Magnitude of Mistreatment and Associated Factors Among Delivering Mothers in Bishoftu General Hospital, Oromia, Ethiopia

Yared Mekonen Tefera

doi:10.11648/j.ijnpt.20190501.13

Abstract

The recent evidence has demonstrated that globally, many women experience mistreatment during labor and delivery in health facilities. This can pose a significant barrier to women attending facilities for delivery and can contribute to poor birth experience and adverse outcome for the woman and newborn. The objective of this study was to assess the magnitude of mistreatment among delivering mothers and associated factors in Bishoftu general hospital from June – December, 2018. An institutional based cross-sectional study design was conducted. A Single population proportion formula was used to select a total of 377 participants. The convenience sampling method was employed to select the study participants and Focused Group Discussion was conducted for qualitative data collection. The collected Data was coded, cleaned, by using Epi. Info and analyzed by SPSS 20. Principally, binary logistic regression model was used to indicate the association between the study variables. The Association between independent and dependent variable were considered significant when the p-value is less than 0.05 in the final model. Qualitative data from the Focus Group Discussions were analyzed and presented thematically. In this study, 55.8% (95%CI: 51.2, 61.9) of the interviewed mothers reported having perceived at least one form of mistreatment. The types of mistreatment during childbirth included physical abuse (21.1%), non-consented care (27.4%), non-confidential care (11.7%), non-dignified care (9.7%), abandonment (24.8%), and discrimination (11.4%). Parity (AOR=1.85, 95% CI= 1.05, 3.24) and mode of delivery (AOR=1.75, 95% CI=1.09, 2.81) were factors significantly associated with mistreatment. This study has shown that the proportion of mistreatment during health facility childbirth in Bishoftu General Hospital was high. Parity and modes of delivery were significantly associated with mistreatment. Efforts to improve quality of maternal care should include greater training and monitoring of providers to ensure respectful treatment of patients.

Highlights

Increasing access to skilled care during childbirth is a key strategy for reducing maternal and early neonatal mortality and morbidity [1]
Evidence has demonstrated that globally, many women face mistreatment during labor and delivery in health facilities which can pose a significant barrier to woman attending facilities for delivering and other service
This can contribute to poor birth experience and adverse outcome for women and newborns [2]

Summary

Introduction

Increasing access to skilled care during childbirth is a key strategy for reducing maternal and early neonatal mortality and morbidity [1]. Evidence has demonstrated that globally, many women face mistreatment during labor and delivery in health facilities which can pose a significant barrier to woman attending facilities for delivering and other service. This can contribute to poor birth experience and adverse outcome for women and newborns [2]. A woman’s experience of care in childbirth is an important determinant of her future decisions related to seeking health care from health facilities because birth experience is individual, unique, and unforgettable [1]. Evidence is mounting that mistreatment may undermine women’s trust in the health system and deters them from seeking facility-based care for delivery [3].

Objectives

Methods

Results

Conclusion