Providers’ Perceptions of Respectful and Disrespectful Maternity Care at Massachusetts General Hospital DOI Creative Commons

Katherine Doughty Fachon,

Samantha Truong,

Sahana Narayan

et al.

Reproductive Medicine, Journal Year: 2024, Volume and Issue: 5(4), P. 231 - 242

Published: Oct. 18, 2024

Background/Objectives: Disrespectful care of birthing persons during childbirth has been observed as a global issue and possible factor influencing maternal morbidity mortality. While persons’ experiences mistreatment in have examined, perceptions from obstetrical providers respectful maternity understudied. Methods: A mixed-method cross-sectional study was conducted Boston April 2023 to January 2024 among 46 labor delivery physicians, midwives, nurses at Massachusetts General Hospital. The survey evaluated their observation disrespectful care, the performance stress support factors respectfulness care. Results: most reported behaviors were dismissing patients’ pain (87.0%), discriminatory based on physical characteristics (67.4%) race (65.2%), uncomfortable vaginal examinations (65.2%). Respondents self-reported very high levels performance. Reported barriers included workload (76.1%) fatigue (60.9%). Conclusions: is an by healthcare providers. Implicit bias working conditions health are This information can be used strategize future training other areas intervention improve

Language: Английский

Analysis of Maternity Rights Perception: Impact of Maternal Care in Diverse Socio-Health Contexts DOI Creative Commons
Claudia Susana Silva-Fernández, Paul Anthony Camacho,

María de la Calle

et al.

European Journal of Investigation in Health Psychology and Education, Journal Year: 2025, Volume and Issue: 15(2), P. 10 - 10

Published: Jan. 23, 2025

Maternity rights are perceived and fulfilled differently according to women’s psychosocial characteristics, leading varying maternal experiences outcomes. It is necessary know the impact of cultural context, emotional well-being, resource availability on woman’s clinical care experience. The aim identify if these factors contribute disparities in perception maternity fulfillment Spain Colombia. This retrospective observational study focused women who received maternity-related healthcare or A total 185 were included (Spanish = 53; Colombian 132). Data collected social obstetric history, as well psychological variables such resilience, positive negative affect, derailment, beliefs. also assessed knowledge (MatCODE), perceptions scarcity (MatER), (FMR). C-section was more prevalent Colombia, where scored higher beliefs a sense life duty compared Spanish women. Conversely, FMR context. reported lower levels support less involvement medical decision-making. positively correlated with MatCODE, MatER. Predictive modeling identified for FMR, including giving birth Colombia (β −0.30 [−0.58; −0.03]), previous miscarriage −0.32 [−0.54; −0.09]), most recent labor −0.46 −0.0]), MatER scores. Positive predictors gestational age, 0.39 [0.11; 0.66]). depends socio-healthcare contexts, resources. suggested apply culturally sensitive strategies needs terms information, support, privacy, autonomy manage

Language: Английский

Citations

1
Health Equity and Perinatal Mental Health DOI
Michelle L. Miller, Jessica Dupree, Mahogany A. Monette

et al.

Current Psychiatry Reports, Journal Year: 2024, Volume and Issue: 26(9), P. 460 - 469

Published: July 15, 2024

Language: Английский

Citations

8
Reliability and validity of measures of respectful care and discrimination for LGBTQ2S+ pregnant people DOI
Molly R. Altman,

Kathrin Stoll,

Teresa van Winkle

et al.

Midwifery, Journal Year: 2025, Volume and Issue: unknown, P. 104391 - 104391

Published: March 1, 2025

Language: Английский

Citations

0
Postpartum Care Differences in LGBTQ+ and Non-LGBTQ+ Individuals DOI Creative Commons
Kevin H. Nguyen, Jamie R. Daw,

Heidi Allen

et al.

JAMA Health Forum, Journal Year: 2025, Volume and Issue: 6(5), P. e250672 - e250672

Published: May 2, 2025

This cross-sectional study compares health insurance coverage continuity, care access, quality, and use between LGBTQ+ non-LGBTQ+ individuals 12 to 14 months post partum.

Language: Английский

Citations

0
Frequency and determinants of words, gestures, and attitudes experienced as disrespectful during childbirth and postpartum: A national population‐based study DOI Creative Commons
Marianne Jacques, Anne Alice Chantry, Anne-Sophie Evrard

et al.

Acta Obstetricia Et Gynecologica Scandinavica, Journal Year: 2025, Volume and Issue: unknown

Published: May 7, 2025

Abstract Introduction Disrespectful maternity care is receiving increasing attention but remains poorly assessed in high‐income countries. The aim was to assess the frequency and determinants of professionals' words, gestures attitudes experienced as disrespectful by women during childbirth postpartum stays. Material Methods This national quantitative observational study used population‐based Enquête Nationale Périnatale ( ENP ) 2021 database, which provides a representative sample who gave birth metropolitan France includes 2‐month follow‐up n = 7394). At follow‐up, were asked about gestures, that made them feel uncomfortable, shocked, or offended Associations between maternal, obstetric, ward characteristics robust variance Poisson regression. Multiple imputation for missing data, attrition accounted weighting. Results Among 7332 analyzed, 24.8% (95% confidence interval 23.8–26.0) reported they (especially words attitudes), predominantly stay. They more frequently nulliparous, had high education level, plan (adjusted relative risk [aRR] 1.20, 95% CI 1.09–1.32) an instrumental cesarean birth. Women with psychiatric history antenatal psychological distress prevalent among experiencing (aRR 1.43, 1.26–1.63). when breastfed. No other maternal (age, place birth, marital status), obstetric (pregnancy's level risk, delivery complication), neonatal (term poor outcome), (duration stay unit), showed association. Conclusions A quarter delivering felt and/or Support vulnerabilities awareness campaigns all professionals could improve women's experiences. Professionals should address expectations respectfully, especially complex situations. healthcare system may play role this phenomenon, although its impact challenging quantify. Interventions are necessary promote ensure respectful care.

Language: Английский

Citations

0
Obstetric violence informed by theories of intersectionality, oppression and power dynamics – a Ghanaian’s perspectives DOI Creative Commons

Ephraim Senyire,

Gloria Senkyire,

Ernestina Asiedua

et al.

AJOG Global Reports, Journal Year: 2025, Volume and Issue: unknown, P. 100505 - 100505

Published: May 1, 2025

Language: Английский

Citations

0
Providers’ Perceptions of Respectful and Disrespectful Maternity Care at Massachusetts General Hospital DOI Creative Commons

Katherine Doughty Fachon,

Samantha Truong,

Sahana Narayan

et al.

Reproductive Medicine, Journal Year: 2024, Volume and Issue: 5(4), P. 231 - 242

Published: Oct. 18, 2024

Background/Objectives: Disrespectful care of birthing persons during childbirth has been observed as a global issue and possible factor influencing maternal morbidity mortality. While persons’ experiences mistreatment in have examined, perceptions from obstetrical providers respectful maternity understudied. Methods: A mixed-method cross-sectional study was conducted Boston April 2023 to January 2024 among 46 labor delivery physicians, midwives, nurses at Massachusetts General Hospital. The survey evaluated their observation disrespectful care, the performance stress support factors respectfulness care. Results: most reported behaviors were dismissing patients’ pain (87.0%), discriminatory based on physical characteristics (67.4%) race (65.2%), uncomfortable vaginal examinations (65.2%). Respondents self-reported very high levels performance. Reported barriers included workload (76.1%) fatigue (60.9%). Conclusions: is an by healthcare providers. Implicit bias working conditions health are This information can be used strategize future training other areas intervention improve

Language: Английский

Citations

0