Kaur Ravneet, Singh Tejbeer, Kalaivani Mani, Yadav Kapil, Gupta Sanjeev K, Kant Shashi
Centre for Community Medicine, All India Institute of Medical Sciences, New Delhi, India.
Department of Community and Family Medicine, All India Institute of Medical Sciences, Bilaspur, Himachal Pradesh, India.
Indian J Community Med. 2025 Jan-Feb;50(1):93-98. doi: 10.4103/ijcm.ijcm_839_23. Epub 2024 Jul 3.
Respectful maternity care (RMC) is increasingly being accepted as an essential element for health systems. Every childbearing woman has a right to get dignified and respectful healthcare. Initial research has highlighted that disrespect and abuse are widespread, however, there is a paucity of quantitative evidence.
In this community-based cross-sectional study, among 485 participants, conducted in 28 villages of Northern India, we ascertained the experience of RMC during childbirth by using the person-centered maternity care (PCMC) scale.
The majority (88.7%) of women experienced RMC. The domain with the lowest score was communication and autonomy (62.9%), followed by supportive care (76.1%). Self-introduction by health providers, the position of choice during delivery, relief from pain, and availability of preferred companions during delivery were the deficient areas. Women who gave birth in private health facilities were more likely to receive RMC than those who gave birth in government facilities, while those belonging to marginalized social groups had lesser odds of receiving RMC as compared to other women.
Communication skills should be promoted to maternity care providers. Self-introduction by healthcare providers and choice of position during delivery are the deficient areas, which should be focused upon.
尊重孕产妇保健（RMC）日益被视为卫生系统的一个基本要素。每位育龄妇女都有权获得有尊严且受尊重的医疗保健服务。初步研究表明，不尊重和虐待现象普遍存在，然而，定量证据却很匮乏。
在这项基于社区的横断面研究中，我们在印度北部的28个村庄对485名参与者进行了调查，通过使用以个人为中心的孕产妇保健（PCMC）量表来确定分娩期间的RMC体验。
大多数（88.7%）妇女体验到了RMC。得分最低的领域是沟通与自主权（62.9%），其次是支持性护理（76.1%）。医护人员的自我介绍、分娩时的体位选择、疼痛缓解以及分娩期间是否有首选陪伴人员是存在不足的方面。在私立医疗机构分娩的妇女比在政府医疗机构分娩的妇女更有可能获得RMC，而与其他妇女相比，属于边缘化社会群体的妇女获得RMC的几率较小。
应向孕产妇保健提供者推广沟通技巧。医护人员的自我介绍和分娩时的体位选择是存在不足的领域，应予以关注。
