Women’s Voices, Women’s Realities; Experiences of Respectful Maternity Care During Childbirth in Jos, Nigeria
DOI:
https://doi.org/10.31674/mjn.2023.v15i02.005Abstract
Introduction: Maternal health has gradually shifted over the years from emphasizing maternal mortality reduction to encouraging respectful maternity care (RMC). Although respectful maternity care is advocated, widespread instances of disrespectful childbirth treatment in maternity facilities have been reported. Nigeria continues to have one of the highest levels of disrespectful care in the world, which calls for a contextual understanding of the experiences of women during childbirth. the study therefore aimed to understand the experiences of respectful care among women who delivered in two hospitals in Jos, Nigeria. Methods: This research was performed using a qualitative, phenomenological approach involving in-depth interviews conducted on purposefully selected 13 mothers who delivered in the labor ward of two selected hospitals. The thematic analysis procedure was used to create the findings of the study are summarized in three major thematic areas: women associated respectful care with labor pain management; women linked respect to having their needs met; and women want to be respected. Descriptive accounts of the study information were analyzed using Nvivo software. Results: The findings of the study are summarized in three major thematic areas: women associated respectful care with labor pain management, women linked respect to having their needs met, and women want to be respected. Discussion: Given that their expectations were not satisfied, the women in this study expressed a tone of discontent with the realities of childbirth. The results point to the necessity of reorganizing labor ward settings to permit companionship and midwives' training on respectful maternity care, stressing the need to meet the expectations and needs of women during childbirth.
Keywords:
Care, Childbirth, Voices, WomenDownloads
References
Almorbaty, H., Ebert, L., Dowse, E., & Chan, S. W. C. (2023). An integrative review of supportive relationships between child‐bearing women and midwives. Nursing Open, 10(3), 1327-1339. https://doi.org/10.1002/nop2.1447
Baumont, M. S., Dekker, C. S., Blecker, N. R., Burns, C. T., & Strauss, N. E. (2023). Every mother counts: listening to mothers to transform maternity care. American Journal of Obstetrics and Gynecology. https://doi.org/10.1016/j.ajog.2022.12.306
Belizán, J. M., Miller, S., Williams, C., & Pingray, V. (2020). Every woman in the world must have respectful care during childbirth: a reflection. Reproductive Health, 17, 1-3. https://doi.org/10.1186/s12978-020-0855-x
Betron, M. L., McClair, T. L., Currie, S., & Banerjee, J. (2018). Expanding the agenda for addressing mistreatment in maternity care: a mapping review and gender analysis. Reproductive Health, 15(1), 1-13. https://doi.org/10.1186/s12978-018-0584-6
Bharti, J., Kumari, A., Zangmo, R., Mathew, S., Kumar, S., & Sharma, A. K. (2021). Establishing the practice of birth companion in labour ward of a tertiary care centre in India—a quality improvement initiative. BMJ Open Quality, 10(Suppl 1), e001409. https://doi.org/10.1136/bmjoq-2021-001409
Bohren, M. A., Mehrtash, H., Fawole, B., Maung, T. M., Balde, M. D., Maya, E., ... & Tunçalp, Ö. (2019). How women are treated during facility-based childbirth in four countries: a cross-sectional study with labour observations and community-based surveys. The Lancet, 394(10210), 1750-1763. https://doi.org/10.1016/S0140-6736(19)31992-0
Bohren, M. A., Vogel, J. P., Tunçalp, Ö., Fawole, B., Titiloye, M. A., Olutayo, A. O., ... & Hindin, M. J. (2017). Mistreatment of women during childbirth in Abuja, Nigeria: a qualitative study on perceptions and experiences of women and healthcare providers. Reproductive Health, 14, 1-13. https://doi.org/10.1186/s12978-016-0265-2
Daniel, G., Afolaranmi, T., Mfuh, A., Wina, F., & Dioso, R. I. (2023). experiences of midwives in providing respectful maternity care during childbirth in jos, nigeria. The Malaysian Journal of Nursing (MJN), 14(4), 35-45. http://doi:10.31674/mjn.2023.v14i04.004
de Kok, B. C., Uny, I., Immamura, M., Bell, J., Geddes, J., & Phoya, A. (2020). From global rights to local relationships: exploring disconnects in respectful maternity care in Malawi. Qualitative Health Research, 30(3), 341-355. https://doi.org/10.1177/1049732319880538
Esan, O. T., Maswime, S., & Blaauw, D. (2022). Directly observed and reported respectful maternity care received during childbirth in public health facilities, Ibadan Metropolis, Nigeria. Plos One, 17(10), e0276346. https://doi.org/10.1371/journal. pone.0276346
Grundström, H., Malmquist, A., Nieminen, K., & Alehagen, S. (2022). Supporting women's reproductive capabilities in the context of childbirth: Empirical validation of a midwifery theory synthesis. Midwifery, 110, 103320. https://doi.org/10.1016/j.midw.2022.103320
Hajizadeh, K., Vaezi, M., Meedya, S., Mohammad Alizadeh Charandabi, S., & Mirghafourvand, M. (2020). Prevalence and predictors of perceived disrespectful maternity care in postpartum Iranian women: a cross-sectional study. BMC Pregnancy and Childbirth, 20(1), 1-10. https://doi.org/10.1186/s12884-020-03124-2
Ingram, M. A., Brady, S., & Peacock, A. S. (2022). The barriers to offering non-pharmacological pain management as an initial option for laboring women: A review of the literature. European Journal of Midwifery, 6. https://doi.org/10.18332/ejm/149244
Jiru, H. D., & Sendo, E. G. (2021). Promoting compassionate and respectful maternity care during facility-based delivery in Ethiopia: perspectives of clients and midwives. BMJ Open, 11(10), e051220. https://doi.org/10.1136/bmjopen-2021-051220
Kc, A., Axelin, A., Litorp, H., Tinkari, B. S., Sunny, A. K., & Gurung, R. (2020). Coverage, associated factors, and impact of companionship during labor: A large‐scale observational study in six hospitals in Nepal. Birth, 47(1), 80-88. https://doi.org/10.1111/birt.12471
Khan, B., Hameed, W., & Avan, B. I. (2023). Psychosocial support during childbirth: development and adaptation of WHO’s mental health gap action programme (mhGAP) for maternity care settings. Plos one, 18(5), e0285209. https://doi.org/10.1371/journal.pone.0285209
Konlan, K. D., Afaya, A., Mensah, E., Suuk, A. N., & Kombat, D. I. (2021). Non-pharmacological interventions of pain management used during labour; an exploratory descriptive qualitative study of puerperal women in Adidome Government Hospital of the Volta Region, Ghana. Reproductive Health, 18, 1-11. https://doi.org/10.1186/s12978-021-01141-8
Mayra, K., Sandall, J., Matthews, Z., & Padmadas, S. S. (2022). Breaking the silence about obstetric violence: Body mapping women’s narratives of respect, disrespect and abuse during childbirth in Bihar, India. BMC Pregnancy and Childbirth, 22(1), 1-19. https://doi.org/10.1186/s12884-022-04503-7
Mehretie Adinew, Y., Abera Assefa, N., & Mehretie Adinew, Y. (2018). why do some ethiopian women give birth at home after receiving antenatal care? phenomenological study. BioMed Research International, 2018. 3249786. https://doi.org/10.1155/2018/3249786
Mengesha, M. B., Desta, A. G., Maeruf, H., & Hidru, H. D. (2020). Disrespect and abuse during childbirth in Ethiopia: a systematic review. BioMed Research International, 2020. https://doi.org/10.1155/2020/8186070
Mirzaee, F., & Dehghan, M. (2020). A model of trust within the mother-midwife relationship: a grounded theory approach. Obstetrics and Gynecology International, 2020. https://doi.org/10.1155/2020/9185313
National Population Commission (NPC) [Nigeria] and ICF. (2019) Nigeria Demographic and Health Survey 2018. Abuja, Nigeria, and Rockville, Maryland, USA: NPC and ICF. https://efaidnbmnnnibpcajpcglclefindmkaj/https://www.dhsprogram.com/pubs/pdf/FR359/FR359.pdf
Ndirima, Z., Neuhann, F., & Beiersmann, C. (2018). Listening to their voices: understanding rural women’s perceptions of good delivery care at the mibilizi district hospital in rwanda. BMC women's health, 18, 1-11. https://doi.org/10.1186/s12905-018-0530-3
Okedo-Alex, I. N., Akamike, I. C., Nwafor, J. I., Abateneh, D. D., & Uneke, C. J. (2020). Multi-stakeholder perspectives on the maternal, provider, institutional, community, and policy drivers of disrespectful maternity care in South-East Nigeria. International Journal of Women's Health, 1145-1159. https://doi.org/10.2147/IJWH.S277827
Orpin, J., Puthussery, S., Davidson, R., & Burden, B. (2018). Women’s experiences of disrespect and abuse in maternity care facilities in Benue State, Nigeria. BMC Pregnancy and Childbirth, 18(1), 1-9. https://doi.org/10.1186/s12884-018-1847-5
Oyedele, O. K., Fagbamigbe, A. F., Akinyemi, O. J., & Adebowale, A. S. (2023). Coverage-level and predictors of maternity continuum of care in nigeria: implications for maternal, newborn and child health programming. BMC Pregnancy and Childbirth, 23(1), 36. https://doi.org/10.1186/s12884-023-05372-4
Pathak, P., & Ghimire, B. (2020). Perception of women regarding respectful maternity care during facility-based childbirth. Obstetrics and Gynecology International, 2020, 1-8. https://doi.org/10.1155/2020/5142398
Perkins, J. E., Rahman, A. E., Siddique, A. B., Mazumder, T., Haider, M. R., & El Arifeen, S. (2019). Awareness and perceptions of women regarding human rights related to maternal health in rural Bangladesh. Journal of Global Health, 9(1). https://doi.org/10.7189/jogh.09.010415
Rishard, M., Fahmy, F. F., Senanayake, H., Ranaweera, A. K. P., Armocida, B., Mariani, I., & Lazzerini, M. (2021). Correlation among experience of person-centered maternity care, provision of care and women’s satisfaction: cross sectional study in Colombo, Sri Lanka. PLoS One, 16(4), e0249265. https://doi.org/10.1371/journal.pone.0249265
Rungreangkulkij, S., Ratinthorn, A., Lumbiganon, P., Zahroh, R. I., Hanson, C., Dumont, A., ... & Bohren, M. A. (2022). Factors influencing the implementation of labour companionship: formative qualitative research in Thailand. BMJ Open, 12(5), e054946. https://doi.org/10.1136/bmjopen-2021-054946
Stoll, K., Wang, J. J., Niles, P., Wells, L., & Vedam, S. (2021). I felt so much conflict instead of joy: an analysis of open-ended comments from people in British Columbia who declined care recommendations during pregnancy and childbirth. Reproductive Health, 18(1), 1-15. https://doi.org/10.1186/s12978-021-01134-7
Summerton, J. V., Mtileni, T. R., & Moshabela, M. E. (2021). Experiences and perceptions of birth companions supporting women in labour at a District Hospital in Limpopo, South Africa. Curationis, 44(1), 2186. https://doi.org/10.4102/curationis.v44i1.2186
Tekle Bobo, F., Kebebe Kasaye, H., Etana, B., Woldie, M., & Feyissa, T. R. (2019). Disrespect and abuse during childbirth in Western Ethiopia: Should women continue to tolerate? PloS One, 14(6), e0217126. https://doi.org/10.1371/journal.pone.0217126
Ukke, G. G., Gurara, M. K., & Boynito, W. G. (2019). Disrespect and abuse of women during childbirth in public health facilities in Arba Minch town, south Ethiopia–a cross-sectional study. PloS One, 14(4), e0205545. https://doi.org/10.1371/journal.pone.0205545
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