Validation of the Greek version of Mothers on Respect (MOR) index

Introduction: Pregnancy is a critical period marked by vast changes, with a pivotal role in healthcare. The Mothers on Respect (MOR) index measures and ensures respect in maternal care, impacting health-seeking behaviors and postpartum outcomes vital for individual and healthcare system well-being. This study aims to validate the Greek version of the MOR index to enhance respectful maternity care and contribute to positive childbirth experiences.

Methods: A retrospective, cross-sectional, descriptive, and analytical online survey collected data from Greek women with home childbirth experience. We utilized a self-administered questionnaire and the Greek version of the Mothers on Respect (MOR) index.

Results: The MOR index, assessing knowledge and awareness, showed a median score of 78 points, with a significant association between higher scores and living in Attica or being a healthcare professional (p=0.027 and p=0.024, respectively). Confirmatory factor analysis indicated the questionnaire had an acceptable fit, and reliability was confirmed with Cronbach's α exceeding 0.7 across all dimensions.

Conclusions: The Greek MOR index validation advances respectful maternity care, enhances maternal health in Greece, and contributes to regional efforts for positive childbirth experiences.