Respectful maternity care (RMC) emphasizes the social and relational elements of maternity care and is a crucial part of initiatives to improve service accessibility and quality. Women's perceptions have influenced much of what we know about RMC and contempt in the labor ward. In order to understand midwives' perspectives of RMC, this meta-synthesis focused on them.
Method
For this inquiry, the databases PubMed/Medline, Embase, Web of Science, and Scopus were searched to find studies on midwives' perceptions of RMC written between 2011 and April 20th 2023. The included articles were to English language restriction. The results of the included research were examined using thematic analysis. Using the inclusion criteria, 84 potentially relevant articles were carefully reviewed, and only 22 were ultimately selected for synthesis. The quality of the qualitative study was assessed using the CASP, a tool for quality evaluation and PRISMA guidelines were followed. Using the MAXQDA program, the cited quotes and the original authors' interpretations were combined.
Result
There were 22 studies total, thematic synthesis was determined to be appropriate for a total of 22 research studies. Following are the topics which we summarized our analysis: in six major themes: Midwives’ conceptualizations of RMC, Midwives commitment to woman’s rights, The value and impact of RMC to midwives, Midwife’s perception of disrespectful care, Challenges in providing respectful maternity care, and Midwives’ recommendations for optimal RMC practice.
Conclusion
In addition to specific focus on promoting cooperation, policies to enhance health systems and strategic consideration of the midwifery profession's future are required.
Zacher DixonL. Obstetrics in a time of violence: Mexican midwives critique routine hospital practices. Med Anthropol Q2015; 29(4): 437–454.
3.
LeapN. Woman-centred or women-centred care: does it matter?Br J Midwifery2009; 17(1): 12–16.
4.
BradleySMcCourtCRaymentJParmarD. Midwives’ perspectives on (dis) respectful intrapartum care during facility-based delivery in sub-Saharan Africa: a qualitative systematic review and meta-synthesis. Reprod Health2019; 16(1): 116–116.
5.
Van LerbergheWMatthewsZAchadiE, et al.Country experience with strengthening of health systems and deployment of midwives in countries with high maternal mortality. Lancet2014; 384(9949): 1215–1225.
6.
World Health Organization. The prevention and elimination of disrespect and abuse during facility-based childbirth. Geneva: World Health Organization, 2014.
7.
AbuyaTWarrenCEMillerN, et al.Exploring the prevalence of disrespect and abuse during childbirth in Kenya. PLoS One2015; 10(4): e0123606.
8.
BohrenMAVogelJPTunçalpÖ, et al.Mistreatment of women during childbirth in Abuja, Nigeria: a qualitative study on perceptions and experiences of women and healthcare providers. Reprod Health2017; 14: 9–13.
9.
VogelJPBohrenMATunçalpÖ, et al.How women are treated during facility-based childbirth: development and validation of measurement tools in four countries–phase 1 formative research study protocol. Reprod Health2015; 12(1): 11–60.
10.
WestE. Management matters: the link between hospital organisation and quality of patient care. BMJ Qual Saf2001; 10(1): 40–48.
11.
D-zomekuVMMensahBABNakuaEK, et al.Exploring midwives’ understanding of respectful maternal care in Kumasi, Ghana: Exploring midwives' understanding of respectful maternal care in Kumasi, Ghana: Qualitative inquiryualitative inquiry. PLoS One2020; 15(7): e0220538.
12.
JiruHDSendoEG. Promoting compassionate and respectful maternity care during facility-based delivery in Ethiopia: perspectives of clients and midwives. BMJ Open2021; 11(10): e051220.
13.
IgeWBCeleWB. Provision of respectful maternal care by midwives during childbirth in health facilities in Lagos state, Nigeria: a qualitative exploratory inquiry. International Journal of Africa Nursing Sciences2021; 15: 100354.
14.
McCannESharekD. Mental health needs of people who identify as transgender: a review of the literature. Arch Psychiatr Nurs2016; 30(2): 280–285.
15.
BraunVClarkeV. What can “thematic analysis” offer health and wellbeing researchers?London, UK: Taylor & Francis, 2014.
IgeWBNgcoboWB. Exploring midwives’ perceptions of respectful maternity care during childbirth in Lagos State, Nigeria: a qualitative inquiry. Afr J Reprod Health2022; 26(10): 21–30.
18.
NdwigaCWarrenCERitterJ, et al.Exploring provider perspectives on respectful maternity care in Kenya:“work with what you have”. Reprod Health2017; 14(1): 1–13.
19.
MoridiMPazandehFHajianS, et al.Midwives’ perspectives of respectful maternity care during childbirth: a qualitative study. PLoS One2020; 15(3): e0229941.
20.
ShimodaKHoriuchiSLeshabariS, et al.Midwives' respect and disrespect of women during facility-based childbirth in urban Tanzania: a qualitative study. Reprod Health2018; 15(1).
21.
OgbuaborDCOkoronkwoIL. Midwives' perspectives on person-centred maternity care in public hospitals in South-east Nigeria: a mixed-method study. PLoS One2021; 16(12): 19.
22.
SkooghABaathCBojoAKS, et al.Healthcare professionals' perceptions of patient safety for the woman in childbirth in Sweden - an interview study. Nurs Open2020; 7(2): 642–649.
23.
BurrowesSHolcombeSJJaraD, et al.Midwives’ and patients’ perspectives on disrespect and abuse during labor and delivery care in Ethiopia: a qualitative study. BMC Pregnancy Childbirth2017; 17(1): 1–14.
24.
DzomekuVMMensahABBNakuaEK, et al.“I wouldn't have hit you, but you would have killed your baby:” exploring midwives' perspectives on disrespect and abusive Care in Ghana. BMC Pregnancy Childbirth2020; 20(1): 12.
25.
LealMSMoreiraRCRBarrosKCC, et al.Humanization practices in the parturitive course from the perspective of puerperae and nurse-midwives. Rev Bras Enferm2021: 74.
26.
MirzaeeraborFMirzaeeFMirzaiinajmabadiK, et al.Respect for woman's decision-making in spontaneous birth: a thematic synthesis study. Iran J Nurs Midwifery Res2016; 21(5): 449–457.
27.
JollyYAminuMMgawadereF, et al.“We are the ones who should make the decision”–knowledge and understanding of the rights-based approach to maternity care among women and healthcare providers. BMC Pregnancy Childbirth2019; 19(1): 1–8.
28.
DzomekuVMMensahABBNakuaEK, et al.Midwives' experiences of implementing respectful maternity care knowledge in daily maternity care practices after participating in a four-day RMC training. BMC Nurs2021; 20(1): 9.
29.
MaleselaJML. Midwives perceptions: birth unit environment and the implementation of best intrapartum care practices. Women Birth2021; 34(1): 48–55.
30.
UwamahoroVSengomaJPSNdagijimanaA, et al.Perceptions and attitudes of midwives on respectful maternity care during childbirth: a qualitative study in three district hospitals of kigali city of Rwanda. Kigali: University of Rwanda, 2019, p. 2021.
31.
MoyerCAAdongoPBAborigoRA, et al.‘They treat you like you are not a human being’: maltreatment during labor and delivery in rural northern Ghana. Midwifery2014; 30(2): 262–268.
32.
BohrenMAVogelJPTunçalpÖ, 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, Nigeria. SSM-Popul Health2016; 2: 640–655.
33.
WarrenNBeebeMChaseRP, et al.Nègènègèn: sweet talk, disrespect, and abuse among rural auxiliary midwives in Mali. Midwifery2015; 31(11): 1073–1080.
34.
BaldeMDBangouraADialloBA, et al.A qualitative study of women’s and health providers’ attitudes and acceptability of mistreatment during childbirth in health facilities in Guinea. Reprod Health2017; 14: 1–13.
35.
OgbuaborDCOkoronkwoIL. Midwives’ perspectives on person-centred maternity care in public hospitals in South-east Nigeria: a mixed-method study. PLoS One2021; 16(12): e0261147.
36.
RaborFMTaghipourANajmabadiKM, et al.Respect to women’s autonomy in childbirth: a qualitative study. Iran Red Crescent Med J2016; 19: 12.
37.
Adu-BonsaffohKTammaEMayaE, et al.Health workers' and hospital administrators' perspectives on mistreatment of women during facility-based childbirth: a multicenter qualitative study in Ghana. Reprod Health2022; 19(1): 11.
38.
GalleAManaharlalHGriffinS, et al.A qualitative study on midwives’ identity and perspectives on the occurrence of disrespect and abuse in Maputo city. BMC Pregnancy Childbirth2020; 20: 1–11.
39.
ÇamlibelMUludağEPazandehF. Psychometric evaluation of the women’s perception of respectful maternity care scale Turkish version. Women Health2022; 62(8): 700–710.
40.
BaldeMDDialloBABangouraA, et al.Perceptions and experiences of the mistreatment of women during childbirth in health facilities in Guinea: a qualitative study with women and service providers. Reprod Health2017; 14: 1–13.
41.
BohrenMABergerBOMunthe‐KaasH, et al.Perceptions and experiences of labor companionship: a qualitative evidence synthesis. Cochrane Database Syst Rev2019; 3.
42.
Shiindi-MbidiTSDowningCTemaneA. Midwives’ and women’s experiences with respectful maternity care around the globe: a meta-synthesis. Women and Birth2023; 36(5): e461–e470.
43.
DhakalPCreedyDKGambleJ, et al.Educational interventions to promote respectful maternity care: a mixed-methods systematic review. Nurse Educ Pract2022; 60: 103317.
44.
SandallJSoltaniHGatesS, et al.Midwife‐led continuity models versus other models of care for childbearing women. Cochrane Database Syst Rev2016; 4.
45.
MisagoCKendallCFreitasP, et al.From ‘culture of dehumanization of childbirth’to ‘childbirth as a transformative experience’: changes in five municipalities in north‐east Brazil. Int J Gynecol Obstet2001; 75: S67–S72.
46.
FujitaNPerrinXRVodounonJA, et al.Humanised care and a change in practice in a hospital in Benin. Midwifery2012; 28(4): 481–488.
47.
RatcliffeHLSandoDMwanyika-SandoM, et al.Applying a participatory approach to the promotion of a culture of respect during childbirth. Reprod Health2016; 13(1): 1–7.
48.
MihretHAtnafuAGebremedhinT, et al.Reducing disrespect and abuse of women during antenatal care and delivery services at injibara general hospital, Northwest Ethiopia: a pre–post interventional study. Int J Wom Health2020: 835–847.
49.
Willis-ShattuckMBidwellPThomasS, et al.Motivation and retention of health workers in developing countries: a systematic review. BMC Health Serv Res2008; 8: 1–8.
50.
McAuliffeEDalyMKamwendoF, et al.The critical role of supervision in retaining staff in obstetric services: a three country study. PLoS One2013; 8(3): e58415.
51.
BohrenMAHofmeyrGJSakalaC, et al.Continuous support for women during childbirth. Cochrane Database Syst Rev2017; 7.
52.
ChipetaEBradleySChimwaza-MandaW, et al.Working relationships between obstetric care staff and their managers: a critical incident analysis. BMC Health Serv Res2016; 16(1): 1–9.
53.
RominskiSDLoriJNakuaE, et al.“When the baby remains there for a long time, it is going to die so you have to hit her small for the baby to come out”: justification of disrespectful and abusive care during childbirth among midwifery students in Ghana. Health Pol Plann2017; 32(2): 215–224.
54.
BradleySMcCourtCRaymentJ, et al.Disrespectful intrapartum care during facility-based delivery in sub-Saharan Africa: a qualitative systematic review and thematic synthesis of women's perceptions and experiences. Soc Sci Med2016; 169: 157–170.
