Exploring midwives' understanding of respectful maternal care in Kumasi, Ghana: Qualitative inquiry
D-Zomeku, Veronica Millicent, Mensah, Bemah Adwoa Boamah, Nakua, Emmanuel Kweku, Agbadi, Pascal, Lori, Jody R., and Donkor, Peter (2020) Exploring midwives' understanding of respectful maternal care in Kumasi, Ghana: Qualitative inquiry. PLoS ONE, 15 (8). e0220538.
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Abstract
Background: Various aspects of disrespect and abusive maternity care have received scholarly attention because of frequent reports of the phenomenon in most healthcare facilities globally, especially in low- and middle-income countries. Experiences of disrespect and abuse during childbirth may dissuade women from returning for facility-based postpartum services, for antenatal care, and delivery for future pregnancies and births. Midwives’ knowledge of respectful maternity care is critical in designing any interventive measures to address the menace of disrespect and abuse in maternity care. However, the perspectives of skilled providers on respectful maternal care have not been extensively studied. Therefore, the present study sought to explore the views of midwives on respectful maternity care at a teaching hospital in Kumasi, Ghana.
Methods: We employed an exploratory descriptive qualitative research design using an interpretative approach. Data were generated through individual in-depth interviews of fifteen midwives, which were audio-recorded and transcribed verbatim. Open Code 4.03 was used to manage and analyse the data.
Findings: The midwives demonstrated some degree of awareness of respectful maternity care that comprised of the following components: non-abusive care, consented care, confidential care, non-violation of childbearing women’s basic human rights, and non-discriminatory care. However, midwives’ support for disrespectful and abusive practices such as hitting, pinching, and implicitly blaming childbearing women for mistreatment suggests that midwives awareness of respectful maternity care is disconnected from its practice.
Conclusion: In view of these findings, we recommend frequent in-service training for midwives and the institutionalization of regular supervision of intrapartum care services in the healthcare facility.
Item ID: | 88975 |
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Item Type: | Article (Research - C1) |
ISSN: | 1932-6203 |
Copyright Information: | This is an open access article, free of all copyright, and may be freely reproduced, distributed, transmitted, modified, built upon, or otherwise used by anyone for any lawful purpose. The work is made available under the Creative Commons CC0 public domain dedication. |
Date Deposited: | 26 Sep 2025 06:35 |
FoR Codes: | 44 HUMAN SOCIETY > 4409 Social work > 440902 Counselling, wellbeing and community services @ 50% 42 HEALTH SCIENCES > 4204 Midwifery > 420402 Models of care and place of birth @ 50% |
SEO Codes: | 20 HEALTH > 2004 Public health (excl. specific population health) > 200401 Behaviour and health @ 100% |
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