Evidence map›Paper›PMID 31870323›Full record

ArticleBMC pregnancy and childbirth2019

Is there respectful maternity care in Poland? Women's views about care during labor and birth.

Barbara Baranowska, Antonina Doroszewska, Urszula Kubicka-Kraszyńska, Joanna Pietrusiewicz, Iwona Adamska-Sala, Anna Kajdy, Dorota Sys, Urszula Tataj-Puzyna, Grażyna Bączek, Susan Crowther

Open access · goldAbstract read
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. Cited by 27 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 2 pooled it
4.2field-weighted citation impact, top 6% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 2 syntheses or guidelines pooled it, 79 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Experiences of disrespect and abuse during childbirth in the World Health Organization European region: A mixed-method study among 22 countries.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026
    Article
  4. Article
  5. Assessment of Maternal Satisfaction with Childbirth Services at Secondary Healthcare Facilities in District Dehradun, Uttarakhand, India-A Mixed Method Study.Indian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine · 2025
    Article
  6. Article
  7. Article
  8. Pattern of unreported negative birth experiences in the maternity ward.Acta obstetricia et gynecologica Scandinavica · 2025
    Article
  9. Article
  10. Observational
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Article
  20. Article
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

10 authors at 5 institutions in 3 countries.

Barbara BaranowskaDepartment of Midwifery, Centre of Postgraduate Medical Education, Żelazna 90, 01-004, Warsaw, Poland.
Antonina DoroszewskaDepartment of Medical Communication, Medical University of Warsaw, Żwirki i Wigury 81, 02-091, Warsaw, Poland. a.doroszewska@gmail.com.ORCID http://orcid.org/0000-0003-0764-2105
Urszula Kubicka-KraszyńskaThe Empowering Children Foundation, Walecznych 59, 03-926, Warsaw, Poland.
Joanna PietrusiewiczChildbirth with Dignity Foundation, Nowolipie 13/15, 00-150, Warsaw, Poland.
Iwona Adamska-SalaChildbirth with Dignity Foundation, Nowolipie 13/15, 00-150, Warsaw, Poland.
Anna KajdyDepartment of Reproductive Health, Centre of Postgraduate Medical Education, Żelazna 90, 01-004, Warsaw, Poland.
Dorota SysDepartment of Reproductive Health, Centre of Postgraduate Medical Education, Żelazna 90, 01-004, Warsaw, Poland.
Urszula Tataj-PuzynaDepartment of Obstetrics and Gynecology Didactics, Medical University of Warsaw, Litewska 14/16, 00-575, Warsaw, Poland.
Grażyna BączekDepartment of Obstetrics and Gynecology Didactics, Medical University of Warsaw, Litewska 14/16, 00-575, Warsaw, Poland.
Susan CrowtherSchool of Nursing and Midwifery, RGU University, Garthdee Road, Aberdeen, Scotland, AB10 7AQ.
Medical University of Warsaw · PLPostgraduate School of Molecular Medicine · PLDignity Health · USEmpowerment Program · USRobert Gordon University · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAbuse against women in labor starts with subtle forms of discrimination that can turn into overt violence. Therefore it is crucial to work towards prevention and elimination of disrespect and ill-treatment in medical facility perinatal care in which staff allows such abuse. The aim of the study was to analyze the experiences of women related to perinatal care. Special emphasis was put on experiences that had traits indicating disrespectful and offensive care during childbirth in medical facilities providing perinatal care.

methodsThis was a cross-sectional survey. A questionnaire was prepared for respondents who gave birth in medical facilities. Information about the study was posted on the website of a non-governmental foundation dealing with projects aimed at improving perinatal care. The respondents gave online consent for processing the submitted data. 8378 questionnaires were submitted. The study was carried out between February 06 and March 20, 2018. The results were analyzed using the Chi-square independence test. The analysis was carried out at the significance level of 0.05 in Excel, R and SPSS.

resultsDuring their hospital stay, 81% of women in the study experienced violence or abuse from medical staff on at least one occasion. The most common abuse was having medical procedures without prior consent. Inappropriate comments made by staff related to their own or a woman's situation were reported in 25% of situations, whilst 20% of women experienced nonchalant treatment. In the study 19.3% of women reported that the staff did not properly care for their intimacy and 1.7% of the respondents said that the worst treatment was related to feeling anonymous in the hospital.

conclusionsThe study shows that during Polish perinatal care women experience disrespectful and abusive care. Most abuse and disrespect involved violation of the right to privacy, the right to information, the right to equal treatment, and the right to freedom from violence. The low awareness of abuses and complaints reported in the study may result from women's ignorance about relevant laws related to human rights.

Indexed as

Access to InformationLabor, ObstetricMaternal Health ServicesParturitionPatient RightsPrivacyViolenceAdultCross-Sectional StudiesFemaleHealth PersonnelHuman Rights AbusesHumansInformed ConsentPhysical AbusePolandChildbirthExperience of mother’s birthIll-treatmentViolence

Identifiers

PMID31870323
PMCPMC6929297
OpenAlexW2995241175

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.