International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026
Respectful maternity care: A multinational survey of maternity care providers by the World Association of Trainees in Obstetrics and Gynecology.
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Ubom Akaninyene Eseme, Mughal Mawrah, Portilla Francisco Javier Ruiloba, Ohachenu Chidinma Peace, Ndukwe Munachiso Iheme, Wanjiku Ayda Linda, Bareghamyan Hasmik, Stepan Martin, Ng Mei Yee, Topçu Elif Göknur, Kio Tamunokoro Christabel, Daniel Jessica Lenu, Stephen Abuchi Chima, Ikpeze Odigonma, Zadykowicz Rafal, Oreh Adaeze, Orazulike Ngozi, Inimgba Nestor, Ikimalo John Igemo, Kihara Anne-Beatrice, Louwen Frank
Аннотация
OBJECTIVE: This study evaluates maternity care providers' knowledge, practice, and perspectives on respectful maternity care (RMC).
METHODS: A global cross-sectional online survey on RMC was conducted by the World Association of Trainees in Obstetrics and Gynecology (WATOG).
RESULTS: A total of 458 maternity care providers from 48 countries across six global regions participated in the study. One in five providers (93, 20.3%) had never heard of RMC, and nearly half (223, 48.7%) had received no formal RMC training. Only 74 (16.2%) demonstrated good knowledge of the seven categories of maternal disrespect and abuse. There was no association between RMC knowledge and practice (P = 0.066). Despite 429 (93.7%) of respondents agreeing that RMC could improve feto-maternal outcomes, self-reported practices inconsistent with RMC were common, including verbal abuse (285, 62.2%), detention for unpaid bills and non-confidential care (262, 57.2%), discrimination (203, 44.3%), abandonment/denial of care (187, 40.8%), and physical abuse (119, 26.0%). The most frequently reported barriers to RMC implementation were time constraints owing to staff and resource shortages (361, 78.8%), inadequate training (356, 77.7%), lack of sanctions for disrespectful care (239, 52.2%), and restrictive cultural and religious norms (203, 44.3%).
CONCLUSION: There are critical gaps in maternity care providers' knowledge and practice of RMC, despite widespread recognition of its importance for good feto-maternal outcomes. Institutionalized RMC education, adequate staffing and resources, strengthened institutional accountability and reporting mechanisms, and workplace cultures that prioritize patient dignity and autonomy are critical steps toward ensuring RMC for all women.
METHODS: A global cross-sectional online survey on RMC was conducted by the World Association of Trainees in Obstetrics and Gynecology (WATOG).
RESULTS: A total of 458 maternity care providers from 48 countries across six global regions participated in the study. One in five providers (93, 20.3%) had never heard of RMC, and nearly half (223, 48.7%) had received no formal RMC training. Only 74 (16.2%) demonstrated good knowledge of the seven categories of maternal disrespect and abuse. There was no association between RMC knowledge and practice (P = 0.066). Despite 429 (93.7%) of respondents agreeing that RMC could improve feto-maternal outcomes, self-reported practices inconsistent with RMC were common, including verbal abuse (285, 62.2%), detention for unpaid bills and non-confidential care (262, 57.2%), discrimination (203, 44.3%), abandonment/denial of care (187, 40.8%), and physical abuse (119, 26.0%). The most frequently reported barriers to RMC implementation were time constraints owing to staff and resource shortages (361, 78.8%), inadequate training (356, 77.7%), lack of sanctions for disrespectful care (239, 52.2%), and restrictive cultural and religious norms (203, 44.3%).
CONCLUSION: There are critical gaps in maternity care providers' knowledge and practice of RMC, despite widespread recognition of its importance for good feto-maternal outcomes. Institutionalized RMC education, adequate staffing and resources, strengthened institutional accountability and reporting mechanisms, and workplace cultures that prioritize patient dignity and autonomy are critical steps toward ensuring RMC for all women.