Prevalence and factors associated with disrespect and abuse among women who delivered in a University Teaching Hospital in Nigeria

Int J Gynaecol Obstet. 2023 Jun;161(3):685-691. doi: 10.1002/ijgo.14812. Epub 2023 Apr 28.

Abstract

Objective: To determine the prevalence and factors associated with disrespect and abuse during childbirth among women who delivered in a University Teaching Hospital using a validated tool.

Methods: This was a cross-sectional study conducted at the Department of Obstetrics and Gynecology, University of Benin Teaching Hospital. Participants included women who presented for the 6-week postnatal visit. The primary outcome was the experience of disrespect and abuse by the women in any of the thematic domains in the tool, namely friendly care, abuse-free care, timely care, discrimination-free care, abandonment, and non-consented care.

Results: In all, 200 participants were enrolled in the study. The prevalence of disrespect and abuse among the study population was 36.5%. Verbal abuse and untimely care were the commonest (15.5%). Nurses were mostly the perpetrators of disrespect and abuse. Maternal age, parity, and marital status among others were not significantly predictive of disrespect and abuse by respondents.

Conclusion: Disrespect and abuse from health workers during childbirth is a prevalent problem among women who delivered in the hospital. This undesirable experience of childbirth needs to be addressed by stakeholders in maternal health.

Keywords: Nigeria; abandonment; disrespect and abuse; friendly care; respectful maternity care; timely care.

MeSH terms

  • Attitude of Health Personnel*
  • Cross-Sectional Studies
  • Delivery, Obstetric
  • Female
  • Hospitals, Teaching
  • Humans
  • Maternal Health Services*
  • Nigeria / epidemiology
  • Parturition
  • Pregnancy
  • Prevalence
  • Professional-Patient Relations
  • Quality of Health Care
  • Surveys and Questionnaires
  • Universities