ArticleBMC pregnancy and childbirth2025
Women with disabilities' experiences with respectful maternity care in Nepal: a phenomenological study.
Article in BMC pregnancy and childbirth, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.
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Who cites it
4 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Respectful maternity care and intersectional identities in low- and middle-income countries: a systematic review.BMC pregnancy and childbirth · 2025Pooled it
- "We never leave anyone behind": a qualitative study of stakeholders' perspectives on disability-inclusive maternity care in Cambodia.BMC health services research · 2026Article
- Respectful maternity care during childbirth: postnatal women's perspectives. Cross-sectional study from central India: February - December 2023.Revista colombiana de obstetricia y ginecologia · 2025Article
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Authors and funding
6 authors.
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Abstract
backgroundRespectful maternity care (RMC) is essential to safe, dignified childbirth, yet women with disabilities in Nepal face unique barriers in accessing such care. Limited evidence exists on their experiences in relation to the White Ribbon Alliance's RMC Charter.
objectiveTo explore the lived experiences of women with disabilities regarding respectful maternity care in the semi-urban outskirts of Kathmandu, Nepal, and to identify priorities for improving maternity care.
methodsA phenomenological study design was employed between April and May 2023. Data collection included 12 in-depth interviews with women with disabilities, 7 with healthcare providers, and 2 focus group discussions with 11 Female Community Health Volunteers. Interviews were audio-recorded, transcribed, translated into English, and thematically analyzed, guided by the RMC Charter.
resultsWomen's experiences varied widely. Negative accounts included disrespect, poor communication, compromised privacy, and structural barriers such as overcrowded facilities and lack of disability-friendly infrastructure. Economic constraints and transport challenges further limited timely access to care. Some providers perceived women with disabilities as having limited autonomy, though most women reported making their own healthcare decisions. Positive experiences included respectful communication, practical support, and personal assistance from providers.
conclusionWomen with disabilities in the Kathmandu outskirts encounter disability-specific barriers to respectful maternity care, including provider attitudes, inadequate communication, and inaccessible facilities. We recommend integrating disability-focused RMC training into health professional curricula, investing in disability-friendly infrastructure, and adopting policies that safeguard privacy, dignity, and autonomy.
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