Competencies for respectful maternity care: Identifying those most important to midwives worldwide

Abstract

A global perspective has been emerging over the past decades that reflects a person-centered philosophy of childbirth. 1,2 This perspective expands the domains of responsibilities of practitioners of reproductive health services, including care across the perinatal continuum. The World Health Organization (WHO) has published a series of recommendations for a positive pregnancy experience 3 and, more recently, a model for intrapartum care services. 4 This person-centered

Operationalizing respectful maternity care at the healthcare provider level: a systematic scoping review

“…Doctors/nurses/midwives provide to women in labor and birth (to strengthen their capabilities): a. Pharmacological and b. Non-pharmacological pain relief options and supportive care Reis et al [ 36 ]; International Federation of Gynecology and Obstetrics and others. [ 27 ]; Rosen et al [ 37 ]; Thompson et al [ 38 ]; Warren [ 15 ]; Miller et al [ 39 ]; Sheferaw et al [ 40 ]; Sheferaw [ 41 ] ; World Health Organization [ 22 ]; Kujawski [ 42 ]; Oosthuizen [ 43 ]; Asefa [ 44 ]; Bohren [ 45 ]; Dynes [ 46 ]; Shakibazadeh [ 47 ]; Taavoni [ 48 ]; Wassihun [ 49 ]; World Health Organization [ 50 ]; Afulani [ 51 , 52 ]; Giordano [ 53 ]; Oliveira [ 54 ]; Perkins [ 55 ]; Afulani [ 56 ]; Bante [ 57 ]; Bohren [ 58 ]; Butler [ 59 ]; Lothian [ 24 ]; Montoya [ 60 ]; Moridi [ 61 ]; Devries [ 62 ] Page [ 63 ] Wagner [ 64 ] GarciadeLimaParada [ 65 ] Behruzi [ 66 ] Behruzi [ 67 ] Behruzi [ 68 ] Binfa [ 69 ] Ouedraogo [ 70 ] ConesaFerrer [ 71 ] Binfa [ …”

“…Provide honest and complete information, b .Involve clients in decision making about their care, c. Solicit consent for all interventions, and d. Respect choices including refusal of interventions Reis et al [ 36 ]; Warren et al [ 73 ]; International Federation of Gynecology and Obstetrics and others. [ 27 ]; Rosen et al [ 37 ]; Thompson et al [ 38 ]; Warren [ 15 ]; Miller et al [ 39 ]; Patel et al [ 74 ]; Sheferaw et al [ 40 ]; Solnes et al [ 75 ]; World Health Organization [ 22 ]; Kambala [ 76 ]; Kujawski [ 42 ]; Ndwiga [ 77 ]; Oosthuizen [ 43 ]; Sheferaw [ 41 ]; Vedam et al [ 78 , 79 ]; Asefa [ 44 ]; Bohren [ 45 ]; Dynes [ 46 ]; Shakibazadeh [ 47 ]; Taavoni [ 48 ]; World Health Organization [ 50 ]; Afulani [ 51 , 52 , 80 ]; Feijen-deJong [ 81 ]; Giordano [ 53 ]; Perkins [ 55 ]; Afulani [ 56 ]; Ayoubi [ 82 ]; Bohren [ 58 ]; Butler [ 59 ]; Lothian [ 24 ]; Moridi [ 61 ]; Montoya [ 60 ]; Page [ 63 ] Wagner [ 64 ] Guimaraes [ 84 ] GarciadeLimaParada [ …”

“…Doctors/nurses/midwives keep patient information confidential and do not share patient information unless indicated for the provision of effective care Warren et al [ 73 ]; International Federation of Gynecology and Obstetrics and others. [ 27 ]; Rosen et al [ 37 ]; Thompson et al [ 38 ]; Miller et al [ 39 ]; Patel et al [ 74 ]; Solnes et al [ 75 ]; World Health Organization [ 22 ]; Kambala [ 76 ]; Kujawski [ 42 ]; Ndwiga [ 77 ]; Vedam et al [ 78 , 79 ]; Asefa [ 44 ]; Bohren [ 45 ]; Dynes [ 46 ]; Shakibazadeh [ 47 ]; Taavoni [ 48 ]; World Health Organization [ 50 ]; Afulani [ 51 , 52 , 80 ]; Giordano [ 53 ]; Afulani [ 56 ]; [ 82 ] Ayoubi 2020; [ 24 , 59 – 61 ] Butler; Lothian; Moridi; Montoya; Behruzi [ 67 ] Ouedraogo [ 70 ] ConesaFerrer [ 71 ] Right to non-discrimination, equality and equitable care 1. Doctors/nurses/midwives adhere to policies on non-discrimination 2.…”

“…Doctors/nurses/midwives treat every client with equal respect and dignity, regardless of any specific personal attributes, including but not limited: to age, wealth, class, education, race or ethnicity, religion, LGBTQ+ , HIV or other health status Warren et al [ 15 , 73 ] International Federation of Gynecology and Obstetrics and others. [ 27 ]; Solnes et al [ 75 ]; World Health Organization [ 22 ]; Vedam et al [ 79 ] Shakibazadeh [ 47 ]; Afulani; Ayoubi; Bohren; Butler; Lothian [ 24 , 56 , 58 , 59 , 82 ] Moridi [ 61 ] Right to timely healthcare and to the highest attainable level of health 1. Doctors/nurses/midwives provide prompt attention and are responsive to clients’ needs for: a.…”

“…Doctors/nurses/midwives ensure continuity of care by coordinating effectively across settings and between providers Reis et al [ 36 ]; Warren et al [ 15 , 73 ] International Federation of Gynecology and Obstetrics and others. [ 27 ]; Sheferaw et al [ 40 ]; Solnes et al [ 75 ]; Kambala; Kujawski; Ndwiga, Oosthuizen [ 42 , 43 , 76 , 77 ]; Asefa; Bohren; Dynes; Shakibazadeh; Taavoni; Wassihun; World Health Organization [ 44 – 50 ]; Afulani; Afulani; Ayoubi; Bante; Butler; Lothian; Moridi; [ 24 , 52 , 56 , 57 , 59 , 61 , 80 , 82 ] Behruzi [ 68 ] Ouedraogo [ 70 ] Binfa [ 72 ] Right to liberty, autonomy, self-determination, and freedom from coercion 1. Doctors/nurses/midwives do not illegally detain or physically restrain clients in the facility for any reason, including inability to pay 2.…”