TY - JOUR
A1 - Amole, T
A1 - Tukur, M
A1 - Farouk, S
A1 - Ashimi, A
T1 - Disrespect and abuse during facility based childbirth: The experience of mothers in Kano, Northern Nigeria
Y1 - 2019/1/1
JF - Tropical Journal of Obstetrics and Gynaecology
JO - Trop J Obstet Gynaecol
SP - 21
EP - 27
VL - 36
IS - 1
UR - https://www.tjogonline.com/article.asp?issn=0189-5117;year=2019;volume=36;issue=1;spage=21;epage=27;aulast=Amole
DO - 10.4103/TJOG.TJOG_77_18
N2 -
Context: An important but little understood concept that retards the goal to reduce maternal mortality and increase universal access to reproductive health is disrespect and abuse (D&A) during childbirth.
Aim: This study aims to determine the prevalence, pattern, perpetrators, and determinants of D&A during childbirth among recently parturient women in Kano, north western Nigeria.
Settings and Design: Using a cross-sectional design, 332 women accessing child immunization and postnatal services at Murtala Muhammad Specialist Hospital, Kano, were selected.
Subjects and Methods: Respondents were selected using systematic sampling technique and data collected using an adapted, interviewer administered tool.
Statistical Analysis: Data was analysed using IBM SPSS version 21.0 and level of significance set at 0.05.
Results: Respondents (n = 306) had a mean age of 27.7 ± 6.3 years and more than half (55.9%; n = 171) had experienced at least one form of D&A during childbirth. Commonest forms of abuse were abandonment and nonconfidential care (84.5%, n = 142; 67.9%, n = 114, respectively). Main perpetrators were nurses/midwives (83.0%, n = 142). The experience during the last childbirth was significantly higher among respondents of non-Hausa/Fulani ethnic group (χ2 = 6.10; P = 0.014), of the Christian faith (χ2 = 8.62; P = 0.003), and with formal education (χ2 = 19.94; P = 0.0001). After controlling for confounders, formal education remained a predictor for experiencing abuse at childbirth (AOR = 2.43; 95% confidence interval = 1.11--5.32).
Conclusions: D&A during childbirth is prevalent in our setting. Educating healthcare providers and women about their responsibilities and rights will enhance provision and utilization of quality maternal health services.
ER -