Clinical trial NCT06123247: Mothers' Respect/Mistreatment During Pregnancy & Childbirth
Official title: Mothers' Perception Of Respect/Mistreatment During Pregnancy & Childbirth In Assiut Governorate
Study type: OBSERVATIONAL
Overall status: RECRUITING
Conditions: Childbirth Problems
Pregnancy Related
Keywords: respect
mistreatment
mothers
Lead sponsor: Assiut University
Sponsor class: OTHER
First posted: 2023-11-08
Enrollment: 400
Sex: FEMALE
Minimum age (years): 18
Maximum age (years): 50
Standard ages: ADULT
Accepts healthy volunteers: yes
Observational model: ECOLOGIC_OR_COMMUNITY
Time perspective: CROSS_SECTIONAL
Sampling method: NON_PROBABILITY_SAMPLE
Study population: study will be conducted in two urban and two rural maternity and child health centers selected randomly from Assiut governorate We will recruit women who have given birth (either vaginal or Cesarean deliveries) within 8 weeks since their Last delivery

Brief summary: Pregnancy and childbirth are important events in a woman's and family's life and a time of great vulnerability for every country and culture on earth. Although the concept of "safe motherhood" is often limited to physical safety, the birth of a child is also an important life milestone for women and their familiesin our study for ssessing the degree of respectful maternity care, or mistreatment during pregnancy and childbirth in Assiut Governorate, Egypt and Exploring the factors associated with respectful maternity care and mistreatment among Egyptian women in Assiut governorate in rural and urban areas .

Detailed description: A woman's experience with childbirth care is an important factor in her future decisions about whether to receive health care through a health care facility. Women's negative encounters with health workers long-term injury and emotional trauma can result during childbirth. Every woman has several rights. They include the following rights: 1- Freedom from harm and abuse, 2- Information, informed consent and refusal, and respect for women's choices and preferences, including companion during childbirth, 3- Privacy and confidentiality 4) Respectful and dignified treatment 5 - Equality, non-discrimination and appropriate care 6- Healthcare and attainable high standards of health and 7- Freedom, autonomy, self-determination and non-coercion. Reported forms of disrespect and abuse fell into seven categories: physical abuse, non-consensual care, non-confidential care, indecent care, discrimination based on patient characteristics, abandonment of care, and incarceration in institutions.. RMC focuses on eliminating unhealthy and abusive behaviors by healthcare providers and associated personnel, and providing a sensitive and encouraging work environment to help women feel satisfied during childbirth.To measure women's experience of respectful maternity care, vedam et la developed Mothers on Respect Index (MORi) assesses the nature of patient-provider interactions and their impact on human feelings of respect during obstetric care .The mistreatment index (MIST index), which is an indicator of abuse consistent with the seven dimensions ( physical abuse, sexual abuse, verbal abuse, stigma and discrimination. Failure to meet professional standards of care, poor rapport during interactions with Providors, and the poor state and limitations of the healthcare system )

Eligibility criteria: Inclusion Criteria:

Women who have delivered (either vaginally or cesarean) in the past 8 weeks.

Exclusion Criteria:

* Women who had complicated childbirth, or stillbirth/neonatal death during their Last delivery will be excluded. In addition, women with known psychiatric illness . These women will be excluded . women who refuse to participate in the study will be excluded.

Primary outcomes:
measure: measurement the degree of respectful maternity care, or mistreatment during pregnancy and childbirth in Assiut Governorate, Egypt
timeFrame: within 8 weeks after childbirth
Secondary outcomes:
Other outcomes:
Locations:
city: Assiut
country: Egypt
facility: Assiut University
Study officials:
affiliation: obstetrics &gynacology depatmen ,assiut university
name: mahmoud zakhira, professor
role: STUDY_DIRECTOR
affiliation: obstetrics & gynacology depatmen assiut university
name: moustfa alsonbaty, doctorate
role: STUDY_CHAIR
References:
citation: Housseine N, Rijken MJ, Punt MC, Meguid T, Franx A, van der Graaf R, Browne JL. Mistreatment during childbirth. Lancet. 2020 Sep 19;396(10254):816-817. doi: 10.1016/S0140-6736(20)31556-7. No abstract available.
citation: Vogel JP, Bohren MA, Tuncalp Ӧ, Oladapo OT, Gulmezoglu AM. Promoting respect and preventing mistreatment during childbirth. BJOG. 2016 Apr;123(5):671-4. doi: 10.1111/1471-0528.13750. Epub 2015 Dec 1. No abstract available.
citation: Galle A, Manaharlal H, Cumbane E, Picardo J, Griffin S, Osman N, Roelens K, Degomme O. Disrespect and abuse during facility-based childbirth in southern Mozambique: a cross-sectional study. BMC Pregnancy Childbirth. 2019 Oct 22;19(1):369. doi: 10.1186/s12884-019-2532-z.
citation: Savage V, Castro A. Measuring mistreatment of women during childbirth: a review of terminology and methodological approaches. Reprod Health. 2017 Oct 26;14(1):138. doi: 10.1186/s12978-017-0403-5.