Respectful Midwifery Care

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Abstract

Introduction: Obstetric care that respects a woman’s autonomy during childbirth is a basic component of quality care that every woman needs and deserves during childbirth.

Objective: To determine the degree of respect for a woman’s autonomy during childbirth and providing respectful care as well as their interrelationship.

Materials and methods: A quantitative cross-sectional study design was chosen. The study sample included 453 women (mean age is 29.8 (4.6) years) after spontaneous vaginal delivery from 0 to 1 year. The tool for data collection was the MADM questionnaire supplemented with self-constructed questions. Descriptive and inductive statistics (Student’s t-test) were used for analysis.

Results: The mean MADM scale score was 24.9 (10.33) which represents the borderline between the low and adequate degrees of parturient woman’s autonomy. In the assessment of respectful care, the lowest scores were obtained for questions related to the possibility of choosing a position, the woman’s feeling that she could refuse any routine procedure or examination, and the possibility of moving freely in the delivery room. A statistically significant association was demonstrated between the degree of women’s autonomy during childbirth and all variables of respectful care.

Conclusion: Health care providers should make every effort to actively support a woman’s autonomy during childbirth in all available ways to ensure that respectful care becomes the norm.

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About the authors

Lucia Mazúchová

Comenius University

Email: lucia.mazuchova@uniba.sk
ORCID iD: 0000-0001-9363-0922

MSN, PhD, a lecturer with the specialization on Nursing and Midwifery, Jessenius Faculty of Medicine in Martin, Department of Midwifery

 

Slovakia, Bratislava, Malá Hora 5, Martin 036 01

Andrea Porubská

Hospital A. Wintera

Email: andrea.porubska2@gmail.com

MSN, a midwife at the Department of Gynaecology and Obstetrics

Russian Federation, Piešťany

Simona Kelčíková

Comenius University

Email: simona.kelcikova@uniba.sk
ORCID iD: 0000-0002-2347-4343

MSN, PhD, a lecturer with the specialization on Public Health, Nursing, and Midwifery, Jessenius Faculty of Medicine in Martin, Department of Midwifery

Slovakia, Bratislava, Malá Hora 5, Martin 036 01

Erika Maskalová

Comenius University

Email: erika.maskalova@uniba.sk
ORCID iD: 0000-0003-2806-4586

MSN, PhD, a lecturer with the specialization on Nursing and Midwifery, Jessenius Faculty of Medicine in Martin, Department of Midwifery

Slovakia, Bratislava, Malá Hora 5, Martin 036 01

Nora Malinovská

Comenius University

Author for correspondence.
Email: nora.malinovska@uniba.sk
ORCID iD: 0000-0001-5334-207X

MA, PhD, a lecturer in Medical Latin and English for Medical Purposes, History of Medicine, Jessenius Faculty of Medicine in Martin, Department of Foreign Languages

Slovakia, Bratislava, Malá Hora 5, Martin 036 01, 00421 432633520

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2. Figure: Distribution of respondents (N=453) by degree of autonomy achieved during childbirth

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