Person-centered maternity care during childbirth and associated factors at selected public hospitals in Addis Ababa, Ethiopia, 2021: a cross-sectional study

Tarekegne, Azezew Ambachew; Giru, Berhanu Wordofa; Mekonnen, Bazie

doi:10.1186/s12978-022-01503-w

Cited by 6 publications

(3 citation statements)

References 25 publications

(45 reference statements)

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“…The dignity and respect subscale had the highest median score, followed by supportive care, then communication and autonomy. This ranking of subscale scores was similar to the other studies 31,37 . The high levels of self‐reported RMC in this population of postpartum women are encouraging and reflect patient satisfaction with birthing services at the study facilities.…”

Section: Discussionsupporting

confidence: 85%

“…This ranking of subscale scores was similar to the other studies. 31,37 The high levels of self-reported RMC in this population of postpartum women are encouraging and reflect patient satisfaction with birthing services at the study facilities. The lower score on communication and autonomy points to a need for additional practitioner training in clinical empathy and consent to center women's autonomy and well-being in the labor and birth experience.…”

Section: Discussionmentioning

confidence: 74%

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Factors associated with respectful maternity care and influence of HIV status among women giving birth in Kilimanjaro, Tanzania

Barabara,

Cohen,

Masenga

et al. 2023

Birth

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BackgroundRespectful maternity care (RMC) is a rights‐based approach to childbirth that centers the dignity, autonomy, and well‐being of birthing women. This study aimed to examine factors associated with RMC among women giving birth in Tanzania and to examine whether HIV status was associated with self‐reported RMC.MethodsWe enrolled 229 postpartum women in six clinics in the Kilimanjaro Region; of them, 103 were living with HIV. Participants completed a survey within 48 h after birth before being discharged. RMC was measured using a 30‐item scale with three subscales (dignity and respect; supportive care; communication and autonomy), each standardized from 0 to 100. Univariable and multivariable regression models examined factors associated with RMC.ResultsThe median score of the full RMC score was 74, differing slightly by subscale: 83 for dignity and respect, 76 for supportive care, and 67 for communication and autonomy. RMC did not differ by HIV status (median 67.0 vs. 67.0, p = 0.89). In multivariable linear regression, women who would not recommend the birth facility to their friends and who did not receive breastfeeding education had significantly lower RMC scores on the full RMC scale. In the dignity and respect subscale, variables associated with significantly lower RMC scores were not being able to read and write, delivering in a public facility, and delivering vaginally.ConclusionsAlthough self‐reported RMC was generally high, we identified areas for improvement. Practitioners need ongoing training on RMC principles and the delivery of equitable care.

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Section: Discussionsupporting

confidence: 85%

Section: Discussionmentioning

confidence: 74%

Factors associated with respectful maternity care and influence of HIV status among women giving birth in Kilimanjaro, Tanzania

Barabara,

Cohen,

Masenga

et al. 2023

Birth

View full text Add to dashboard Cite

show abstract

“…Thus, the therapeutic relationship between the health professional and the person (including families and care partners) is at the centre, underpinned by values of respect for the person, individual right to self-determination, mutual respect and understanding [ 7 ]. Person-centred care in maternity services has the same foundations and objectives, emphasising that women’s values guide the decision-making before, during and after childbirth [ 8 ]. The key domains are dignity and respect, communication and autonomy, and supportive care [ 9 ].…”

Section: Introductionmentioning

confidence: 99%

Caesarean section on maternal request: a qualitative study of conflicts related to shared decision-making and person-centred care in Sweden

Fredriksson,

Holmström,

Höglund

et al. 2024

Reprod Health

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Background Today, person-centred care is seen as a cornerstone of health policy and practice, but accommodating individual patient preferences can be challenging, for example involving caesarean section on maternal request (CSMR). The aim of this study was to explore Swedish health professionals’ perspectives on CSMR and analyse them with regard to potential conflicts that may arise from person-centred care, specifically in relation to shared decision-making. Methods A qualitative study using both inductive and deductive content analysis was conducted based on semi-structured interviews. It was based on a purposeful sampling of 12 health professionals: seven obstetricians, three midwives and two neonatologists working at different hospitals in southern and central Sweden. The interviews were recorded either in a telephone call or in a video conference call, and audio files were deleted after transcription. Results In the interviews, twelve types of expressions (sub-categories) of five types of conflicts (categories) between shared decision-making and CSMR emerged. Most health professionals agreed in principle that women have the right to decide over their own body, but did not believe this included the right to choose surgery without medical indications (patient autonomy). The health professionals also expressed that they had to consider not only the woman’s current preferences and health but also her future health, which could be negatively impacted by a CSMR (treatment quality and patient safety). Furthermore, the health professionals did not consider costs in the individual decision, but thought CSMR might lead to crowding-out effects (avoiding treatments that harm others). Although the health professionals emphasised that every CSMR request was addressed individually, they referred to different strategies for avoiding arbitrariness (equality and non-discrimination). Lastly, they described that CSMR entailed a multifaceted decision being individual yet collective, and the use of birth contracts in order to increase a woman’s sense of security (an uncomplicated decision-making process). Conclusions The complex landscape for handling CSMR in Sweden, arising from a restrictive approach centred on collective and standardised solutions alongside a simultaneous shift towards person-centred care and individual decision-making, was evident in the health professionals’ reasoning. Although most health professionals emphasised that the mode of delivery is ultimately a professional decision, they still strived towards shared decision-making through information and support. Given the different views on CSMR, it is of utmost importance for healthcare professionals and women to reach a consensus on how to address this issue and to discuss what patient autonomy and shared decision-making mean in this specific context.

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Person-centered maternity care during childbirth and associated factors at public hospitals in central Ethiopia

Kabale,

Bekele,

Gonfa

et al. 2024

SAGE Open Medicine

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Objectives: Person-centered maternity care during childbirth is crucial for improving maternal and newborn health outcomes. Therefore, this study was aimed at assessing the determinants of person-centered maternity care in Central Ethiopia. Methods: An institutional-based cross-sectional study was conducted in public hospitals in Central Ethiopia from 30 January to 1 March 2023. A systematic random sampling technique was employed to enroll the study participants. Data were collected through face-to-face interviews using a structured questionnaire. After data collection, it was checked for completeness and consistency, then coded and entered into Epi Data version 4.4.2 and exported to SPSS version 26 for analysis. Both bivariate and multivariable logistic regressions were used to identify associated factors. Results: In this study, a total of 565 participants were involved, resulting in a response rate of 98.77%. The respondents mean score for person-centered maternity care was 60.2, with a 95% CI of (59.1, 62.3). No formal education (β = −2.00, 95% CI: −4.36, −0.69), fewer than four antenatal contacts (β = −4.3, 95% CI: −5.46, −2.37), being delivered at night (β = 2.20, 95% CI: 1.56, 6.45), and complications during delivery (β = −6.00, 95% CI: −9.2, −0.79) were factors significantly associated with lower person-centered maternity care. Conclusion: This study revealed that person-centered maternity care is low compared with other studies. Consequently, it is imperative to prioritize initiatives aimed at enhancing awareness among healthcare providers regarding the benchmarks and classifications of person-centered maternity care. Moreover, efforts should be directed toward fostering improved communication between care providers and clients, along with the implementation of robust monitoring and accountability mechanisms for healthcare workers to prevent instances of mistreatment during labor and childbirth.

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Person-centered maternity care during childbirth and associated factors at selected public hospitals in Addis Ababa, Ethiopia, 2021: a cross-sectional study

Cited by 6 publications

References 25 publications

Factors associated with respectful maternity care and influence of HIV status among women giving birth in Kilimanjaro, Tanzania

Factors associated with respectful maternity care and influence of HIV status among women giving birth in Kilimanjaro, Tanzania

Caesarean section on maternal request: a qualitative study of conflicts related to shared decision-making and person-centred care in Sweden

Person-centered maternity care during childbirth and associated factors at public hospitals in central Ethiopia

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