Version 1
: Received: 26 August 2024 / Approved: 26 August 2024 / Online: 27 August 2024 (18:32:29 CEST)
How to cite:
Fachon, K. D.; Truong, S.; Narayan, S.; Buniak, C. D.; Vergara Kruczynski, K.; Cohen, A.; Barbosa, P.; Flynn, A.; Goodman, A. Providers’ Perceptions of Barriers to Respectful Maternity Care at Massachusetts General Hospital. Preprints2024, 2024081925. https://doi.org/10.20944/preprints202408.1925.v1
Fachon, K. D.; Truong, S.; Narayan, S.; Buniak, C. D.; Vergara Kruczynski, K.; Cohen, A.; Barbosa, P.; Flynn, A.; Goodman, A. Providers’ Perceptions of Barriers to Respectful Maternity Care at Massachusetts General Hospital. Preprints 2024, 2024081925. https://doi.org/10.20944/preprints202408.1925.v1
Fachon, K. D.; Truong, S.; Narayan, S.; Buniak, C. D.; Vergara Kruczynski, K.; Cohen, A.; Barbosa, P.; Flynn, A.; Goodman, A. Providers’ Perceptions of Barriers to Respectful Maternity Care at Massachusetts General Hospital. Preprints2024, 2024081925. https://doi.org/10.20944/preprints202408.1925.v1
APA Style
Fachon, K. D., Truong, S., Narayan, S., Buniak, C. D., Vergara Kruczynski, K., Cohen, A., Barbosa, P., Flynn, A., & Goodman, A. (2024). Providers’ Perceptions of Barriers to Respectful Maternity Care at Massachusetts General Hospital. Preprints. https://doi.org/10.20944/preprints202408.1925.v1
Chicago/Turabian Style
Fachon, K. D., Amanda Flynn and Annekathryn Goodman. 2024 "Providers’ Perceptions of Barriers to Respectful Maternity Care at Massachusetts General Hospital" Preprints. https://doi.org/10.20944/preprints202408.1925.v1
Abstract
Background/Objectives: Disrespectful care during childbirth has been observed as a global issue and a factor influencing maternal morbidity and mortality. While the United States has experienced worsening rates of maternal mortality, perceptions of respectful maternity care have been understudied. Methods A cross-sectional study was conducted Boston from April 2023 to January 2024 among 46 labor and delivery physicians, midwives, and nurses at Massachusetts General Hospital. The survey evaluated their observation of disrespectful care, performance of respectful care, and stress and support factors influencing respectfulness of care. Results: The most reported observed disrespectful behaviors were dismissing patients’ pain (87.0%), discriminatory care based on physical characteristics (67.4%) and race (65.2%), and uncomfortable vaginal examinations (65.2%). Respondents self-reported very high levels of respectful maternity care performance. Reported barriers to respectful care included workload (76.1%) and fatigue (60.9%). Conclusions: Disrespectful care in childbirth is an issue reported by health care providers. Implicit bias and working conditions of health care providers are factors in disrespectful care. This information can be used to strategize future training and other areas of intervention to improve maternity care.
Keywords
childbirth; respectful maternity care; disrespect and abuse; obstetrics
Subject
Public Health and Healthcare, Public Health and Health Services
Copyright:
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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