| خلاصه مقاله | Prevalence and predictors of perceived
disrespectful maternity care in postpartum
Iranian women: a cross-sectional study
Background: Disrespectful maternity care is a key impediment to achieving a good quality care. Identifying
predicting factors can be used in mitigating any potential risk in for disrespect and abuse in maternity care. The
present study was conducted to determine prevalence and predictors of perceived disrespectful maternity care
among Iranian women.
Methods: A cross-sectional study was conducted in three public and three private hospitals in the city of Tabriz
involving 334 postpartum women. Tools included socio-demographic, pregnancy, labour and birth characteristics
questionnaires, and disrespect and abuse scales. Data were collected in 6 to 18 h after birth. Multivariate logistic
regression was used to determine predictors of disrespectful maternity care.
Results: A majority of the women (253; 75.7%) reported one or several types of perceived disrespectful maternity
care. The most frequent types related to not allowing women to choose labour positions (142; 44.3%) and not
allowing them to move during labour (148; 42.5%). Nighttime childbirth (aOR 3.07; 95% CI 1.61 to 5.88) increased
the likelihood of perceived disrespectful maternity care. However, presence of spouses to accompany their wives in
waiting rooms (aOR 0.32; 95% CI 0.11 to 0.88), the attendance of private physicians (aOR 0.05; 95% CI 0.02 to 0.12),
and midwives (aOR 0.22; 95% CI 0.11 to 0.45) decreased the likelihood of perceived disrespectful maternity care.
Conclusion: The results showed high levels of perceived disrespectful maternity care in postpartum women.
Therefore, appropriate interventions, such as encouraging spouses’ presence, increasing the number of night shift
staff, and training obstetric residents and midwives by holding ethics classes, with particular emphasis on empathy
with patients |