Respectful care during childbirth in health facilities globally: a qualitative evidence synthesis
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Authors
Shakibazadeh, E.
Namadian, M.
Bohren, MA
Vogel, JP
Rashidian, A.
Pileggi, V. Nogueira
Madeira, S.
Leathersich, S.
Tunçalp, Ӧ.
Oladapo, OT
Issue Date
2017-12-08
Type
Article
Language
en_US
Keywords
Childbirth , Dignity , Disrespect and Abuse , Health Facility , Qualitative Evidence Synthesis , Respectful Maternity Care
Alternative Title
Abstract
Background:
What constitutes respectful maternity care (RMC) operationally in research and programme implementation is often variable.
Objectives:
To develop a conceptualisation of RMC.
Search strategy:
Key databases, including PubMed, CINAHL, EMBASE, Global Health Library, grey literature, and reference lists of relevant studies.
Selection criteria:
Primary qualitative studies focusing on care occurring during labour, childbirth, and/or immediately postpartum in health facilities, without any restrictions on locations or publication date.
Data collection and analysis:
A combined inductive and deductive approach was used to synthesise the data; the GRADE CERQual approach was used to assess the level of confidence in review findings.
Main results:
Sixty‐seven studies from 32 countries met our inclusion criteria. Twelve domains of RMC were synthesised: being free from harm and mistreatment; maintaining privacy and confidentiality; preserving women's dignity; prospective provision of information and seeking of informed consent; ensuring continuous access to family and community support; enhancing quality of physical environment and resources; providing equitable maternity care; engaging with effective communication; respecting women's choices that strengthen their capabilities to give birth; availability of competent and motivated human resources; provision of efficient and effective care; and continuity of care. Globally, women's perspectives of what constitutes RMC are quite consistent.
Conclusions:
This review presents an evidence‐based typology of RMC in health facilities globally, and demonstrates that the concept is broader than a reduction of disrespectful care or mistreatment of women during childbirth. Innovative approaches should be developed and tested to integrate RMC as a routine component of quality maternal and newborn care programmes.
Description
Citation
Shakibazadeh, E., Namadian, M., Bohren, M. A., Vogel, J. P., Rashidian, A., Nogueira Pileggi, V., Madeira, S., Leathersich, S., Tunçalp, Ӧ., Oladapo, O. T., Souza, J. P., & Gülmezoglu, A. M. (2018). Respectful care during childbirth in health facilities globally: a qualitative evidence synthesis. BJOG : an international journal of obstetrics and gynaecology, 125(8), 932–942. https://doi.org/10.1111/1471-0528.15015
Publisher
BJOG : An International Journal of Obstetrics and Gynaecology