ArticleBMJ open2023
Experience of respectful maternity care during childbirth and associated factors in public hospitals of the South West Region of Ethiopia: an institution-based, cross-sectional study.
Article in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed, 8 citations in OpenAlex.
- The effect of respectful maternity care on the perception of traumatic birth among mothers in southern Türkiye.BMC pregnancy and childbirth · 2025Article
- Women's Lives and Birth Experiences Are Important! Evaluation of Women's Perceptions of Respectful Maternal Care: The Mother-Friendly Hospital Difference.Journal of evaluation in clinical practice · 2025Article
- Case for improving respectful care: results from a cross-sectional survey of person-centred maternity care in rural South Africa.BMJ public health · 2024Article
- Influential Factors of Respectful Maternity Care and Its Relationship with Women's Future Fertility Decisions.Iranian journal of nursing and midwifery researchArticle
- A Qualitative Study of Iranian Women's Experiences with Dimensions of Childbirth Violence in Health System.Iranian journal of nursing and midwifery researchArticle
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo determine women's level of experience of respectful maternity care during childbirth and associated factors in public hospitals in the South West Region of Ethiopia.
designInstitution-based, cross-sectional study.
settingThe study was conducted at secondary-level healthcare institutions in the South West Region of Ethiopia from 1 June to 30 July 2021.
participants384 postpartum women were sampled from four hospitals using a systematic random sampling technique, allocating a proportion to each health facility. Pretested structured questionnaires were used to collect data from the postnatal mothers through a face-to-face exit interview. OUTCOME MEASURES: The level of respectful maternity care was measured according to the Mothers on Respect Index. P values of <0.05 and 95% CIs were used to determine statistical significance.
resultsOf the 384 sampled women, 370 postnatal mothers participated in the study (response rate 96.3%). 11.6% (95% CI 8.4% to 15.1%), 39.7% (95% CI 34.3% to 44.6%), 20.8% (95% CI 17.3% to 25.1%), and 27.8% (95% CI 23.5% to 32.4%) of women experienced very low, low, moderate, and high levels of respectful maternal care during childbirth, respectively. Having no formal education was negatively associated with experience of respectful maternal care (adjusted OR (AOR)=0.51, 95% CI 0.294 to 0.899), while daytime delivery (AOR 8.53, 95% CI 5.032 to 14.47), giving birth through caesarean section (AOR 2.19, 95% CI 1.410 to 3.404) and future intention to give birth within the health facility (AOR 5.18, 95% CI 3.019 to 8.899) were positively associated with respectful maternal care.
conclusionIn this study, only one-fourth of women experienced high-level respectful maternal care during childbirth. Responsible stakeholders must develop guidelines and strategies to monitor and harmonise respectful maternal care practices at all institutions.
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