Factors associated with compassionate and respectful maternity care among laboring mothers during childbirth in Ethiopia

Context: 

One of the most important facilitating elements for increasing access to quality maternity care is compassionate and respectful maternity care (CRMC).

This study assessed factors associated with CRMC among laboring mothers during childbirth in Ethiopia.

Settings and Design: 

A cross-sectional study was employed in Adama Hospital Medical College, Ethiopia from August 01 to September 30, 2020.

Three hundred and ninety-nine postpartum mothers were selected using a systematic random sampling technique through a demographic, obstetric, and respectful maternity care questionnaire. Statistical Analysis Used: Frequencies, percentages, means, and standard deviation were computed. Binary logistic regressions were carried out to identify factors associated with CRMC.

The overall magnitude of CRMC accounts 169 (42.4%) with (95% confidence interval [CI]; 37.3–47.4). Primary and secondary level of education (adjusted odds ratio [AOR]: 5.29, 95% CI [1.92, 14.57], P = 0.028), discussion with health-care provider (HCP) on place of delivery during antenatal care (AOR: 9.13, 95% CI (4.85, 17.18), P = 0.023), multigravida (AOR: 3.75, 95% CI [1.17, 11.99], P = 0.013), history of previous institutional delivery (AOR: 3.306, 95% CI [1.026, 10.65], P = 0.001), day time (shift) of delivery (AOR: 3.52, 95% CI [1.85, 6.72], P = 0.017) asking for consent before the procedure (AOR: 3.49, 95% CI [1.821, 6.72], P = 0.000) and two or less number of health workers during labor (AOR: 4.68, 95% CI [2.495, 8.77], P = 0.002) were significant determinants of CRMC.

The proportion of CRMC was low. As a result, we recommend that HCPs who provide maternity care give friendly treatment, abuse-free care, timely care, and discrimination-free care as the pillars for improving the low rate of institutional delivery.