ArticleBMC pregnancy and childbirth2020
A qualitative study on midwives' identity and perspectives on the occurrence of disrespect and abuse in Maputo city.
Article in BMC pregnancy and childbirth, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 3 of them syntheses that pooled it.
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Who cites it
12 citing papers in PubMed, 3 syntheses or guidelines pooled it, 24 citations in OpenAlex.
- Obstetric Violence, Nurses' and midwives' perspectives and experiences: a meta-synthesis study.BMC health services research · 2026Pooled it
- Maternity Care Providers Perspectives and Experiences of Obstetric Violence in Low-, Middle- and High-Income Countries: An Integrative Review.Journal of advanced nursing · 2026Pooled it
- Overcoming barriers and harnessing facilitators: Respectful maternity care in least-developed countries - a systematic review.Women's health (London, England)Pooled it
- Article
- Article
- Exploring women's experiences of care during hospital childbirth in rural Tanzania: a qualitative study.BMC pregnancy and childbirth · 2024Article
- Women's narratives of experiences, drivers and consequences of mistreatment during maternity care in western Ethiopia.PloS one · 2024Article
- Polyphonic perspectives: a focus group study of interprofessional staff's perceptions of music therapy at an inpatient unit for children in mental health care.International journal of qualitative studies on health and well-being · 2023Article
- A narrative review of challenges related to healthcare worker rights, roles and responsibilities in the provision of sexual and reproductive services in health facilities.BMJ global health · 2023Review
- Correlation between mortality and blood transfusion in patients with major surgery initially admitted to intensive care unit: a retrospective analysis.BMC anesthesiology · 2023Article
- "Do we even have a voice?" Health providers' perspective on the patient accommodation strategies in Bangladesh.PloS one · 2022Article
- Towards a global framework for assessing male involvement in maternal health: results of an international Delphi study.BMJ open · 2021Article
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Authors and funding
6 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMidwifery care plays a vital role in the reduction of preventable maternal and newborn mortality and morbidity. There is a growing concern about the quality of care during facility based childbirth and the occurrence of disrespect and abuse (D&A) worldwide. While several studies have reported a high prevalence of D&A, evidence about the drivers of D&A is scarce. This study aims to explore midwives' professional identity and perspectives on the occurrence of D&A in urban Mozambique.
methodsA qualitative study took place in the central hospital of Maputo, Mozambique. Nine focus group discussions with midwives were conducted, interviewing 54 midwives. RQDA software was used for analysing the data by open coding and thematic analysis from a grounded theory perspective.
resultsMidwives felt proud of their profession but felt they were disrespected by the institution and wider society because of their inferior status compared to doctors. Furthermore, they felt blamed for poor health outcomes. The occurrence of D&A seemed more likely in emergency situations but midwives tended to blame this on women being "uncooperative". The involvement of birth companions was a protective factor against D&A together with supervision.
conclusionIn order to improve quality of care and reduce the occurrence of D&A midwives will need to be treated with more respect within the health system. Furthermore, they should be trained in handling obstetric emergency situations with respect and dignity for the patient. Systematic and constructive supervision might be another promising strategy for preventing D&A.
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