-Araba, Lagos, Nigeria.
Niger Med J. 2025 Jan 10;65(6):1016-1025. doi: 10.60787/nmj.v65i6.568. eCollection 2024 Nov-Dec.
There is increasing awareness of disrespect and abuse (DAA) during childbirth. Globally, DAA during delivery is a common cause of suffering and violation of the human rights of birthing mothers. Respectful maternal care is necessary to improve the quality of care and uptake of institutional delivery services to reduce maternal and perinatal morbidity and mortality. The study aims to determine the prevalence, common forms, and perception of maternal DAA among mothers who just gave birth and are still in the hospital.
A cross-sectional study on 261 consenting postnatal women at four public healthcare facilities in Lagos, Nigeria. An interviewer-administered pretested questionnaire was used to obtain data on sociodemographic characteristics and experiences of DAA. We analysed the data using Statistical Package for Social Sciences (SPSS) version 25. Logistic regression analysis was used to assess significant risk factors for DAA during delivery and early puerperium.
The prevalence of DAA during childbirth was 82%. Perceptions of non-consented care and abandonment/neglect were the most reported forms of DAA reported by 86.8% and 45.6% of respondents, respectively. The odds for DAA were four times greater in women who had pregnancy complications compared to those who did not (aOR: 4.50, 95%CI: 1.5013.46) and doubled in women who had vaginal delivery compared to Caesarean section (aOR: 2.10, 95%CI: 1.07-4.12).
DAA is prevalent during childbirth in our public healthcare facilities. This goes against the proposed standard of care where respectful maternal care is every womans right, posing a risk for reduced use of institutional delivery services.
分娩期间不尊重和虐待行为（DAA）日益受到关注。在全球范围内，分娩期间的DAA是造成分娩母亲痛苦和侵犯其人权的常见原因。尊重产妇护理对于提高护理质量和增加机构分娩服务的使用率以降低孕产妇和围产期发病率及死亡率至关重要。本研究旨在确定刚分娩且仍住院的母亲中孕产妇DAA的患病率、常见形式及认知情况。
在尼日利亚拉各斯的四个公共医疗设施对261名同意参与的产后妇女进行横断面研究。使用经过预测试的访谈式问卷获取社会人口学特征和DAA经历的数据。我们使用社会科学统计软件包（SPSS）25版对数据进行分析。采用逻辑回归分析评估分娩期间和产褥早期DAA的显著危险因素。
分娩期间DAA的患病率为82%。分别有86.8%和45.6%的受访者报告，未经同意的护理和遗弃/忽视是最常报告的DAA形式。与未患妊娠并发症的女性相比，患妊娠并发症的女性发生DAA的几率高出四倍（调整后比值比：4.50，95%置信区间：1.50 - 13.46）；与剖宫产的女性相比，阴道分娩的女性发生DAA的几率翻倍（调整后比值比：2.10，95%置信区间：1.07 - 4.12）。
在我们的公共医疗设施中，分娩期间DAA普遍存在。这与提议的护理标准相悖，即尊重产妇护理是每位女性的权利，这可能导致机构分娩服务使用率降低。
