ArticlePloS one2021
Magnitude and associated factors of disrespect and abusive care among laboring mothers at public health facilities in Borena District, South Wollo, Ethiopia.
Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It carries an expression of concern. Cited by 24 papers, 4 of them syntheses that pooled it.
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Who cites it
24 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Prevalence of mistreatment and disrespect of women during childbirth in the world: a systematic review and meta-analysis.Reproductive health · 2025Pooled it
- Health system responsiveness for maternal healthcare services in East Africa: a mixed-methods systematic review.BMC pregnancy and childbirth · 2025Pooled it
- Respectful Maternal Care Experience in Low- and Middle-Income Countries: A Systematic Review.Medicina (Kaunas, Lithuania) · 2023Pooled it
- Disrespect and abuse of women during childbirth at health facilities in Eastern Africa: systematic review and meta-analysis.Frontiers in medicine · 2023Pooled it
- Strengthening Teamwork and Respect (STAR): nurses' perspectives and experiences of disrespectful maternity care in rural district hospitals in KwaZulu-Natal, South Africa.Global health action · 2026Article
- 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
- Obstetric violence and associated factors among women who gave birth at public hospitals in Addis Ababa, Ethiopia, 2024: a cross-sectional study.Maternal health, neonatology and perinatology · 2026Article
- Disrespect, Abuse, and Satisfaction With Facility-Based Childbirth in Rural Bangladesh.Health science reports · 2026Article
- Status and influencing factors of obstetric violence in Shanghai, China: a multicenter cross-sectional survey.BMC public health · 2026Article
- Article
- "It shows that I belong": a qualitative study assessing birth companionship of choice in a maternity clinic in Freetown, Sierra Leone.BMC pregnancy and childbirth · 2025Article
- Factors associated with respectful maternity care reported by patients in selected health facilities in Musanze District, Rwanda: a facility-based cross-sectional study.BMC women's health · 2025Article
- Perceived causes and contributory conditions for perinatal death: perspectives of midwives, parents, and communities in Northwest Ethiopia-a qualitative study.Frontiers in medicine · 2025Article
- Labour companionship and respectful treatment of women during childbirth: a cross-sectional study across 16 hospitals in Benin, Malawi, Tanzania and Uganda.BMJ public health · 2025Article
- Article
- 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
- Dignified care and associated factors among mothers who gave birth at public hospitals, in Sidama Regional State, southern Ethiopia, 2023.BMC women's health · 2024Article
- Translation and adaptation of the person-centered maternity care scale to a Persian-speaking population: a confirmatory factor analysis.BMC public health · 2024Article
- Impact of disrespectful maternity care on childbirth complications: a multicentre cross-sectional study in Ethiopia.BMC pregnancy and childbirth · 2024Article
- Obstetric violence and associated factors among women who gave birth at public hospitals in Addis Ababa city administration, Ethiopia.Frontiers in global women's health · 2024Article
Corrections and comments
- Expression of concern
Authors and funding
12 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundRecent studies have indicated that disrespectful/abusive/coercive service by skilled care providers in health facilities that results in actual or perceived poor quality of care is directly and indirectly associated with adverse maternal and newborn outcomes. According to the 2016 Ethiopian Demography and Health Survey, only 26% of births were attended by qualified clinicians, with a maternal mortality rate of 412 per 100,000 live-births. Using seven categories developed by Bowser and Hill (2010), this study looked at disrespect and abuse experienced by women in labor and delivery rooms in health facilities of Borena Ddistrict, South Wollo, Ethiopia.
methodsA facility-based cross-sectional study was conducted among 374 immediate postpartum women in Borena District from January 12 to March 12, 2020. Systematic sampling was used to access respondents to participate in a structured, pre-tested face-to-face exit interview. Data were entered into EpiData version 4.6 and exported to SPSS version 25 for analysis. Finally, bivariable and multivariable logistic regression analysis were performed to declare statistically significant factors related to maternal disrespect and abusive care in Borena District at a p-value of < 0.05 and at 95% CI.
resultAlmost four out of five (79.4%) women experienced at least one type of disrespect and abuse during facility-based childbirth. The most frequently reported type of disrespect and abuse was non-consented care 63.7%. Wealth index [AOR = 3.27; 95% CI: (1.47, 7.25)], type of health facility [AOR = 1.96; 95% CI: (1.01, 3.78)], presence of companion(s) [AOR = 0.05; 95% CI: (0.02, 0.12)], and presence of complications [AOR = 2.65; 95% CI: (1.17, 5.99)] were factors found to be significantly related to women experiencing disrespect and abuse.
conclusionThe results showed that wealth index, type of health facility, presence of companion(s), and birth complications were found to be significant factors. Therefore, health personnel need to develop interventions that integrate provider's behavior on companionship and prevention of complications across facilities to reduce the impact of disrespectful and abusive care for laboring women.
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