Introduction: Disrespect and mistreatment during pregnancy and childbirth has been widely reported. Objective: To improve the birth experience of maternity clients through educating maternity providers on Respectful Maternity Care. Study Design: Quasi-experimental, Mixed Method research design was used to identify the levels of autonomy and respect maternity clients perceived during their labor and delivery experience. Participants: Maternity staff and providers, Maternity clients who were clients of and delivered by delivering providers from Mercy OB/GYN. Results: Matched pair t-tests were used to evaluate the staff and providers’ knowledge and understanding of respectful maternity practices prior to and following an educational session. Independent 2-sample t-test was utilized to evaluate the maternity clients’ perception of respectful care during their labor and delivery process. Conclusions: Labor and delivery staff demonstrated an increase in knowledge and understanding of respectful maternity care practices. The increase in the reported levels of autonomy and respect was not statistically significant.
Cite this paper
Dollins, J. A. (2023). A Quality Improvement Project to Improve the Birth Experience of Maternity Clients through Educating Providers on Respectful Maternity Care. Open Access Library Journal, 10, e552. doi: http://dx.doi.org/10.4236/oalib.1110552.
Kasthurirathne, S.N., Mamlin, B.W., Purkayastha, S. and Cullen, T. (2017) Overcoming the Maternal Care Crisis: How Can Lessons Learnt in Global Health Informatics Address US Maternal Health Outcomes? AMIA Annual Symposium Proceedings, 2017, 1034-1043.
Centers for Disease Control and Prevention (2022) Pregnancy Mortality Surveillance System. Centers for Disease Control and Prevention, Atlanta.
https://www.cdc.gov/reproductivehealth/maternal-mortality/pregnancy-mortality-surveillance-system.htm
Taylor, J. (2021) The Importance of Respectful Maternity Care for Women of Color. Vermont Nurse Connection.
https://www.healthecareers.com/viewer?doc=https:%2F%2Fmedia.healthecareers.com%2Fwp-content%2Fuploads%2F2022%2F07%2F28001220%2FVermont_Nurse_Connection_11_21_new.pdf
Vedam, S., Stoll, K., Taiwo, T.K., Rubashkin, N., Cheyney, M., Strauss, N., McLemore, M., Cadena, M., Nethery, E., Rushton, E., Schummers, L. and Declercq, E. (2019) The Giving Voice to Mothers Study: Inequity and Mistreatment during Preg-nancy and Childbirth in the United States. Reproductive Health, 16, Article No. 77. https://doi.org/10.1186/s12978-019-0729-2
Taylor, J. K. (2020) Structural Racism and Maternal Health among Black Women. The Journal of Law, Medicine & Ethics, 48, 506-517.
https://doi.org/10.1177/1073110520958875
Brown, A., Nielsen, J.D., Russo, K., Ayers, S. and Webb, R. (2022) The Journey towards Resilience Following a Traumatic Birth: A Grounded Theory. Midwifery, 104, Article ID: 103204. https://doi.org/10.1016/j.midw.2021.103204
Bohren, M.A., Tunçalp, Ö. and Miller, S. (2020) Transforming Intrapartum Care: Respectful Maternity Care. Best Practice & Research Clinical Obstetrics & Gynaecology, 67, 113-126. https://doi.org/10.1016/j.bpobgyn.2020.02.005
Vedam, S., Stoll, K., Martin, K., Rubashkin, N., Partridge, S., Thordarson, D. and Jolicoeur, G. (2017) The Mother’s Autonomy in Decision Making (MADM) Scale: Patient-Led Development and Psychometric Testing of A New Instrument to Evaluate Experience of Maternity Care. PLOS ONE, 12, e0171804.
https://doi.org/10.1371/journal.pone.0171804
Vedam, S., Stoll, K., Rubashkin, N., Martin, K., Miller-Vedam, Z., Hayes-Klein, H. and Jolicoeur, G. (2017) The Mothers on Respect (MOR) Index: Measuring Quality, Safety, and Human Rights in Childbirth. SSM-Population Health, 3, 201-210.
https://doi.org/10.1016/j.ssmph.2017.01.005
Association of Women’s Health, Obstetrics and Neonatal Nursing (2022) Respectful Maternity Care Framework and Evidence-Based Clinical Practice Guideline. Journal of Obstetric, Gynecological & Neonatal Nursing, 51, E3-E54.
https://doi.org/10.1016/j.jogn.2022.01.001
https://www.jognn.org/article/S0884-2175(22)00001-6/fulltext
Dhakal, P., Gamble, J., Creedy, D. K. and Newnham, E. (2021) Quality of Measures on Respectful and Disrespectful Maternity Care: A Systematic Review. Nursing & Health Sciences, 23, 29-39. https://doi.org/10.1111/nhs.12756
Hagerty, T.A., Samuels, W., Norcini-Pala, A. and Gigliotti, E. (2017) Peplau’s Theory of Interpersonal Relations: An Alternate Factor Structure for Patient Experience Data? Nursing Science Quarterly, 30, 160-167.
https://doi.org/10.1177/0894318417693286
Ambroggio, L., Schondelmeyer, A., Hoefgen, E., Brady, P. and Shaughnessy, E. (2018) Quality Improvement Feature Series Article 4: Advanced Designs for Quality Improvement Studies. Journal of the Pediatric Infectious Diseases Society, 7, 335-337. https://doi.org/10.1093/jpids/pix082
Afulani, P.A., Aborigo, R.A., Walker, D., Moyer, C.A., Cohen, S. and Williams, J. (2019) Can an Integrated Obstetric Emergency Simulation Training Improve Respectful Maternity Care? Results from a Pilot Study in Ghana. Birth, 46, 523-532.
https://doi.org/10.1111/birt.12418