14Background: Various aspects of disrespect and abusive maternity care have received scholarly 15 attention because of frequent reports of the phenomenon in most healthcare facilities globally, 16 especially in low-and middle-income countries. However, the perspectives of skilled providers on 17 respectful maternal care have not been extensively studied. Midwives' knowledge of respectful 18 maternity care is critical in designing any interventive measures to address the menace of disrespect 19 and abuse in maternity care. Therefore, the present study sought to explore the views of midwives 20 on respectful maternity care at a Teaching Hospital in Kumasi, Ghana. 21Methods: Phenomenological qualitative research design was employed in the study. Data were 22 generated through individual in-depth interviews, which were audio-recorded and transcribed 23 verbatim. Data saturation was reached with fifteen midwives. Open Code 4.03 was used to manage 24 and analyse the data. 25 Findings: The midwives' understanding of respectful maternity care was comprised of the 26 following components: non-abusive care, consented care, confidential care, non-violation of 27 childbearing women's basic human rights, and non-discriminatory care. Probing questions to 28 solicit midwives' opinions on an evidenced-based component of respectful maternity care 29 generated little information, suggesting that the midwives have a gap in knowledge regarding this 30 component of respectful maternity care.31 Conclusion: Midwives reported an understanding of most components of respectful maternity 32 care, but their gap in knowledge on evidenced-based care requires policy attention and in-service 33 training. To understand the extent to which this gap in knowledge can be generalized for midwives 34 across Ghana to warrant a redesign of the national midwifery curriculum, the authors recommend 35 a nationwide cross-sectional quantitative study. 36 Background 37 The rise in facility-based deliveries with skilled providers in low-and-middle-income countries 38 (LMICs) has resulted in decreased maternal and neonatal morbidities and mortalities [1-5]. In 39 recent times, frequent accounts of facility-based disrespect and abusive care (D&AC) are 40 undermining the purpose of encouraging childbearing women to access intrapartum care services 41 in healthcare facilities [6-10]. D&AC violates childbearing women's rights to quality maternity 42 care, life, health, dignified care, and freedom from discrimination [11]. Preventing and eliminating 3 43 facility-based D&AC in LMICs requires that countries implement a scalable, sustainable, and cost-44 effective solution. The World Health Organization (WHO) statement on addressing D&AC 45 suggests that ensuring and integrating respectful maternity care (RMC) in obstetric care-46 pregnancy, childbirth, through postnatal care-is the appropriate solution to pursue [11]. RMC 47 65skilled providers on RMC were from countries other than Ghana [21,22]. Thus, the present study 4 66 seeks to explore the experiences and...
Background Midwives’ disrespect and abuse of childbearing women have deleterious consequences on maternal and neonatal health. Thus, understanding midwives’ views on the subject is critical to addressing the threat. Views of many stakeholders, except midwives, on disrespect and abusive care (D&AC) are frequently researched. This paper, therefore, explored the views of midwives on D&AC and their occurrence in professional practice in a tertiary health facility in Kumasi, Ghana. Method Phenomenological qualitative research design was employed in the study. Data were generated through individual in-depth interviews. Data saturation was reached with fifteen midwives. The interviews were audio-recorded and transcribed verbatim. Open Code 4.03 was used to manage and analyze the data. Findings The midwives understood D&AC. They also confirmed meting out or witnessing colleagues engage in D&AC in their professional practice. Socioeconomic inequalities and health system structures and processes emerged as facilitators of D&AC. It emerged that the following marginalized groups were at high risk for D&AC: the non-compliant, mentally ill, HIV/AIDs+, teenagers, poor, and the general labour ward childbearing women. Conclusion The midwives understood D&AC and revealed that it frequently occurred in their professional practice. Frequent in-service training on respectful maternity care and monitoring of care provision in healthcare facilities are needed to eliminate the incidence of D&AC.
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