Investigating the Level of Maternal Respect in the Obstetrics Department of Educational Hospitals of the East Region of Iran

Document Type : Original Article

Authors

1 Master of Midwifery, School of Nursing and Midwifery, Mashhad university of medical sciences, Mashhad, Iran

2 Master of Midwifery counseling, School of Nursing and Midwifery, Mashhad university of medical sciences, Mashhad, Iran

3 Associate professor, Department of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran

4 Associate professor, Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran

5 Master of Epidemiology, Mashhad University of Medical Sciences, Mashhad, Iran

Abstract

Background: Disrespectful behavior during childbirth may lead to negative experiences that affect women's health long after delivery, mother-baby attachment, her future decisions about childbearing, and it is a clear against the professional ethics codes of caring for patients and pregnant mothers.
 
Methods: This cross-sectional study was conducted on 497 women who delivered and were hospitalized in the Obstetrics department in Iran. The sampeling method was available non-probability. The data collection tool included a demographic and midwifery characteristics questionnaire and the Mothers on Respect index (MORi). The data were analyzed by SPSS version 25 software and descriptive statistics and correlation test were used. P value less than 0.05 was considered significant.
 
Results: The mean total score of mother's respect was 43.01 ± 7.49. The average score of quality, rights and security dimensions of mother's respect was 10.44±5.60, 9.29±5.81 and 23.26±8.03, in order.
 
Conclusion: The overall level of honoring and commemorating mothers is at a “low” level. It is necessary to respect mothers during labor and delivery which can improve their quality of life. In addition, it is necessary to implement programs for midwifery health care providers to improve their knowledge and performance in the field of honoring mothers. Additionally, all mothers should be informed and empowered to know their health rights.

Keywords


Acknowledgements: This study is the result of a research proposal that was approved by Mashhad University of Medical Sciences (code: 4010812). We hereby thank and appreciate The Vice president for Research of Mashhad University of Medical Sciences and also to all the researchers whose studies were used in this study.

 

Availability of data and materials: The data that support the review findings of current study are available from the corresponding author on reasonable request.

 

Conflicts of interests: The authors declare that they have no competing interests.

 

Consent for publication: Not applicable

 

Ethics approval and consent to participate: In order to comply with ethics in the research, the ethics code IR.MUMS.NURSE.REC.1401.074 was obtained from Mashhad University of Medical Sciences. Written informed consents were obtained from all participants. Participation was entirely voluntary, and they were allowed to terminate the survey at any time they desired. All survey responses were entirely and all methods were carried out in accordance with relevant guidelines and regulations. The study was conducted according to the guidelines of the Declaration of Helsinki.

 

Financial disclosure: None.

 

Author contributions: Karimi FZ and Rastegar M:  Conceptualization and designed the study and directed its implementation, including quality assurance and control And review And editing assisted in the interpretation of data and critically reviewed the manuscript. Ahmadinezhad G: assisted in the interpretation of data, review and editing.Khadivzadeh T and  Nouravaran Feizabadi M: Literature search, Data acquisition, Analysis and interpretation of data.

 

 

Open Access Policy: This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. To view a copy of this licence, visit https://creativecommons.org/licenses/by/4.0/

1. Esan OT, Maswime S, Blaauw D. A qualitative inquiry into pregnant women's perceptions of respectful maternity care during childbirth in Ibadan Metropolis, Nigeria. Sexual and reproductive health matters. 2022;30(1):2056977.
https://doi.org/10.1080/26410397.2022.2056977
PMid:35412963 PMCid:PMC9009936
 
2. Moridi M, Pazandeh F, Hajian S, Potrata B. Midwives' perspectives of respectful maternity care during childbirth: A qualitative study. PloS one. 2020;15(3):e0229941.
https://doi.org/10.1371/journal.pone.0229941
PMid:32150593 PMCid:PMC7062245  
 
3. Rezaei A, Zaheri F, Moradi M, Shahoei R. Respecting the pregnant mother and the factors related to their hospitalization in Besat Hospital in Sanandaj (2019). Education and Ethics In Nursing. 2022;11(1-2):19-26.  
 
4. Vedam S, Stoll K, Rubashkin N, Martin K, Miller-Vedam Z, Hayes-Klein H, et al. The Mothers on Respect (MOR) index: measuring quality, safety, and human rights in childbirth. SSM - population health. 2017;3:201-10.
https://doi.org/10.1016/j.ssmph.2017.01.005
PMid:29349217 PMCid:PMC5768993  
 
5. Organization WH. WHO recommendations on antenatal care for a positive pregnancy experience: summary: highlights and key messages from the World Health Organization's 2016 global recommendations for routine antenatal care. World Health Organization; 2018.  
 
6. Tajvar M, Shakibazadeh E, Alipour S, Khaledian Z. Challenges and barriers in moving toward respectful maternity care (RMC) in labor and childbirth: A phenomenology study. Payesh 2022; 21 (2) :151-161
https://doi.org/10.52547/payesh.21.2.151  
 
7. Casebook on benefit and harm: UNESCO; 2011.  
 
8. Ferede WY, Gudayu TW, Gessesse DN, Erega BB. Respectful maternity care and associated factors among mothers who gave birth at public health institutions in South Gondar Zone, Northwest Ethiopia 2021. Women's Health. 2022;18:17455057221116505.
https://doi.org/10.1177/17455057221116505
PMid:35916397 PMCid:PMC9350507  
 
9. John ME, Duke E, Esienumoh E. Respectful maternity care and midwives' caring behaviours during childbirth in two hospitals in Calabar, Nigeria. African Journal of Biomedical Research. 2020;23(2):165-9.  
 
10. Alliance WR. Respectful maternity care: the universal rights of childbearing women. White Ribbon Alliance. 2011:1-6.  
 
11. Chigwenembe L. Dignity in maternal health service delivery: Cross sectional survey on factors that promote or compromise dignity in maternal health service delivery: Perspectives of Women and Midwives from Southern Malawi 2011.  
 
12. Habib HH, Mwaisaka J, Torpey K, Maya ET, Ankomah A. Evidence on respectful maternity care for adolescents: a systematic review protocol. Systematic Reviews. 2021;10:1-5.
https://doi.org/10.1186/s13643-021-01829-9
PMid:34654475 PMCid:PMC8520233  
 
13. Creedy DK, Shochet IM, Horsfall J. Childbirth and the development of acute trauma symptoms: incidence and contributing factors. Birth (Berkeley, Calif). 2000;27(2):104-11.
https://doi.org/10.1046/j.1523-536x.2000.00104.x
PMid:11251488  
 
14. Abdollahpour S, Bayrami R, Ghasem Zadeh N, Alinezhad V. INVESTIGATING THE EFFECT OF IMPLEMENTATION OF RESPECTING PREGNANT WOMEN TRAINING WORKSHOP ON KNOWLEDGE AND PERFORMANCE OF MIDWIVES. Nursing and Midwifery Journal. 2023;21(4):334-42.
https://doi.org/10.61186/unmf.21.4.334  
 
15. Collins B, Hall J, Ireland J, Hundley V. The Human Rights & Dignity Experience of Disabled Women during Pregnancy, Childbirth and Early Parenting. 2016.  
 
16. Abouelmehdi K, Beni-Hessane A, Khaloufi H. Big healthcare data: preserving security and privacy. Journal of Big Data. 2018;5(1):1.
https://doi.org/10.1186/s40537-017-0110-7  
 
17. Solnes Miltenburg A, Lambermon F, Hamelink C, Meguid T. Maternity care and Human Rights: what do women think? BMC International Health and Human Rights. 2016;16(1):17.
https://doi.org/10.1186/s12914-016-0091-1
PMid:27368988 PMCid:PMC4930607  
 
18. Stanton ME, Gogoi A. Dignity and respect in maternity care. BMJ Global Health. 2022;5(Suppl 2):e009023.
https://doi.org/10.1136/bmjgh-2022-009023
PMid:35318193 PMCid:PMC8948344  
 
19. In: Haugan G, Eriksson M, editors. Health Promotion in Health Care - Vital Theories and Research. Cham (CH): Springer Copyright 2021, The Editor(s) (if applicable) and The Author(s). This book is an open access publication.; 2021.
https://doi.org/10.1007/978-3-030-63135-2  
 
20. rastegar m, jahani shorab n, Salari R, saki a. Investigating the Effect of Oral Probiotic Capsules on Postpartum Depression in Primiparous women: A Three-blind Randomized Control trial. The Iranian Journal of Obstetrics, Gynecology and Infertility. 2024:-.
https://doi.org/10.2139/ssrn.4927660  
 
21. Guure C, Aviisah PA, Adu-Bonsaffoh K, Mehrtash H, Aderoba AK, Irinyenikan TA, et al. Mistreatment of women during childbirth and postpartum depression: secondary analysis of WHO community survey across four countries. BMJ Global Health. 2023;8(8):e011705.
https://doi.org/10.1136/bmjgh-2023-011705
PMid:37612033 PMCid:PMC10450127  
 
22. Ebrahimi H, Torabizadeh C, Mohammadi E, Valizadeh S. Patients' perception of dignity in Iranian healthcare settings: a qualitative content analysis. Journal of medical ethics. 2012;38(12):723-8.
https://doi.org/10.1136/medethics-2011-100396
PMid:22933326  
 
23. Gallagher A, Li S, Wainwright P, Jones IR, Lee D. Dignity in the care of older people - a review of the theoretical and empirical literature. BMC Nursing. 2008;7(1):11.
https://doi.org/10.1186/1472-6955-7-11
PMid:18620561 PMCid:PMC2483981  
 
24. Mohaddesi h, Behroozi t, saeigharenaz m, Sahebazzaman z, gholamy m. Evaluation of the maternal satisfaction in the delivery ward from health services provided in urmia motahari Hospital in 2011. Nursing and Midwifery Journal. 2015;13(5):358-66.  
 
25. Shahhoseini S, Borhani F, Atashzadeh-Shoorideh F, Kavousi A. Assessment of human dignity in women with breast cancer undergoing chemotherapy. Medical Ethics Journal. 2017;11(39):7-17.
https://doi.org/10.21859/mej-11397  
 
26. Ghobadi M, Ziaee T, Mirhaghjo N, Pazandeh F, Kazemnejad lili E. Evaluation of Satisfaction with Natural Delivery Experience and its Related Factors in Rasht Women. Journal of Health and Care. 2018;20(3):215-24.
https://doi.org/10.29252/jhc.20.3.215  
 
27. Niles PM, Baumont M, Malhotra N, Stoll K, Strauss N, Lyndon A, et al. Examining respect, autonomy, and mistreatment in childbirth in the US: do provider type and place of birth matter? Reproductive Health. 2023;20(1):67.
https://doi.org/10.1186/s12978-023-01584-1
PMid:37127624 PMCid:PMC10152585  
 
28. Puthussery S, Bayih WA, Brown H, Aborigo RA. Promoting a global culture of respectful maternity care. BMC Pregnancy Childbirth. 2023;23(1):798.
https://doi.org/10.1186/s12884-023-06118-y
PMid:37978465 PMCid:PMC10655326  
 
29. Sharon Morad B, Parry-Smith W. Dignity in maternity care. Evidence Based Midwifery. 2013;11(2):67.  
 
30. Namadi F, Alilu L, Hemmati Maslakpak M, Yadegar Tirandaz S. Threats to the dignity of COVID-19 patients: A qualititative study. Nursing ethics. 2022;29(7-8):1647-59
https://doi.org/10.1177/09697330221109937
PMid:35759685 PMCid:PMC9243969