{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,31]],"date-time":"2026-10-31T14:30:45Z","timestamp":1793457045586,"version":"4.5.0"},"reference-count":26,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2023,8,17]],"date-time":"2023-08-17T00:00:00Z","timestamp":1692230400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100019550","name":"Scheme for Promotion of Academic and Research Collaboration","doi-asserted-by":"publisher","award":["862"],"award-info":[{"award-number":["862"]}],"id":[{"id":"10.13039\/501100019550","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100019550","name":"Scheme for Promotion of Academic and Research Collaboration","doi-asserted-by":"publisher","award":["SPARC 2018\u20102019\/P862\/SL"],"award-info":[{"award-number":["SPARC 2018\u20102019\/P862\/SL"]}],"id":[{"id":"10.13039\/501100019550","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To determine the proportion of women who experienced disrespect and abuse (D&amp;A) and the type of D&amp;A during labor and postpartum, and to determine the factors significantly associated with D&amp;A.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A cross\u2010sectional mixed\u2010methods study undertaken in tertiary care teaching institute South India. After ethical approval, 380 postpartum women within 72\u2009h of delivery were recruited for the study. The determinants of respectful maternity care (RMC) were assessed quantitatively and qualitatively. For quantitative assessment, they were interviewed using questionnaires adopted from the United States Agency for International Development\u2010 Maternal and Child Health Integrated Program (USAID\u2010MCHIP) protocol, which has verification criteria for RMC. As a second method for quantitative assessment, they were asked to rate the care from their perspective on a 10\u2010point score. For the qualitative component, they were asked to identify the healthcare workers associated with D&amp;A by their designation and to answer three open\u2010ended questions. IBM SPSS Statistics 25 (IBM Corporation, Statistical Package for Social Sciences, version 25) was used for analysis. D&amp;A as per RMC standards I\u2013VII and its severity were expressed as frequencies and percentages with 95% confidence interval. Univariate analysis was used to determine the associated factors, and severity was determined by <jats:italic>\u03c7<\/jats:italic><jats:sup>2<\/jats:sup> test.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The prevalence of D&amp;A was high (85%) according to the RMC standards of the USAID\u2010MCHIP questionnaire, whereas it was only 33% according to women's perspective. The most common type of D&amp;A was non\u2010dignified care. The factors significantly associated with D&amp;A were women over 25\u2009years, those admitted as an emergency referral, having a recommendation letter, and relatives working at the same healthcare facility.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The prevalence of D&amp;A was high as measured by the USAID\u2010MCHIP questionnaire, and the most common type was non\u2010dignified care followed by physical abuse.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.15034","type":"journal-article","created":{"date-parts":[[2023,8,20]],"date-time":"2023-08-20T22:37:42Z","timestamp":1692571062000},"page":"721-731","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Determinants of respectful maternity care at a tertiary care teaching institute in South India: A mixed\u2010methods study"],"prefix":"10.1002","volume":"164","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1022-2750","authenticated-orcid":false,"given":"Papa","family":"Dasari","sequence":"first","affiliation":[{"name":"Department of Obstetrics &amp; Gynaecology JIPMER  Puducherry India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jaya Gowri","family":"Sastry","sequence":"additional","affiliation":[{"name":"Global and Women's Health, Public Health and Preventive Medicine Monash University  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mahalakshmy","family":"Thulasingam","sequence":"additional","affiliation":[{"name":"Department of Preventive &amp; Social Medicine JIPMER  Puducherry India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jane","family":"Fisher","sequence":"additional","affiliation":[{"name":"Division of Social Sciences, Global and Women's Health, Public Health and Preventive Medicine Monash University  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nithya","family":"Chandrasekaran","sequence":"additional","affiliation":[{"name":"Department of PSM JIPMER  Puducherry India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,8,17]]},"reference":[{"key":"e_1_2_11_2_1","unstructured":"National Family Health Survey Report 2015\u20102016. Accessed April 10 2020.http:\/\/rchiips.org\/nfhs\/nfhs\u20104Reports\/India.pdf"},{"key":"e_1_2_11_3_1","unstructured":"WHO; Sustainable Developmental Goal 3: Health. Accessed April 29 2021.https:\/\/www.who.int\/topics\/sustainable\u2010development\u2010goals\/targets\/en\/"},{"key":"e_1_2_11_4_1","unstructured":"Respectful Maternity care Country experiences. Accessed April 29 2021.https:\/\/www.mhtf.org\/document\/respectful\u2010maternity\u2010care\u2010country\u2010experiences\/"},{"key":"e_1_2_11_5_1","unstructured":"LaQshaya\u2010Labour room quality improvement initiative. Accessed September 1 2020.https:\/\/nhm.gov.in\/New_Updates_2018\/NHM_Components\/RMNCH_MH_Guidelines\/LaQshya\u2010Guidelines.pdf"},{"key":"e_1_2_11_6_1","volume-title":"WHO recommendations: Intrapartum Care for a Positive Childbirth Experience","year":"2018"},{"key":"e_1_2_11_7_1","unstructured":"Respectful Maternity Care: Maternal Health Task Force. 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