Identifying predictive factors and developing evidence-based guidelines for promoting respectful maternal and newborn care: a mixed method multiphase study design
Keywords:Respectful maternal care, Respectful newborn care, Mixed method study design
Background: Mistreatment of women during pregnancy and childbirth by healthcare workers is a common issue in both private and public sector health facilities in India. Improving the quality of maternity care in these sectors is crucial for promoting institutional births and ensuring positive birth experiences. This study aims to develop guidelines for respectful maternity care (RMC) in India through a multiphase quantitative and qualitative study.
Methods: The study will utilize a mixed methods multiphase design, which involves collecting, analyzing, and integrating both quantitative and qualitative data. This approach follows the principles of pragmatism paradigm, where the integration of different approaches enhances understanding. The quantitative data will be used to expand and explain the qualitative data collected in the first phase. The integration of both types of data will contribute to the development of new RMC guidelines.
Conclusions: This study is the first of its kind in India to develop comprehensive RMC guidelines based on a multiphase study. By exploring the experiences of Indian women regarding disrespect and abuse (D&A) during childbirth and its determinants, the study will provide valuable insights for guideline development. The integration of quantitative and qualitative approaches in the mixed method design will address potential limitations and provide a more comprehensive understanding of the subject.
The prevention and elimination of disrespect and abuse during facility-based childbirth. Available at: https://www.who.int. Accessed on 20 February 2023.
Bowser D, Hill K. Exploring Evidence for Disrespect and Abuse in Facility- Based Childbirth: Report of a Landscape Analysis. USAID. 2010.
Burrowes S, Holcombe SJ, Jara D, Carter D, Smith K. Midwives’ and patients’ perspectives on disrespect and abuse during labor and delivery care in Ethiopia: a qualitative study. BMC. 2017;17(1):263.
Freedman LP, Kruk ME. Disrespect and abuse of women in childbirth: challenging the global quality and accountability agendas. Lancet. 2014;384:e42-4.
Lukasse M, Schroll AM, Karro H, Schei B, Steingrimsdottir T, Van Parys AS, et al. Prevalence of experienced abuse in healthcare and associated obstetric characteristics in six European countries. Acta Obstet Gynecol Scand. 2015;94(5):508-17.
Sethi R, Gupta S, Oseni L, Mtimuni A, Rashidi T, Kachale F. The prevalence of disrespect and abuse during facility-based maternity care in Malawi: evidence from direct observations of labor and delivery. Reprod Health. 2017;14(1):111.
Swahnberg K, Schei B, Hilden M, Halmesmki E, Sidenius K, Steingrimsdottir T, et al. Patients’ experiences of abuse in health care: a Nordic study on prevalence and associated factors in gynaecological patients. J Psychosom Obstet Gynaecol. 2007;86(3): 349-56.
Kendall-Tackett K. Respectful care during birth= better breastfeeding rates remarkable new statement from WHO calls for the end of disrespect and abuse during childbirth. Clin Lact. 2015;6(1):6-8.
WHO recommendations: intrapartum care for a positive childbirth experience. Available at: https://www.who.int. Accessed on 20 February 2023.
Orpin J, Puthussery S, Davidson R, Burden B. Women’s experiences of disrespect and abuse in maternity care facilities in Benue state. BMC. 2018; 18(1):213.
Balde MD, Bangoura A, Diallo BA, Sall O, Balde H, Niakate AS, et al. Aqualitative study of women's and health providers' attitudes and acceptability of mistreatment during childbirth in health facilities in Guinea. Reprod Health. 2017;14:4.
Bohren MA, Vogel JP, Tunçalp Ö, Fawole B, Titiloye MA, Olutayo AO, et al. By slapping their laps, the patient will know that you truly care for her”: a qualitative study on social norms and acceptability of the mistreatment of women during childbirth in Abuja. SSM Popul Health. 2016;2:640-55.
Downe S, Lawrie TA, Finlayson K, Oladapo OT. Effectiveness of respectful care policies for women using routine intrapartum services: a systematic review. Reprod Health. 2018;15(1):23.
Sheferaw ED, Mengesha TZ, Wase SB. Development of a tool to measure women’s perception of respectful maternity care in public health facilities. BMC. 2016;16(1):67.
Asefa A, Bekele D. Status of respectful and non-abusive care during facility based childbirth in a hospital and health centers in Addis Ababa. Ethiopia Reprod Health. 2015;12(1):33.
USAID: respectful maternity care standards. Available at: https://wwwusaid.int. Accessed on 20 February 2023.
Dencker A, Taft C, Bergqvist L, Lilja H, Berg M. Childbirth experience questionnaire (CEQ): development and evaluation of a multidimensional instrument. BMC. 2010;10(81):1-8.
Lincoln YS. Emerging criteria for quality in qualitative and interpretive research. Qual Inq. 1995;1(3):275-89.