Evidence map›Paper›PMID 38773395›Full record

ArticleBMC pregnancy and childbirth2024

Impact of disrespectful maternity care on childbirth complications: a multicentre cross-sectional study in Ethiopia.

Ephrem Yohannes, Gonfa Moti, Gemechu Gelan, Debra K Creedy, Laura Gabriel, Carolyn Hastie

Abstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC pregnancy and childbirth, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 5 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 5 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Ephrem YohannesSchool of Nursing and Midwifery, Griffith University, University Drive, Gold Coast, QLD, 4131, Australia. ephremyohannes.roga@griffithuni.edu.au.
Gonfa MotiSurgery Department, College of Health Sciences and Referral Hospital, Ambo University, Ambo, Ethiopia.
Gemechu GelanMidwifery Department, College of Health Sciences and Referral Hospital, Ambo University, Ambo, Ethiopia.
Debra K CreedySchool of Nursing and Midwifery, Griffith University, University Drive, Gold Coast, QLD, 4131, Australia.
Laura GabrielSchool of Nursing and Midwifery, Griffith University, University Drive, Gold Coast, QLD, 4131, Australia.
Carolyn HastieSchool of Nursing and Midwifery, Griffith University, University Drive, Gold Coast, QLD, 4131, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGlobally, disrespectful, and abusive childbirth practices negatively impact women's health, create barriers to accessing health facilities, and contribute to poor birth experiences and adverse outcomes for both mothers and newborns. However, the degree to which disrespectful maternity care is associated with complications during childbirth is poorly understood, particularly in Ethiopia.

aimTo determine the extent to which disrespectful maternity care is associated with maternal and neonatal-related complications in central Ethiopia.

methodsA multicentre cross-sectional study was conducted in the West Shewa Zone of Oromia, Ethiopia. The sample size was determined using the single population proportion formula. Participants (n = 440) were selected with a simple random sampling technique using computer-generated random numbers. Data were collected through face-to-face interviews with a pretested questionnaire and were entered into Epidata and subsequently exported to STATA version 17 for the final analysis. Analyses included descriptive statistics and binary logistic regression, with a 95% confidence interval (CI) and an odds ratio (OR) of 0.05. Co-founders were controlled by adjusting for maternal sociodemographic characteristics. The primary exposure was disrespectful maternity care; the main outcomes were maternal and neonatal-related complications.

resultsDisrespectful maternity care was reported by 344 women (78.2%) [95% CI: 74-82]. Complications were recorded in one-third of mothers (33.4%) and neonates (30%). Disrespectful maternity care was significantly associated with maternal (AOR = 2.22, 95% CI: 1.29, 3.8) and neonatal-related complications (AOR = 2.78, 95% CI: 1.54, 5.04).

conclusionThe World Health Organization advocates respectful maternal care during facility-based childbirth to improve the quality of care and outcomes. However, the findings of this study indicated high mistreatment and abuse during childbirth in central Ethiopia and a significant association between such mistreatment and the occurrence of both maternal and neonatal complications during childbirth. Therefore, healthcare professionals ought to prioritise respectful maternity care to achieve improved birth outcomes and alleviate mistreatment and abuse within the healthcare sector.

Indexed as

Maternal Health ServicesAdultAttitude of Health PersonnelCross-Sectional StudiesDelivery, ObstetricEthiopiaFemaleHumansInfant, NewbornObstetric Labor ComplicationsParturitionPregnancyProfessional-Patient RelationsQuality of Health CareSurveys and QuestionnairesYoung AdultCentral EthiopiaChildbirth related complicationsCross-sectionalDisrespectful maternity care

Identifiers

PMID38773395
PMCPMC11110437

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.