ArticleBMJ open2020
Mitigating the mistreatment of childbearing women: evaluation of respectful maternity care intervention in Ethiopian hospitals.
Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 4 of them syntheses that pooled it.
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Who cites it
31 citing papers in PubMed, 4 syntheses or guidelines pooled it, 63 citations in OpenAlex.
- Women's reported experience of respectful maternity care measures worldwide: a systematic review.BMC public health · 2026Pooled it
- Respectful maternity care interventions to address women mistreatment in childbirth: What has been done?BMC pregnancy and childbirth · 2024Pooled it
- The roles of multi-component interventions in reducing mistreatment of women and enhancing respectful maternity care: a systematic review.BMC pregnancy and childbirth · 2023Pooled it
- Overcoming barriers and harnessing facilitators: Respectful maternity care in least-developed countries - a systematic review.Women's health (London, England)Pooled it
- Mistreatment during childbirth and its associated factors during facility-based childbirth in public health facilities of Ilubabor Zone, Southwest Ethiopia.Maternal health, neonatology and perinatology · 2026Article
- Unraveling the link between the mistreatment of women during childbirth and postpartum depression: a prospective longitudinal study in Ethiopia and Guinea.EClinicalMedicine · 2026Article
- Mistreatment and Discrimination during Childbirth, Associations with Symptoms of Childbirth-Related Posttraumatic Stress Disorder and the Mediating Role of the Subjective Birth Experience: A Quantitative Analysis Within the Prospective Cohort Study RESPECTGeburtshilfe und Frauenheilkunde · 2025Article
- Promoting respectful maternity care with the WHO labor care guide and the checklist mnemonic "COPE": A quality improvement project.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2025Article
- Effect of person-centered intervention on women's knowledge and attitude towards obstetric violence during facility childbirth in southwest Ethiopia: a quasi-experimental study.BMC public health · 2025Article
- Promoting respectful maternity care: a quasi-experimental study on the effectiveness of an educational intervention in Iranian hospitals.Reproductive health · 2025Article
- Content and design of respectful maternity care training packages for health workers in sub-Saharan Africa: Scoping review.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2025Article
- Investigating impact of consulting midwives on maternal rights charter on perception of respectful maternity care and postpartum blues among postpartum women: a quasi-experimental study.BMC medical ethics · 2025Article
- Effectiveness of person-centered intervention on obstetric violence during facility-based childbirth among women who delivered in public hospitals in Southwest Ethiopia.Frontiers in public health · 2025Article
- Effectiveness of a respectful maternity care program in a Guatemalan indigenous region rural hospital: a quasi-experimental study.Frontiers in global women's health · 2025Article
- 'Global health action · 2024Article
- Is MIStreatment of women during facility-based childbirth an independent risk factor for POstpartum Depression in Ethiopia and Guinea? A mixed methods prospective study protocol-MISPOD study.Reproductive health · 2024Article
- Challenges to the implementation of a multi-level intervention to reduce mistreatment of women during childbirth in Iran: a qualitative study using the Consolidated Framework for Implementation Research.Reproductive health · 2024Article
- Impact of disrespectful maternity care on childbirth complications: a multicentre cross-sectional study in Ethiopia.BMC pregnancy and childbirth · 2024Article
- When addressing resources is not enough: lessons learned from a respectful maternal and neonatal care provider training intervention evaluation in Kenya and Tanzania.BMC pregnancy and childbirth · 2024Article
- The mistreatment of women during maternity care and its association with the maternal continuum of care in health facilities.BMC pregnancy and childbirth · 2024Article
Corrections and comments
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Authors and funding
7 authors at 3 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThere is a lack of evidence on approaches to mitigating mistreatment during facility-based childbirth. This study compares the experiences of mistreatment reported by childbearing women before and after implementation of a respectful maternity care intervention.
designA pre-post study design was undertaken to quantify changes in women's experiences of mistreatment during facility-based childbirth before and after the respectful maternity care intervention.
interventionA respectful maternity care intervention was implemented in three hospitals in southern Ethiopia between December 2017 and September 2018 and it included training of service providers, placement of wall posters in labour rooms and post-training supportive visits for quality improvement. OUTCOME MEASURES: A 25-item questionnaire asking women about mistreatment experiences was administered to 388 women (198 in the pre-intervention, 190 in the post-intervention). The outcome variable was the number of mistreatment components experienced by women, expressed as a score out of 25. Multilevel mixed-effects Poisson modelling was used to assess the change in mistreatment score from pre-intervention to post-intervention periods.
resultsThe number of mistreatment components experienced by women was reduced by 18% when the post-intervention group was compared with the pre-intervention group (adjusted regression coefficient (Aβ)=0.82, 95% CI 0.74 to 0.91). Women who had a complication during pregnancy (Aβ=1.17, 95% CI 1.01 to 1.34) and childbirth (Aβ=1.16, 95% CI 1.03 to 1.32) experienced a greater number of mistreatment components. On the other hand, women who gave birth by caesarean birth after trial of vaginal birth (Aβ=0.76, 95% CI 0.63 to 0.92) and caesarean birth without trial of vaginal birth (Aβ=0.68, 95% CI 0.47 to 0.98) experienced a lesser number of mistreatment components compared with those who had vaginal birth.
conclusionsWomen reported significantly fewer mistreatment experiences during childbirth following implementation of the intervention. Given the variety of factors that lead to mistreatment in health facilities, interventions designed to mitigate mistreatment need to involve structural changes.
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