Abstract:A
BSTRACT
Background:
Disrespect and abuse during health care is an emerging concept without a common and agreed definition that has not been sufficiently studied in Iran. Therefore, this study was conducted to determine the prevalence of disrespect and abuse during childbirth and its related factors in women hospitalized in the postpartum ward.
Materials and Methods:
This descriptive cross-sectional study was performed on postpartum women adm… Show more
“…Delay in receiving medical attention and the verbal utterances of healthcare providers were the most common forms (15.5%) of disrespect and abuse in this study. In other studies 16–18 non‐consented care and abandonment were most prevalent. Subtle differences in the manner of probing the various themes may determine the most prevalent form of disrespect and abuse in different settings.…”
Section: Discussionmentioning
confidence: 82%
“…of disrespect and abuse in this study. In other studies [16][17][18] nonconsented care and abandonment were most prevalent. Subtle differences in the manner of probing the various themes may determine the most prevalent form of disrespect and abuse in different settings.…”
Objective
To determine the prevalence and factors associated with disrespect and abuse during childbirth among women who delivered in a University Teaching Hospital using a validated tool.
Methods
This was a cross‐sectional study conducted at the Department of Obstetrics and Gynecology, University of Benin Teaching Hospital. Participants included women who presented for the 6‐week postnatal visit. The primary outcome was the experience of disrespect and abuse by the women in any of the thematic domains in the tool, namely friendly care, abuse‐free care, timely care, discrimination‐free care, abandonment, and non‐consented care.
Results
In all, 200 participants were enrolled in the study. The prevalence of disrespect and abuse among the study population was 36.5%. Verbal abuse and untimely care were the commonest (15.5%). Nurses were mostly the perpetrators of disrespect and abuse. Maternal age, parity, and marital status among others were not significantly predictive of disrespect and abuse by respondents.
Conclusion
Disrespect and abuse from health workers during childbirth is a prevalent problem among women who delivered in the hospital. This undesirable experience of childbirth needs to be addressed by stakeholders in maternal health.
“…Delay in receiving medical attention and the verbal utterances of healthcare providers were the most common forms (15.5%) of disrespect and abuse in this study. In other studies 16–18 non‐consented care and abandonment were most prevalent. Subtle differences in the manner of probing the various themes may determine the most prevalent form of disrespect and abuse in different settings.…”
Section: Discussionmentioning
confidence: 82%
“…of disrespect and abuse in this study. In other studies [16][17][18] nonconsented care and abandonment were most prevalent. Subtle differences in the manner of probing the various themes may determine the most prevalent form of disrespect and abuse in different settings.…”
Objective
To determine the prevalence and factors associated with disrespect and abuse during childbirth among women who delivered in a University Teaching Hospital using a validated tool.
Methods
This was a cross‐sectional study conducted at the Department of Obstetrics and Gynecology, University of Benin Teaching Hospital. Participants included women who presented for the 6‐week postnatal visit. The primary outcome was the experience of disrespect and abuse by the women in any of the thematic domains in the tool, namely friendly care, abuse‐free care, timely care, discrimination‐free care, abandonment, and non‐consented care.
Results
In all, 200 participants were enrolled in the study. The prevalence of disrespect and abuse among the study population was 36.5%. Verbal abuse and untimely care were the commonest (15.5%). Nurses were mostly the perpetrators of disrespect and abuse. Maternal age, parity, and marital status among others were not significantly predictive of disrespect and abuse by respondents.
Conclusion
Disrespect and abuse from health workers during childbirth is a prevalent problem among women who delivered in the hospital. This undesirable experience of childbirth needs to be addressed by stakeholders in maternal health.
Purpose
Health is a human right and a fundamental building block of sustainable development, economic prosperity and poverty reduction. To realize people’s right to health, evaluating the situation of the right and its determinants is necessary. This paper aims to analyze Iran’s conduct in realizing its population’s right to health.
Design/methodology/approach
A qualitative case study design involving a structured review of relevant laws, policy documents, reports and academic literature was undertaken. The data were collected from electronic databases and the official Web pages of the United Nations (UN) and Iran’s Government and analyzed by a framework suggested by the UN.
Findings
Iran’s law and policies intend to combat health inequalities and to provide an adequate standard of living for everyone, particularly disadvantaged groups and individuals. However, not all laws and policies protecting disadvantaged groups are adequately implemented. There are disparities in health status and access to health care among different socio-economic groups. International economic sanctions and government policies decreased people’s ability to access the necessities of life including health care. Moreover, social determinants of health, such as cultural beliefs regarding women’s rights have not been addressed sufficiently in the country’s laws.
Research limitations/implications
This study includes a broad range of subjects and provides an overview of the health-care system of Iran. However, more detail is needed to describe every aspect of the right to health. It was not feasible to address them all in this paper and needs more research. In addition, as with the majority of qualitative studies, the design of the current study is subject to limitations. Firstly, the research quality of narrative reviews is dependent on the researcher’ skills and more easily can be influenced by his/her personal biases. Second, the rigor is more difficult to maintain, assess and demonstrate. Nevertheless, narrative studies often complement quantitative studies and are informative.
Originality/value
To fulfill the right to health, Iran should improve affordability and quality of care and the situation of the determinants of health. The gaps in people’s access to health care need to be identified, and all necessary means and scarce resources be allocated to remove access barriers and to improve the situation of disadvantaged people. The adoption of relatively low-cost targeted programs, the proper management of resources and the prevention of unnecessary costs are suggested.
Background: Respectful maternity care is a fundamental right for all women. However, reports of disrespect and abuse are prevalent in various childbirth settings. This study aimed to assess the disrespect and abuse experienced by women during childbirth and associated factors in Comprehensive health centers of Tehran, Iran.
Methods: This study employed a cross-sectional design to investigate the prevalance of disrespect and abuse among women who had recently delivered vaginally. The sample comprised 300 mothers who gave birth within the last five days in Tehran, Iran. Data collection occurred between April and September 2021 using a two-stage cluster sampling method and systematic random sampling technique. A demographic and midwifery questionnaire, alongside the Disrespect and Abuse Questionnaire, were used to collect data. Statistical analysis was performed using SPSS version 26. Descriptive statistics (frequencies, percentages, means, and standard deviations) were employed alongside inferential statistics including chi-square tests and logistic regression.
Results: This study revealed a high prevalence of disrespect and abuse, with 68.3% of mothers experiencing at least one form from the seven identified dimensions. When examining the factors contributing to the increase in disrespect and abuse, it was observed that Turkish women had a 67% lower prevalence of disrespect and abuse compared to fars women (OR: 0.339). Mothers with unwanted pregnancies were 2.3 times more likely to experience disrespect and abuse during labor (OR: 2.317). the prevalence of disrespect and abuse was 88% lower in women who received care from a physician compared to those who were attended by a midwife (OR: 0.129). Experience of disrespect and abuse increased 7.1 times when the mother was unaware of who was responsible for her care (OR: 7.190). Mothers without a companion during labor experienced 74% less disrespect and abuse compared to women who had a companion (OR: 0.263). Finally, women who did not undergo instrumental delivery had a 92% reduction in the incidence of abuse (OR: 0.088).
Conclusion: This study revealed a high prevalence of disrespect and abuse during childbirth. All mothers should experience consistent and utmost respect throughout the childbirth. Execution of respectful care advancement must be the business of all healthcare providers.
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