ArticleReproductive health2023
Examining respect, autonomy, and mistreatment in childbirth in the US: do provider type and place of birth matter?
Article in Reproductive health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Prevalence of obstetric violence in high-income countries: A systematic review of mixed studies and meta-analysis of quantitative studies.Acta obstetricia et gynecologica Scandinavica · 2025Pooled it
- Experiences of Blame Among Pregnant Black Women During Prenatal Care.Journal of racial and ethnic health disparities · 2026Article
- Women's Autonomy and Respectful Maternity Care in Zambia: A Cross-Sectional Study Using Validated Patient-Reported Measures.Maternal and child health journal · 2026Article
- Characteristics and Outcomes Among Asian Birthing People in the American Association of Birth Centers Perinatal Data Registry.Birth (Berkeley, Calif.) · 2026Article
- Planned Community Birth and Birth Outcomes.JAMA pediatrics · 2026Article
- A phenomenological study on the traces of obstetric violence in women's birth experiences.BMC pregnancy and childbirth · 2025Article
- Exploring Maternal Autonomy, Respect, and Satisfaction During Childbirth: Insights From Home Birth Experiences.Cureus · 2025Article
- Article
- Rethinking the birth plan after the pandemic: A qualitative study of the view of Spanish midwives.Heliyon · 2024Article
- Exploring online reproductive health promotion in Canada: a focus on behavioral and environmental influences from a sex and gender perspective.BMC public health · 2024Article
- Perinatal Mood and Anxiety Disorder and Reproductive Justice: Examining Unmet Needs for Mental Health and Social Services in a National Cohort.Health equity · 2024Article
- Beyond Visit Counts: A Concept Analysis of Patient-Centered, Quality-Oriented Maternal and Child Healthcare Utilization.SAGE open nursingArticle
- Experiences of Canadian perinatal care during the COVID-19 pandemic: Analysis of open-ended survey responses.Women's health (London, England)Article
- A Neonatal Transfer from Birth Center to Hospital with a Postpartum Hemorrhage During Transport.Journal of midwifery & women's healthArticle
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7 authors.
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Abstract
backgroundAnalyses of factors that determine quality of perinatal care consistently rely on clinical markers, while failing to assess experiential outcomes. Understanding how model of care and birth setting influence experiences of respect, autonomy, and decision making, is essential for comprehensive assessment of quality.
methodsWe examined responses (n = 1771) to an online cross-sectional national survey capturing experiences of perinatal care in the United States. We used validated patient-oriented measures and scales to assess four domains of experience: (1) decision-making, (2) respect, (3) mistreatment, and (4) time spent during visits. We categorized the provider type and birth setting into three groups: midwife at community birth, midwife at hospital-birth, and physician at hospital-birth. For each group, we used multivariate logistic regression, adjusted for demographic and clinical characteristics, to estimate the odds of experiential outcomes in all the four domains.
resultsCompared to those cared for by physicians in hospitals, individuals cared for by midwives in community settings had more than five times the odds of experiencing higher autonomy (aOR: 5.22, 95% CI: 3.65-7.45), higher respect (aOR: 5.39, 95% CI: 3.72-7.82) and lower odds of mistreatment (aOR: 0.16, 95% CI: 0.10-0.26). We found significant differences across birth settings: participants cared for by midwives in the community settings had significantly better experiential outcomes than those in the hospital settings: high- autonomy (aOR: 2.97, 95% CI: 2.66-4.27), respect (aOR: 4.15, 95% CI: 2.81-6.14), mistreatment (aOR: 0.20, 95% CI: 0.11-0.34), time spent (aOR: 8.06, 95% CI: 4.26-15.28).
conclusionParticipants reported better experiential outcomes when cared for by midwives than by physicians. And for those receiving midwifery care, the quality of experiential outcomes was significantly higher in community settings than in hospital settings. Care settings matter and structures of hospital-based care may impair implementation of the person-centered midwifery care model.
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