Evidence map›Paper›PMID 29349217›Full record

ArticleSSM - population health2017

The Mothers on Respect (MOR) index: measuring quality, safety, and human rights in childbirth.

Saraswathi Vedam, Kathrin Stoll, Nicholas Rubashkin, Kelsey Martin, Zoe Miller-Vedam, Hermine Hayes-Klein, Ganga Jolicoeur, CCinBC Steering Council

2 registry-linked trialsAbstract read
In one paragraph

Article in SSM - population health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 108 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
108citing papers in PubMed, 5 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04154423 nacompletednot on this mapstarted 2019, after this paper: background citation

Comparing Approaches to Enhanced Prenatal Care to Improve Maternal and Child Health in Central CA

TypeinterventionalSponsorUniversity of California, San FranciscoRan2019 to 2024Enrolled678ConditionsPremature Birth, Pregnancy Preterm, Prenatal Stress, Depression, AnxietyArmsGlow! Group Prenatal Care, Individual Prenatal Care with CPSP
NCT06926504 recruitingnot on this mapstarted 2024, after this paper: background citation

TeamBirth - an Intervention to Improve Patient Safety and Person-centered Care During Childbirth

Typeobservational_patient_registrySponsorKarolinska InstitutetRan2024 to 2029Enrolled800,000ConditionsPerson Centered Care, Patient Safety, Patient SatisfactionArmsThe care process S-TeamBirth, S-TeamBirth
3 · Its place in the literature

Who cites it

108 citing papers in PubMed, 5 syntheses or guidelines pooled it.

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  13. COVID-19 Impact On Black and Latina Women: Pregnancy and Parenting.Journal of racial and ethnic health disparities · 2026
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48 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Saraswathi VedamBirth Place Research Lab, Division of Midwifery, University of British Columbia, 5950 University Boulevard, Vancouver, BC, Canada V6T 1Z3.
Kathrin StollSchool of Population and Public Health, University of British Columbia, 2206 East Mall, Vancouver, BC, Canada V6T 1Z3.
Nicholas RubashkinDepartment of Global Health Sciences, University of California San Francisco, Mission Hall Building, 550 - 16th Street, 3rd Floor, San Francisco, CA 94158, USA.
Kelsey MartinBirth Place Research Lab, Division of Midwifery, University of British Columbia, 5950 University Boulevard, Vancouver, BC, Canada V6T 1Z3.
Zoe Miller-VedamHuman Rights in Childbirth, 6312 SW Capitol Highway St, 234 Portland, OR 97239, USA.
Hermine Hayes-KleinHuman Rights in Childbirth, 6312 SW Capitol Highway St, 234 Portland, OR 97239, USA.
Ganga JolicoeurMidwives Association of British Columbia, 2-175 E. 15th Avenue, Vancouver, BC, Canada V5T 2P6.
CCinBC Steering Council

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAbuse of human rights in childbirth are documented in low, middle and high resource countries. A systematic review across 34 countries by the WHO Research Group on the Treatment of Women During Childbirth concluded that there is no consensus at a global level on how disrespectful maternity care is measured. In British Columbia, a community-led participatory action research team developed a survey tool that assesses women's experiences with maternity care, including disrespect and discrimination.

methodsA cross-sectional survey was completed by women of childbearing age from diverse communities across British Columbia. Several items (31/130) assessed characteristics of their communication with care providers. We assessed the psychometric properties of two versions of a scale (7 and 14 items), among women who described experiences with a single maternity provider (

resultsTo demonstrate replicability, we report psychometric results separately for three samples of women (S1 and S2) (

conclusionThe MOR index is a reliable, patient-informed quality and safety indicator that can be applied across jurisdictions to assess the nature of provider-patient relationships, and access to person-centered maternity care.

Indexed as

ChildbirthHuman rightsParticipatory researchProvider–patient communicationPsychometricsRespectful maternity careScale developmentSurvey research

Identifiers

PMID29349217
PMCPMC5768993

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.