Postnatal women’s perception on person-centered maternity care in twin cities of Rawalpindi and Islamabad: a descriptive study
Abstract Background Person-Centered Maternity Care (PCMC) is known as one of the most important components of maternal care. Every woman has the ultimate right of respectful health care. Previous research documents that lack of supportive care and respectful behavior experienced by pregnant women ca...
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| Format: | Article |
| Language: | English |
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BMC
2023-01-01
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| Series: | BMC Pregnancy and Childbirth |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12884-023-05362-6 |
| _version_ | 1797945709497942016 |
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| author | Sumbal Hameed Sheh Mureed Rizwana Chaudhri Shahzad Ali Khan Mohsin Saeed Khan |
| author_facet | Sumbal Hameed Sheh Mureed Rizwana Chaudhri Shahzad Ali Khan Mohsin Saeed Khan |
| author_sort | Sumbal Hameed |
| collection | DOAJ |
| description | Abstract Background Person-Centered Maternity Care (PCMC) is known as one of the most important components of maternal care. Every woman has the ultimate right of respectful health care. Previous research documents that lack of supportive care and respectful behavior experienced by pregnant women can act as a barrier to the utilization of health care services. Few studies have used PCMC tool to document this phenomenon. The objective of this descriptive study was to assess the women’s perception of PCMC in Pakistan. Methods Three hundred and seventy-seven (377) postnatal women of ages 18–49 years participated in the research. The study sites were secondary and tertiary care hospitals located in the twin cities of Rawalpindi and Islamabad. The PCMC tool used in this study is a validated scale with three sub-domains of i) communication and autonomy, ii) supportive care, and iii) dignity and respect. Data was analyzed using SPSS version 16, and descriptive and bivariate analysis was undertaken. Results The PCMC mean score was 54 ± [10.7] out of 90. About half (55%) of women had good perception of PCMC. Sub-domain of supportive care scored the lowest as compared to the other two domains. Overall, 36% women reported physical abuse while 22% reported verbal abuse at the hands of the healthcare providers. Most of the women (88%) said that health providers did not introduce themselves. About 30% women claimed that health care providers never asked for permission before doing any medical procedures and 20% of women claimed that doctors did not describe the purpose of examination while 178 (47%) of women said that health provider explained the purpose of medications all the time, additionally, about 14% were never given the choice to ask questions. Conclusion The study concluded that the majority of postnatal women perceived that they were not getting optimum Person-Centered Maternity Care. Some core aspects in supportive care domain were missing. In order to improve the quality of hospital-based childbirths, efforts are needed to improve the quality of care. |
| first_indexed | 2024-04-10T20:59:23Z |
| format | Article |
| id | doaj.art-f2662af54e354afab0e5b1ffed02d4b1 |
| institution | Directory Open Access Journal |
| issn | 1471-2393 |
| language | English |
| last_indexed | 2024-04-10T20:59:23Z |
| publishDate | 2023-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Pregnancy and Childbirth |
| spelling | doaj.art-f2662af54e354afab0e5b1ffed02d4b12023-01-22T12:28:00ZengBMCBMC Pregnancy and Childbirth1471-23932023-01-0123111110.1186/s12884-023-05362-6Postnatal women’s perception on person-centered maternity care in twin cities of Rawalpindi and Islamabad: a descriptive studySumbal Hameed0Sheh Mureed1Rizwana Chaudhri2Shahzad Ali Khan3Mohsin Saeed Khan4Health Services AcademyHealth Section, Ministry of Planning Development and Special InitiativesObstetrics and Gynecology Department, Holy Family HospitalVice Chancellor, Health Services AcademyHealth Services AcademyAbstract Background Person-Centered Maternity Care (PCMC) is known as one of the most important components of maternal care. Every woman has the ultimate right of respectful health care. Previous research documents that lack of supportive care and respectful behavior experienced by pregnant women can act as a barrier to the utilization of health care services. Few studies have used PCMC tool to document this phenomenon. The objective of this descriptive study was to assess the women’s perception of PCMC in Pakistan. Methods Three hundred and seventy-seven (377) postnatal women of ages 18–49 years participated in the research. The study sites were secondary and tertiary care hospitals located in the twin cities of Rawalpindi and Islamabad. The PCMC tool used in this study is a validated scale with three sub-domains of i) communication and autonomy, ii) supportive care, and iii) dignity and respect. Data was analyzed using SPSS version 16, and descriptive and bivariate analysis was undertaken. Results The PCMC mean score was 54 ± [10.7] out of 90. About half (55%) of women had good perception of PCMC. Sub-domain of supportive care scored the lowest as compared to the other two domains. Overall, 36% women reported physical abuse while 22% reported verbal abuse at the hands of the healthcare providers. Most of the women (88%) said that health providers did not introduce themselves. About 30% women claimed that health care providers never asked for permission before doing any medical procedures and 20% of women claimed that doctors did not describe the purpose of examination while 178 (47%) of women said that health provider explained the purpose of medications all the time, additionally, about 14% were never given the choice to ask questions. Conclusion The study concluded that the majority of postnatal women perceived that they were not getting optimum Person-Centered Maternity Care. Some core aspects in supportive care domain were missing. In order to improve the quality of hospital-based childbirths, efforts are needed to improve the quality of care.https://doi.org/10.1186/s12884-023-05362-6Person-centered maternity carePost-natal womenRespectful maternity care in Pakistan Low middle-income countries |
| spellingShingle | Sumbal Hameed Sheh Mureed Rizwana Chaudhri Shahzad Ali Khan Mohsin Saeed Khan Postnatal women’s perception on person-centered maternity care in twin cities of Rawalpindi and Islamabad: a descriptive study BMC Pregnancy and Childbirth Person-centered maternity care Post-natal women Respectful maternity care in Pakistan Low middle-income countries |
| title | Postnatal women’s perception on person-centered maternity care in twin cities of Rawalpindi and Islamabad: a descriptive study |
| title_full | Postnatal women’s perception on person-centered maternity care in twin cities of Rawalpindi and Islamabad: a descriptive study |
| title_fullStr | Postnatal women’s perception on person-centered maternity care in twin cities of Rawalpindi and Islamabad: a descriptive study |
| title_full_unstemmed | Postnatal women’s perception on person-centered maternity care in twin cities of Rawalpindi and Islamabad: a descriptive study |
| title_short | Postnatal women’s perception on person-centered maternity care in twin cities of Rawalpindi and Islamabad: a descriptive study |
| title_sort | postnatal women s perception on person centered maternity care in twin cities of rawalpindi and islamabad a descriptive study |
| topic | Person-centered maternity care Post-natal women Respectful maternity care in Pakistan Low middle-income countries |
| url | https://doi.org/10.1186/s12884-023-05362-6 |
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