Influential Factors of Respectful Maternity Care and Its Relationship with Women’s Future Fertility Decisions

Samaneh Youseflu, Maryam Moradi, Zahra Toghyani, Farzaneh Saadatmand, Maryam Gharib, Zohreh Haghighat dana, Masoumeh Jalili, Shahnaz Kohan

Abstract


Abstract

Background: The childbirth experience encompasses a complex interplay of physical, emotional, and psychological factors, shaping a woman’s overall well‑being and potentially influencing her future reproductive plans. The current study aimed to evaluate the influential factors of respectful maternity care and its relationship with women’s future fertility decisions.

Materials and Methods: This cross‑sectional study was conducted on 308 postpartum women hospitalized in the postpartum wards of educational hospitals affiliated with Isfahan University of Medical Sciences between April and September 2021. Data were collected using convenience sampling method by a sociodemographic and obstetric checklist and a standard Respectful Maternity Care (RMC) questionnaire and analyzed with descriptive statistics and the linear regression model (95% confidence level).

Results: Our findings show that 50.65% of participants would like to have another child, and only 26.62% of them reach the desired number of children. The mean score of RMC was 66.55 (7.13), and variables such as duration of hospital stay, oxytocin induction, episiotomy, birth preparation classes, and level of education were the main predictors of RMC (p-value < 0.05). In addition, a positive correlation was found between the total score of RMC, the next intended fertility (r = 0.24), and ideal fertility in the best socioeconomic condition (r = 0.22).

Conclusions: This study demonstrates a strong association between hospital stay duration, oxytocin induction, episiotomy, birth class attendance, education level, and RMC. Addressing these factors can enhance maternity care quality, childbirth experiences, and ultimately contribute to optimal fertility outcomes.

 


Keywords


Maternal child nursing, parturition, population dynamics, respect

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References


Downe S, Lawrie TA, Finlayson K, Oladapo OT. Effectiveness of respectful care policies for women using routine intrapartum services: a systematic review. Reproductive health 2018;15:1-3.

Bohren MA, Tunçalp Ö, Miller S. Transforming intrapartum care: Respectful maternity care. Best Pract Res Clin Obstet Gynaecol 2020;67:113 26.

Martínez Galiano JM, Martinez Vazquez S, Rodríguez Almagro J, Hernández Martinez A. The magnitude of the problem of obstetric violence and its associated factors: A cross sectional study. Women Birth 2021;34:e526 36.

Siraj A, Teka W, Hebo H. Prevalence of disrespect and abuse during facility based child birth and associated factors, Jimma University Medical Center, Southwest Ethiopia. BMC Pregnancy Childbirth 2019;19:1 9. doi: 10.1186/s12884 019 2332 5.

Hajizadeh K, Vaezi M, Meedya S, Mohammad Alizadeh Charandabi S, Mirghafourvand M. Prevalence and predictors of perceived disrespectful maternity care in postpartum Iranian women: A cross sectional study. BMC Pregnancy Childbirth 2020;20:1 10.

The prevention and elimination of disrespect and abuse during facility based childbirth: WHO statement. Available from: http:// appswhoint/iris/bitstream/10665/134588/1/WHO_RHR_1423_ engpdf. [Last accessed on 2016 Dec 02].

Caram TMS, de Andrade Borges JV, Wolney ALPC. Factors associated with violence against women during childbirth in Brazil: An integrative literature review. Seven Editora. 2024. Available from: https://sevenpublicacoes.com.br/index.php/ editora/article/view/3458.

Tach CL, Toebes B, Feriato JMF. Obstetric violence: A women’s human and personality rights violation. Rev Jurid 2020;1:187 206.

O’Brien E, Rich M. Obstetric violence in historical perspective. Lancet 2022;399:2183 5.

Yismaw WS, Teklu TS, Panduragman H. Respectful maternity care during facility based child birth and associated factors in public health facilities of Ilu AbaBor zone, Southwest Ethiopia. Reprod Health 2022;19:1 7. doi: 10.1186/s12978 022 01368 z.

Mena Tudela D, Iglesias Casás S, González Chordá VM, Cervera Gasch Á, Andreu Pejó L, Valero Chilleron MJ. Obstetric violence in Spain (Part I): Women’s perception and interterritorial differences. Int J Environ Res Public Health 2020;17:7726. doi: 10.3390/ijerph 17217726.

Khalil M, Carasso KB, Kabakian Khasholian T. Exposing obstetric violence in the eastern mediterranean region: A review of women’s narratives of disrespect and abuse in childbirth. Front Glob Womens Health 2022;3:850796. doi: 10.3389/fgwh. 2022.850796.

Leite TH, Marques ES, Mesenburg MA, da Silveira MF, do Carmo Leal M. The effect of obstetric violence during childbirth on breastfeeding: findings from a perinatal cohort “Birth in Brazil”. The Lancet Regional Health–Americas. 2023;19.

Perrotte V, Chaudhary A, Goodman A. “At least your baby is healthy” obstetric violence or disrespect and abuse in childbirth occurrence worldwide: A literature review. Open J Obstet Gynecol 2020;10:1544 62.

van der Waal R, Mayra K. Obstetric Violence. Gender Based Violence: A Comprehensive Guide. Springer; 2023. p. 413 25.

Barata C, Simões V, Soromenho F. Obstetric violence: A form

of gender-based violence. InThe Emerald international handbook of feminist perspectives on women’s acts of violence. Emerald Publishing Limited. 2023:pp. 203-217.

Vedam S, Stoll K, Taiwo TK, Rubashkin N, Cheyney M, Strauss N, et al. The Giving Voice to Mothers study: Inequity and mistreatment during pregnancy and childbirth in the United States. Reprod Health 2019;16:1 18.

Shorey S, Yang YY, Ang E. The impact of negative childbirth experience on future reproductive decisions: A quantitative systematic review. J Adv Nur 2018;74:1236 44.

Mojarad FA, Khani S, Yaghoubi T, Moghadam SH, Jouybari L. Explaining the factors affecting childbearing in Iran: A meta synthesis study. J Mazandaran Univ Med Sci 2023;33:291 302.

Esmkhani M, Namadian M, Nooroozy A, Korte JE. Psychometric properties of a Persian version of respectful maternity care questionnaire. BMC Pregnancy Childbirth 2021;21:1 9. doi: 10.1186/s12884 021 03693 w.

Nasrabad HBR, Abbasi Shavazi MJ. Ideal fertility in Iran: A systematic review and meta analysis. Int J Womens Health Reprod Sci 2020;8:10 8.

Bulto GA, Demissie DB, Tulu AS. Respectful maternity care during labor and childbirth and associated factors among women who gave birth at health institutions in the West Shewa zone, Oromia region, Central Ethiopia. BMC Pregnancy Childbirth 2020;20:1 12.

Hajizadeh K, Vaezi M, Meedya S, Mohammad Alizadeh Charandabi S, Mirghafourvand M. Respectful maternity care and its relationship with childbirth experience in Iranian women: A prospective cohort study. BMC Pregnancy Childbirth 2020;20:468.

Sheferaw ED, Bazant E, Gibson H, Fenta HB, Ayalew F, Belay TB, et al. Respectful maternity care in Ethiopian public health facilities. Reprod Health 2017;14:1 12.

Birie B, Niguse W. Experience of respectful maternity care during childbirth and associated factors in public hospitals of the South West Region of Ethiopia: An institution based, cross sectional study. BMJ Open 2023;13:e066849. doi: 10.1136/ bmjopen 2022 066849.

Udho S, Clow SE. Experiences, prevalence and drivers of disrespect and abuse of adolescents during facility-based childbirth in sub-Saharan Africa: a scoping review protocol. BMJ open. 2024;14:e078912.


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