Respectful midwifery care
Mazúchová L., Porubská A., Kelčíková S., Maskalová E., Malinovská N.
Introduction: Obstetric care that respects a woman’s autonomy during childbirth is a basic component of quality care that every woman needs and deserves during childbirth.
Objective: To determine the degree of respect for a woman’s autonomy during childbirth and providing respectful care as well as their interrelationship.
Materials and methods: A quantitative cross-sectional study design was chosen. The study sample included 453 women (mean age is 29.8 (4.6) years) after spontaneous vaginal delivery from 0 to 1 year. The tool for data collection was the MADM questionnaire supplemented with self-constructed questions. Descriptive and inductive statistics (Student’s t-test) were used for analysis.
Results: The mean MADM scale score was 24.9 (10.33) which represents the borderline between the low and adequate degrees of parturient woman’s autonomy. In the assessment of respectful care, the lowest scores were obtained for questions related to the possibility of choosing a position, the woman’s feeling that she could refuse any routine procedure or examination, and the possibility of moving freely in the delivery room. A statistically significant association was demonstrated between the degree of women’s autonomy during childbirth and all variables of respectful care.
Conclusion: Health care providers should make every effort to actively support a woman’s autonomy during childbirth in all available ways to ensure that respectful care becomes the norm.
Authors’ contributions: Mazúchová L., Porubská A. – developing the concept and design of the study, collecting and processing the material; Porubská A., Mazúchová L. – statistical processing of the data; Mazúchová L., Malinovská N., Kelčíková S., Maskálová E. – writing the text; Malinovská N. – editing the article.
Conflicts of interest: The authors declare that they have no conflicts of interest.
Financing: There was no funding obtained for the study.
Ethical Approval: The study was approved by the Ethical Review Board “Ethics of the Žilina and Trnava self-governing regions”.
Patient Consent Publication: The patients provided an informed consent for the publication of their data.
Authors' Data Sharing Statement: The data supporting the findings of this study are available on request from the corresponding author after approval from the principal investigator.
For citation: Mazúchová L., Porubská A., Kelčíková S., Maskalová E., Malinovská N. Respectful midwifery care.
Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2024; (11): 110-117 (in Russian)
https://dx.doi.org/10.18565/aig.2024.213
Keywords
woman’s autonomy
respectful care
childbirth
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Received 26.08.2024
Accepted 28.10.2024
About the Authors
Lucia Mazúchová, MSN, PhD, a lecturer with the specialization on Nursing and Midwifery at Comenius University (Bratislava), Jessenius Faculty of Medicine in Martin, Department of Midwifery, Malá Hora 5, Martin 036 01, Slovakia, lucia.mazuchova@uniba.sk, https://orcid.org/0000-0001-9363-0922Andrea Porubská, MSN, a midwife at the Department of Gynaecology and Obstetrics in the A. Winter Hospital, Piešt’any, Slovakia, andrea.porubska2@gmail.com
Simona Kelčíková, MSN, PhD, a lecturer with the specialization on Public Health, Nursing, and Midwifery at Comenius University (Bratislava), Jessenius Faculty of Medicine in Martin, Department of Midwifery, Malá Hora 5, Martin 036 01, Slovakia, simona.kelcikova@uniba.sk, https://orcid.org/0000-0002-2347-4343
Erika Maskalová, MSN, PhD, a lecturer with the specialization on Nursing and Midwifery at Comenius University (Bratislava), Jessenius Faculty of Medicine in Martin, Department of Midwifery, Malá Hora 5, Martin 036 01, Slovakia, erika.maskalova@uniba.sk, https://orcid.org/0000-0003-2806-4586
Nora Malinovská, MA, PhD, a lecturer in Medical Latin and English for Medical Purposes, History of Medicine at Comenius University (Bratislava), Jessenius Faculty of Medicine in Martin, Department of Foreign Languages, Malá Hora 5, Martin 036 01, Slovakia, 00421 432633520, nora.malinovska@uniba.sk, https://orcid.org/0000-0001-5334-207X
Corresponding author: Nora Malinovská, nora.malinovska@uniba.sk
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