Introduction: Respectful maternity care (RMC) is a model of care centered on the values, attitudes, and behaviors of healthcare professionals with the aim of eradicating obstetric violence and positively impacting women’s experi- ences during labor and childbirth. Objective: To assess the patient experi- ence of Respectful Maternal Care in the delivery rooms of two Cotonou university hospitals in 2024. Method: This was a cross-sectional, descriptive, and evaluative study with prospective data collection through observation of the practices of healthcare professionals and interviews of patients on their experience of Respectful Maternity care over a period of three (03) months from July 12 to October 6, 2024. Results: The study included 104 women in labor. Observation of the practice reveals that all the parturients in the study were victims of at least one type of mistreatment by health professionals, the most observed forms being the refusal of the patient to have a support person during labor and delivery (100%), episiotomies without anesthesia (20.2%), lack of confidentiality (14.4%), and lack of explanation. On the contrary, based on the statements of the patients, 97.1% declare not having been victims of mistreatment. But one-third of patients (33.7%) were dissatisfied with their care at the study centers in terms of respectful maternity care. Conclusion: This study reveals, on the one hand, that a very high number of parturients are still victims of mistreatment and, on the other hand, that most are unaware of their rights regarding SMR. It is necessary to raise awareness among women in labor about their rights regarding RMC.
References
[1]
Larkin, P., Begley, C.M. and Devane, D. (2009) Women’s Experiences of Labour and Birth: An Evolutionary Concept Analysis. Midwifery, 25, e49-e59. https://doi.org/10.1016/j.midw.2007.07.010
[2]
Obossou, A.A.A., Salifou, K., Aboubakar, M., Ahouingnan, F.M.N.H., Bagnan, A.J.T., Hounkpatin, B.I.B., et al. (2017) Vécu psychologique de la parturiente en salle d’accouchement à la maternité du centre hospitalier départemental et universitaire du borgou à parakou (BENIN). European Scientific Journal, ESJ, 13, 407-418. https://doi.org/10.19044/esj.2017.v13n21p407
[3]
Hajizadeh, K., Vaezi, M., Meedya, S., Charandabi, S.M.A. and Mirghafourvand, M. (2022) Designing a Respectful Maternity Care Guideline: A Multiphase Study. ReproductiveHealth, 19, Article No. 81. https://doi.org/10.1186/s12978-022-01389-8
[4]
Jhpiego (2017) Les soins de maternité respectueux. https://www.jhpiego.org/wp-content/uploads/2017/03/Jhpiego-RMC-Brief-FR.pdf
[5]
Abuya, T., Ndwiga, C., Ritter, J., Kanya, L., Bellows, B., Binkin, N., et al. (2015) The Effect of a Multi-Component Intervention on Disrespect and Abuse during Childbirth in Kenya. BMCPregnancyandChildbirth, 15, Article No. 224. https://doi.org/10.1186/s12884-015-0645-6
[6]
Oladapo, O., Tunçalp, Ö., Bonet, M., Lawrie, T., Portela, A., Downe, S., et al. (2018) WHO Model of Intrapartum Care for a Positive Childbirth Experience: Transforming Care of Women and Babies for Improved Health and Wellbeing. BJOG: AnInternationalJournalofObstetrics&Gynaecology, 125, 918-922. https://doi.org/10.1111/1471-0528.15237
[7]
Vedam, S., Stoll, K., Taiwo, T.K., Rubashkin, N., Cheyney, M., Strauss, N., et al. (2019) The Giving Voice to Mothers Study: Inequity and Mistreatment during Pregnancy and Childbirth in the United States. ReproductiveHealth, 16, Article No. 77. https://doi.org/10.1186/s12978-019-0729-2
[8]
Pathak, P. and Ghimire, B. (2020) Perception of Women Regarding Respectful Maternity Care during Facility-Based Childbirth. ObstetricsandGynecologyInternational, 2020, Article ID: 5142398. https://doi.org/10.1155/2020/5142398
[9]
Dwekat, I.M.M., Ismail, T.A.T., Ibrahim, M.I., Ghrayeb, F. and Abbas, E. (2022) Mistreatment of Women during Childbirth and Associated Factors in Northern West Bank, Palestine. InternationalJournalofEnvironmentalResearchandPublicHealth, 19, Article 13180. https://doi.org/10.3390/ijerph192013180
[10]
Kujawski, S., Mbaruku, G., Freedman, L.P., Ramsey, K., Moyo, W. and Kruk, M.E. (2015) Association between Disrespect and Abuse during Childbirth and Women’s Confidence in Health Facilities in Tanzania. MaternalandChildHealthJournal, 19, 2243-2250. https://doi.org/10.1007/s10995-015-1743-9
[11]
Aguemon, C. and Ogoudjobi, M. (2022) Connaissance et pratique des sages-femmes sur les soins de maternité respectueux en salle d’accouchement au Centre National Hospitalier Universitaire (Benin) en 2022. Master’s Thesis, Institut Medico-Sanitaire de l’Université d’Abomey-Calavi.
[12]
Ferede, W.Y., Gudayu, T.W., Gessesse, D.N. and Erega, B.B. (2022) Respectful Maternity Care and Associated Factors among Mothers Who Gave Birth at Public Health Institutions in South Gondar Zone, Northwest Ethiopia 2021. Women’sHealth, 18, 1-11. https://doi.org/10.1177/17455057221116505
[13]
Mocumbi, S., Högberg, U., Lampa, E., Sacoor, C., Valá, A., Bergström, A., et al. (2019) Mothers’ Satisfaction with Care during Facility-Based Childbirth: A Cross-Sectional Survey in Southern Mozambique. BMC Pregnancy and Childbirth, 19, Article No. 303. https://doi.org/10.1186/s12884-019-2449-6
[14]
Malet, S., Choux, C., Akrich, M., Simon, E. and Sagot, P. (2020) Violence au bloc obstétrical: Une enquête prospective multicentrique auprès des femmes dans les maternités de Bourgogne. Gynécologie Obstétrique Fertilité & Sénologie, 48, 790-799. https://doi.org/10.1016/j.gofs.2020.04.012
[15]
Bigot, C. and Dangbemey, P. (2023) Prévalence et facteurs associés aux violences obstétricales dans les centres hospitaliers et universitaires de Cotonou en 2023. Ph.D. Thesis, Faculté des sciences de la Santé de l’Université d’Abomey Calavi.
[16]
Azhar, Z., Oyebode, O. and Masud, H. (2018) Disrespect and Abuse during Childbirth in District Gujrat, Pakistan: A Quest for Respectful Maternity Care. PLOSONE, 13, e0200318. https://doi.org/10.1371/journal.pone.0200318
[17]
Habte, A., Tamene, A., Woldeyohannes, D., Endale, F., Bogale, B. and Gizachew, A. (2022) The Prevalence of Respectful Maternity Care during Childbirth and Its Determinants in Ethiopia: A Systematic Review and Meta-analysis. PLOS ONE, 17, e0277889. https://doi.org/10.1371/journal.pone.0277889
[18]
Warren, C.E., Njue, R., Ndwiga, C. and Abuya, T. (2017) Manifestations and Drivers of Mistreatment of Women during Childbirth in Kenya: Implications for Measurement and Developing Interventions. BMCPregnancyandChildbirth, 17, Article No. 102. https://doi.org/10.1186/s12884-017-1288-6
