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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 .
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 )
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| Measure | Description | Time Frame |
|---|---|---|
| measurement the degree of respectful maternity care, or mistreatment during pregnancy and childbirth in Assiut Governorate, Egypt | questionnaire including mothers of respect index and mistreatment index | within 8 weeks after childbirth |
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Inclusion Criteria:
Women who have delivered (either vaginally or cesarean) in the past 8 weeks.
Exclusion Criteria:
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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
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| fatma mohamed | Contact | 00201279969493 | drfatma076@gmail.com | |
| Essam Rashad, professor | Contact | 00201006607801 | essamothman@aun.edu.eg |
| Name | Affiliation | Role |
|---|---|---|
| mahmoud zakhira, professor | obstetrics &gynacology depatmen ,assiut university | Study Director |
| moustfa alsonbaty, doctorate | obstetrics & gynacology depatmen assiut university | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Assiut University | Recruiting | Asyut | Egypt |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 32950087 | Background | 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. | |
| 26628382 | Background | 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. |
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| 31640603 | Background | 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. |
| 29073914 | Background | 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. |