TY - JOUR
T1 - Respectful care during childbirth in health facilities globally
T2 - a qualitative evidence synthesis
AU - Shakibazadeh, E.
AU - Namadian, M.
AU - Bohren, M. A.
AU - Vogel, J. P.
AU - Rashidian, A.
AU - Nogueira Pileggi, V.
AU - Madeira, S.
AU - Leathersich, S.
AU - Tunçalp, null
AU - Oladapo, O. T.
AU - Souza, J. P.
AU - Gülmezoglu, A. M.
PY - 2018/7/1
Y1 - 2018/7/1
N2 - 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. Tweetable abstract: Understanding respectful maternity care – synthesis of evidence from 67 qualitative studies.
AB - 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. Tweetable abstract: Understanding respectful maternity care – synthesis of evidence from 67 qualitative studies.
KW - Childbirth
KW - dignity
KW - disrespect and abuse
KW - health facility
KW - hesis
KW - qualitative evidence synt
KW - respectful maternity care
UR - http://www.scopus.com/inward/record.url?scp=85041494415&partnerID=8YFLogxK
U2 - 10.1111/1471-0528.15015
DO - 10.1111/1471-0528.15015
M3 - Review article
C2 - 29117644
AN - SCOPUS:85041494415
SN - 1470-0328
VL - 125
SP - 932
EP - 942
JO - BJOG: an International Journal of Obstetrics and Gynecology
JF - BJOG: an International Journal of Obstetrics and Gynecology
IS - 8
ER -
