Document Type : Review Article
Authors
1
Student Research Committee, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
2
Department of Midwifery, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
3
3- Medical Ethics Department, School of Medicine, Shahed University, Tehran, Iran.
4
4- Department of Biostatistics, Faculty of Allied Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran
5
Department of General surgery, school of medicine,Urmia University of Medical Siences , Urmia , Iran.
10.22038/jmrh.2024.83836.2515
Abstract
Background & aim: Despite ongoing initiatives to enhance respectful care practices during labor and delivery within Iranian healthcare facilities, current evidence suggests that these strategies have not led to a meaningful improvement in the delivery of respectful maternal care. This study aims to identify and analyze the factors that either hinder or promote respectful maternal care in the Iranian context.
Methods: This research adopts a scoping review methodology. A comprehensive search was conducted in both Persian and English databases, including CINAHL, EMBASE, MEDLINE, PsycINFO, ProQuest, Scopus, Irandoc, SID, ISC, and Medlib, carried out independently by two researchers. The focus was on retrieving Persian and English-language articles about respectful maternal care during childbirth published between 2010 and 2024. Following the established inclusion criteria, a total of 24 articles were selected for analysis. Both content analysis and thematic analysis techniques were utilized to evaluate the data critically.
Results: The analysis of extracted codes yielded a classification into four distinct categories: instances of disrespectful maternal care, barriers and facilitators to respectful maternal care, and proposed interventions for enhancement. The most frequently reported disrespectful behaviors encompassed verbal and physical abuse, along with violations of maternal privacy. From the service providers' perspective, barriers are primarily segmented into individual and organizational dimensions. In contrast, recipients of care identify barriers across three key categories: individual factors, underlying health conditions necessitating interventions, and social determinants. Facilitators of respectful care were identified across four main domains: interpersonal communication, provider-related attributes, recipient and companion dynamics, and governance-related factors. Proposed solutions to ameliorate maternal care were classified into two overarching types: management-oriented and educational interventions.
Conclusion: This research delineates the spectrum of disrespectful behaviors and elucidates the barriers and facilitators that influence their prevalence. For the enduring provision of respectful maternity care, policymakers must address fundamental factors contributing to disrespect, notably staffing shortages and inadequate healthcare environments.
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