Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
This study will examine whether a Respectful Maternity Care-based action plan can improve the quality of postpartum care and maternal and newborn outcomes. Nurses and midwives will receive a three-day interactive training about respectful, evidence-based postpartum care. After training, a unit-level action plan will be implemented, including supportive visits, educational materials, and feedback meetings. Women receiving routine postpartum care before the intervention will be compared with women receiving care after implementation. Outcomes will include respectful maternity care experiences, maternal satisfaction, exclusive breastfeeding at 6-8 weeks, maternal mental health, mother-infant bonding, and postpartum complications. The goal of this study is to promote respectful, high-quality postpartum care and improve the health and well-being of mothers and newborns.
Not provided
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Control: Routine Postpartum Care | No Intervention | Participants in this arm will receive routine postpartum care practices currently provided at the study site, without exposure to the respectful maternity care training or action plan components. Usual clinical care protocols and standard postpartum follow-up procedures will be applied. | |
| Intervention: Respectful Maternity Care Action Plan | Experimental | Participants in this arm will receive postpartum care delivered by nurses and midwives trained in the Respectful Maternity Care (RMC) Action Plan. The intervention includes structured training for postpartum professionals, implementation of evidence-based respectful maternity practices, and application of the developed RMC program content and postpartum care forms. Care will emphasize dignity, privacy, informed consent, emotional support, newborn bonding, breastfeeding support, and person-centered communication. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Respectful Maternity Care Training and Action Plan | Behavioral | This intervention involves a structured Respectful Maternity Care (RMC) training program for nurses and midwives, followed by the implementation of an evidence-based RMC action plan during postpartum care. The training includes modules on dignity, privacy, informed consent, effective communication, emotional support, newborn bonding and breastfeeding support, and person-centered postpartum practices. Participants in the intervention arm will receive postpartum care according to the RMC guidelines and structured care forms developed for the study. |
| Measure | Description | Time Frame |
|---|---|---|
| Respectful Maternity Care Score | Respectful maternity care will be assessed using the Respectful Maternity Care (RMC) scale, which evaluates dignity, privacy, informed consent, emotional support, communication, and person-centered postpartum practices. Higher scores indicate higher levels of respectful maternity care. | Baseline (within 24 hours postpartum) and 6 weeks postpartum |
| Measure | Description | Time Frame |
|---|---|---|
| Maternal Satisfaction with Postpartum Care | Maternal satisfaction with postpartum care will be assessed using a validated postpartum satisfaction questionnaire, measuring perceptions of communication, emotional support, involvement in care, and overall satisfaction with hospital postpartum services. Higher scores indicate greater satisfaction. | At discharge (within 48 hours postpartum) |
Not provided
Inclusion Criteria:
Exclusion Criteria:
This study includes postpartum individuals who are biologically female.
Not provided
Not provided
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| İlayda Sel Bilim, MSc, RN | Contact | +90 530 844 95 27 | ilayda.sel@iuc.edu.tr | |
| İlkay Güngör Satılmış, Prof. | Contact | +90 212 224 2618 | 27205 | ilkay.gungorsatilmis@iuc.edu.tr |
| Name | Affiliation | Role |
|---|---|---|
| İlayda Sel Bilim, MSc, RN | Istanbul University - Cerrahpasa | Principal Investigator |
| İlkay Güngör Satılmış, Prof. | Istanbul University - Cerrahpasa | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Bakırköy Dr. Sadi Konuk Training and Research Hospital | Istanbul | Turkey (Türkiye) |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 26126110 | Result | Bohren MA, Vogel JP, Hunter EC, Lutsiv O, Makh SK, Souza JP, Aguiar C, Saraiva Coneglian F, Diniz AL, Tuncalp O, Javadi D, Oladapo OT, Khosla R, Hindin MJ, Gulmezoglu AM. The Mistreatment of Women during Childbirth in Health Facilities Globally: A Mixed-Methods Systematic Review. PLoS Med. 2015 Jun 30;12(6):e1001847; discussion e1001847. doi: 10.1371/journal.pmed.1001847. eCollection 2015 Jun. |
Not provided
Not provided
No, individual participant data (IPD) will not be shared. Due to ethical considerations and the sensitive nature of maternal and postpartum health data, participant confidentiality will be strictly protected. Only aggregated results will be published, and data access will remain restricted to the study team in accordance with ethical approval.
Not provided
Not provided
Not provided
Not provided
Not provided
This is a quasi-experimental, controlled before-after study with two parallel groups. Postpartum women receiving routine care before the training and action plan implementation constitute the control group, and postpartum women receiving care after the intervention constitute the intervention group.
Not provided
Not provided
Not provided
Not provided
|
| Postpartum Depression Score | Depressive symptoms will be evaluated using the Edinburgh Postpartum Depression Scale (EPDS). Higher scores indicate higher depressive symptoms. A cutoff score of ≥13 suggests risk of postpartum depression. | 6 weeks postpartum |
| Adherence to Evidence-Based Postpartum Care Practices | A structured postpartum care checklist will be used to evaluate compliance with respectful and evidence-based postpartum care practices (privacy, informed consent, emotional support, newborn bonding, breastfeeding support, early mobilization, postpartum monitoring). Higher scores indicate greater adherence to evidence-based guidelines. | Immediately postpartum (within 24 hours) |
| ID | Term |
|---|---|
| D019052 | Depression, Postpartum |
| D001942 | Breast Feeding |
| ID | Term |
|---|---|
| D011644 | Puerperal Disorders |
| D011248 | Pregnancy Complications |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D003866 | Depressive Disorder |
| D019964 | Mood Disorders |
| D001523 | Mental Disorders |
| D005247 | Feeding Behavior |
| D001519 | Behavior |
Not provided
Not provided