Research Articles >
College of Health Sciences >
Please use this identifier to cite or link to this item:
|Title: ||“I wouldn’t have hit you, but you would have killed your baby:” exploring midwives’ perspectives on disrespect and abusive Care in Ghana|
|Authors: ||Dzomeku, Veronica Millicent|
Mensah, Adwoa Bemah Boamah
Nakua, Emmanuel Kweku
Lori, Jody Rae
|Keywords: ||Disrespectful maternity care|
|Issue Date: ||2020|
|Publisher: ||BMC Pregnancy and Childbirth|
|Citation: ||BMC Pregnancy and Childbirth (2020) 20:15; https://doi.org/10.1186/s12884-019-2691-y|
|Abstract: ||Background: Quality maternal health reduces maternal and neonatal mortality and morbidity. Healthcare
professionals, including midwives, are significant agents for the promotion of quality maternal health. Frequents
reports of disrespect and abuse of childbearing women by midwives during intrapartum care are becoming
common, suggesting that many of these agents are engaging in care practices that compromise quality maternal
health. Thus, understanding midwives’ descriptions and experiences of the phenomenon is critical to addressing
the threat. This paper, therefore, explored the understanding of midwives on D&AC and their occurrence in
professional practice in a tertiary health facility in Kumasi, Ghana.
Methods: An exploratory descriptive qualitative research design using an interpretative approach was employed in
the study. Data were generated through individual in-depth interviews. Data saturation was reached with fifteen
interviews. The interviews were audio-recorded and transcribed verbatim. Open Code 4.03 was used to manage
and analyse the data.
Results: The midwives understood D&AC. They also confirmed meting out or witnessing colleagues engage in
D&AC in their professional practice. The midwives described D&AC as the provision of inadequate care and the
overlooking of patient-centred care, and verbal, physical, and psychological abuse. The themes revealed that socioeconomic inequalities, provider perception and victim-blaming, and health system-related factors facilitate D&AC. It
emerged that the following marginalized groups were at high risk for D&AC: the non-compliant, mentally ill, HIV/
AIDs+, teenagers, poor, and childbearing women on admission at the general labour ward.
Conclusion: The midwives understood D&AC and revealed that it frequently occurred in their professional practice.
Frequent in-service training on respectful maternity care and monitoring of care provision in healthcare facilities are
needed to eliminate the incidence of D&AC.|
|Description: ||An article published in BMC Pregnancy and Childbirth (2020) 20:15; https://doi.org/10.1186/s12884-019-2691-y|
|Appears in Collections:||College of Health Sciences|
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.