Bagherzadeh Razieh, Chananeh Maryam, Kamali Farahnaz, Samsami Khatoon
Department of Midwifery, Nursing and Midwifery Faculty, Bushehr University of Medical Sciences, Bushehr, Iran.
Department of Midwifery, School of Nursing and Midwifery, Bushehr University of Medical Sciences, Bushehr, Iran.
BMC Med Ethics. 2025 Jan 29;26(1):15. doi: 10.1186/s12910-025-01164-x.
Despite the existing reports on mistreatment and disrespectful maternal care, few studies have investigated interventions to mitigate this issue. The present study aims to assess the impact of consulting midwives on maternal rights charter on perception of respectful maternity care and postpartum blues among postpartum women in two hospitals in southern Iran.
This quasi-experimental study was conducted on 437 postpartum women (217 mothers before the intervention and 220 mothers after the intervention) and 44 midwives working in the maternity ward of two hospitals affiliated to Bushehr University of Medical Sciences in 2023-2024. The hospitals were randomly divided into control and intervention groups. The mothers and midwives were selected using convenience and census sampling methods, respectively. Initially, the first sampling phase of postpartum women was conducted. Then, midwives in the intervention group received consultation on patient rights charter in groups of 3-4 individuals over three sessions. After the intervention, the second phase of sampling of postpartum women was conducted. Data collection tools included questionnaires assessing women's perception of respectful maternity care and postpartum blues. The data were analyzed using descriptive and analytical statistical tests in SPSS 20.0.
After performing the intervention on midwives, the mean score of postpartum respectful maternity care from the perspectives of the mothers in the intervention and control hospitals were 91.08 ± 5.51 and 68.34 ± 10.81 respectively (P < 0.001). Also, the mean scores of postpartum blues in the intervention and control hospitals were 12.88 ± 4.66 and 14.85 ± 5.94 respectively (P = 0.007). Multivariable linear regression analysis revealed that consulting with midwives regarding the Maternal Rights Charter, led to an increase in respectful maternity care (β coefficient = 0.780, 95% C.I. = 19.796). ~ 24.541) and decreased postpartum blues (β coefficient = -0.172, 95% C.I. = -3.318 ~ -0.390) from the perspectives of the mothers.
Consulting midwives on patient rights charter was positively correlated with mothers' perception of respectful maternity care and negatively correlated with postpartum blues, indicating the positive effect of intervention on increasing women's satisfaction and reducing postpartum blues. It is recommended that this consultation be included in midwives' continuing education programs.
Not applicable.
尽管已有关于虐待和不尊重孕产妇护理的报道，但很少有研究调查减轻这一问题的干预措施。本研究旨在评估向助产士咨询孕产妇权利宪章对伊朗南部两家医院产后妇女对尊重孕产妇护理的认知及产后抑郁的影响。
本准实验研究于2023 - 2024年对437名产后妇女（干预前217名母亲，干预后220名母亲）和在布什尔医科大学附属两家医院产科病房工作的44名助产士进行。医院被随机分为对照组和干预组。母亲和助产士分别采用便利抽样和普查抽样方法选取。最初，进行产后妇女的首次抽样阶段。然后，干预组的助产士分3 - 4人一组，共进行三次会议，接受关于患者权利宪章的咨询。干预后，进行产后妇女的第二次抽样阶段。数据收集工具包括评估妇女对尊重孕产妇护理和产后抑郁认知的问卷。数据在SPSS 20.0中使用描述性和分析性统计测试进行分析。
对助产士进行干预后，干预医院和对照医院母亲视角下产后尊重孕产妇护理的平均得分分别为91.08 ± 5.51和68.34 ± 10.81（P < 0.001）。此外，干预医院和对照医院产后抑郁的平均得分分别为12.88 ± 4.66和14.85 ± 5.94（P = 0.007）。多变量线性回归分析显示，就孕产妇权利宪章向助产士咨询，从母亲视角导致尊重孕产妇护理增加（β系数 = 0.780，95%置信区间 = 19.796 ~ 24.541），产后抑郁减少（β系数 = -0.172，95%置信区间 = -3.318 ~ -0.390）。
就患者权利宪章向助产士咨询与母亲对尊重孕产妇护理的认知呈正相关，与产后抑郁呈负相关，表明干预对提高妇女满意度和减少产后抑郁有积极作用。建议将此咨询纳入助产士继续教育项目。
不适用。
