{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T19:18:20Z","timestamp":1791487100409,"version":"4.3.4"},"reference-count":27,"publisher":"Public Library of Science (PLoS)","issue":"4","license":[{"start":{"date-parts":[[2025,4,9]],"date-time":"2025-04-09T00:00:00Z","timestamp":1744156800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000272","name":"NIHR","doi-asserted-by":"crossref","award":["(NIHR 32027)"],"award-info":[{"award-number":["(NIHR 32027)"]}],"id":[{"id":"10.13039\/501100000272","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:sec id=\"sec001\">\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Disrespect and abuse have been seen as a real hindrance to achieving universal coverage for skilled delivery. Improving respectful maternal and newborn care and quality of care around the time of birth has been identified as a key strategy in low- and middle-income countries for reducing the rates of stillbirths and maternal and newborn mortality and morbidity rates. Currently, there is no core outcome set on respectful maternal and newborn care, resulting in reporting of various study outcomes from different studies which hinders the improvement of maternal and neonatal health.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec002\">\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To develop a core outcome set for respectful maternal and newborn care that can be used in research studies and clinical practice in low-middle income countries.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec003\">\n                    <jats:title>Methods\/design<\/jats:title>\n                    <jats:p>An exploratory sequential mixed methods evidence synthesis design will be adopted for the study. This design will enable the utilisation of the core outcome set development methodology in three stages. First, a systematic review and secondary analysis of qualitative interviews of women who utilise maternal care services will be undertaken in order to generate a list of outcomes. This will be followed by a two-round online Delphi study with multiple stakeholder groups which include women and their partners, women representative groups, parents, health workers and researchers. Each person will score the outcomes in terms of the defined criteria. Lastly, the results of the Delphi will be summarised and discussed at a virtual consensus meeting with representation from all stakeholder groups where the final core outcome set will be decided.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec004\">\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>The core outcome set will predominantly be developed for use in a low-middle income country setting to measure and improve the quality of respectful maternal and newborn services.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1371\/journal.pone.0319419","type":"journal-article","created":{"date-parts":[[2025,4,9]],"date-time":"2025-04-09T13:39:01Z","timestamp":1744205941000},"page":"e0319419","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":1,"title":["Protocol for the development of a core outcome set for respectful maternal and newborn care in a low-middle income setting"],"prefix":"10.1371","volume":"20","author":[{"given":"Farai","family":"Marenga","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kushupika","family":"Dube","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Unice","family":"Goshomi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tina","family":"Lavender","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carol","family":"Bedwell","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2579-9325","authenticated-orcid":true,"given":"Jamie J.","family":"Kirkham","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2025,4,9]]},"reference":[{"key":"pone.0319419.ref001","article-title":"Surviving birth: Every 11 seconds, a pregnant woman or newborn dies somewhere around the world.","author":"UNICEF 2019"},{"issue":"6","key":"pone.0319419.ref002","doi-asserted-by":"crossref","first-page":"e1001847; discussion e1001847","DOI":"10.1371\/journal.pmed.1001847","article-title":"The mistreatment of women during childbirth in health facilities globally: A mixed-methods systematic review","volume":"12","author":"MA Bohren","year":"2015","journal-title":"PLoS Med"},{"issue":"8","key":"pone.0319419.ref003","doi-asserted-by":"crossref","first-page":"932","DOI":"10.1111\/1471-0528.15015","article-title":"Respectful care during childbirth in health facilities globally: a qualitative evidence synthesis","volume":"125","author":"E Shakibazadeh","year":"2018","journal-title":"BJOG"},{"issue":"1","key":"pone.0319419.ref004","doi-asserted-by":"crossref","first-page":"71","DOI":"10.1186\/1742-4755-11-71","article-title":"Facilitators and barriers to facility-based delivery in low- and middle-income countries: a qualitative evidence synthesis","volume":"11","author":"MA Bohren","year":"2014","journal-title":"Reprod Health"},{"key":"pone.0319419.ref005","article-title":"WHO recommendations on intrapartum care for a positive childbirth experience","author":"World Health Organisation","year":"2018"},{"key":"pone.0319419.ref006","article-title":"Respectful Maternity and Newborn Care - 2021 | Virtual Campus for Public Health (VCPH\/PAHO)","author":"Pan American Health Organisation","year":"2021"},{"key":"pone.0319419.ref007","unstructured":"Bowser D, Hill K. 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