Evidence map›Paper›PMID 31640603›Full record

ArticleBMC pregnancy and childbirth2019

Disrespect and abuse during facility-based childbirth in southern Mozambique: a cross-sectional study.

Anna Galle, Helma Manaharlal, Emidio Cumbane, Joelma Picardo, Sally Griffin, Nafissa Osman, Kristien Roelens, Olivier Degomme

Registry-linked trialOpen access · goldAbstract readMulticenter Study
In one paragraph

Article in BMC pregnancy and childbirth, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06123247 (Mothers' Perception Of Respect/Mistreatment During Pregnancy & Childbirth In Assiut Governorate), which is not on this map. Cited by 30 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 5 pooled it
6.0field-weighted citation impact, top 3% of its field
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.

NCT06123247 unknown statusnot on this mapstarted 2023, after this paper: background citation

Mothers' Perception Of Respect/Mistreatment During Pregnancy & Childbirth In Assiut Governorate

TypeobservationalSponsorAssiut UniversityRan2023 to 2025Enrolled400ConditionsChildbirth Problems, Pregnancy Related
3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 5 syntheses or guidelines pooled it, 68 citations in OpenAlex.

  1. Pooled it
  2. Global prevalence and risk factors of obstetric violence: A systematic review and meta-analysis.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2025
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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 at 3 institutions in 2 countries.

Anna GalleInternational Centre for Reproductive Health, Department of Public Health and Primary Care, Ghent University, Corneel Heymanslaan 10, entrance 75, UZP 114, 9000, Ghent, Belgium. anna.galle@ugent.be.
Helma ManaharlalInternational Centre for Reproductive Health - Mozambique, Rua das Flores no 34, Impasse 1085, /87, Maputo, Mozambique.
Emidio CumbaneInternational Centre for Reproductive Health - Mozambique, Rua das Flores no 34, Impasse 1085, /87, Maputo, Mozambique.
Joelma PicardoInternational Centre for Reproductive Health - Mozambique, Rua das Flores no 34, Impasse 1085, /87, Maputo, Mozambique.
Sally GriffinInternational Centre for Reproductive Health - Mozambique, Rua das Flores no 34, Impasse 1085, /87, Maputo, Mozambique.
Nafissa OsmanInternational Centre for Reproductive Health - Mozambique, Rua das Flores no 34, Impasse 1085, /87, Maputo, Mozambique.
Kristien RoelensInternational Centre for Reproductive Health, Department of Public Health and Primary Care, Ghent University, Corneel Heymanslaan 10, entrance 75, UZP 114, 9000, Ghent, Belgium.
Olivier DegommeInternational Centre for Reproductive Health, Department of Public Health and Primary Care, Ghent University, Corneel Heymanslaan 10, entrance 75, UZP 114, 9000, Ghent, Belgium.
International Centre for Reproductive Health · MZGhent University · BEEduardo Mondlane University · MZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEvidence suggests that many women experience mistreatment during childbirth in health facilities across the world, but the magnitude of the problem is unknown. The occurrence of disrespect and abuse (D&A) in maternity care services affects the overall quality of care and may undermine women's trust in the health system. Studies about the occurrence of disrespect and abuse in Mozambican health facilities are scarce. The aim of this study was to explore the experience of women giving birth in hospital in different settings in Maputo City and Province, Mozambique.

methodsA cross sectional descriptive survey was conducted between April and June 2018 in the Central Hospital of Maputo (HCM) and district hospitals of Manhiça and Marracuene, Maputo Province, Mozambique. Five hundred seventy-two exit interviews were conducted with women leaving the hospital after delivery. The questionnaire consisted of the following components: socio-demographic characteristics, the occurrence of disrespect and abuse, male involvement during labor and childbirth and intrapartum family planning counselling and provision.

resultsPrevalence of disrespect and abuse ranged from 24% in the central hospital to 80% in the district hospitals. The main types of D&A reported were lack of confidentiality/privacy, being left alone, being shouted at/scolded, and being given a treatment without permission. While very few women's partners attended the births, the majority of women (73-80%) were in favor of involving their partner as a birth companion. Intrapartum counseling of family planning was very low (9-17%).

conclusionThe occurrence of disrespect and abuse was much higher in the district hospitals compared to the central hospital, emphasizing the high need for interventions outside Maputo City. Allowing male partners as birth companions should be explored further, as women seem in favor of involving their partners. Investing in intrapartum counselling for family planning is currently a missed opportunity for improving the uptake of contraception in the country.

Indexed as

Attitude of Health PersonnelAdolescentAdultCross-Sectional StudiesDelivery, ObstetricFemaleHealth PersonnelHumansMaternal Health ServicesMiddle AgedMozambiqueParturitionPhysical AbusePregnancyPrevalenceProfessional-Patient RelationsDisrespect and abuseFamily planningMale involvementMaternal healthMozambiqueQuality of care

Identifiers

PMID31640603
PMCPMC6805678
OpenAlexW2981379887

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.