{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T07:42:37Z","timestamp":1769931757785,"version":"3.49.0"},"reference-count":94,"publisher":"MDPI AG","issue":"2","license":[{"start":{"date-parts":[[2025,1,23]],"date-time":"2025-01-23T00:00:00Z","timestamp":1737590400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"D.R.-C."}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["EJIHPE"],"abstract":"<jats:p>Maternity rights are perceived and fulfilled differently according to women\u2019s psychosocial characteristics, leading to varying maternal experiences and outcomes. It is necessary to know the impact of cultural context, emotional well-being, and resource availability on the maternal woman\u2019s clinical care experience. The aim is to identify if these factors contribute to disparities in the perception of maternity rights fulfillment in Spain and Colombia. This retrospective observational study focused on women who received maternity-related healthcare in Spain or Colombia. A total of 185 women were included (Spanish = 53; Colombian = 132). Data collected included social and obstetric history, as well as psychological variables such as resilience, positive and negative affect, derailment, and maternity beliefs. The study also assessed women\u2019s knowledge of healthcare rights (MatCODE), perceptions of resource scarcity (MatER), and the fulfillment of maternity rights (FMR). C-section was more prevalent in Colombia, where women also scored higher on maternity beliefs as a sense of life and as a social duty compared to Spanish women. Conversely, FMR was higher in the Spanish context. Colombian women reported lower levels of social support and less involvement in medical decision-making. The FMR was positively correlated with positive affect, MatCODE, and MatER. Predictive modeling identified negative factors for FMR, including giving birth in Colombia (\u03b2 = \u22120.30 [\u22120.58; \u22120.03]), previous miscarriage (\u03b2 = \u22120.32 [\u22120.54; \u22120.09]), C-section in the most recent labor (\u03b2 = \u22120.46 [\u22120.54; \u22120.0]), and higher MatER scores. Positive predictors included gestational age, maternal age, and previous C-section (\u03b2 = 0.39 [0.11; 0.66]). The perception of the fulfillment of maternity rights depends on socio-healthcare contexts, women\u2019s age, obstetric history, and resources. It is suggested to apply culturally sensitive strategies focused on women\u2019s needs in terms of information, emotional and social support, privacy, and autonomy to manage a positive experience.<\/jats:p>","DOI":"10.3390\/ejihpe15020010","type":"journal-article","created":{"date-parts":[[2025,1,23]],"date-time":"2025-01-23T05:49:54Z","timestamp":1737611394000},"page":"10","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Analysis of Maternity Rights Perception: Impact of Maternal Care in Diverse Socio-Health Contexts"],"prefix":"10.3390","volume":"15","author":[{"given":"Claudia Susana","family":"Silva-Fern\u00e1ndez","sequence":"first","affiliation":[{"name":"Department of Biological & Health Psychology, Faculty of Psychology, Universidad Aut\u00f3noma de Madrid, 28049 Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6233-9582","authenticated-orcid":false,"given":"Paul Anthony","family":"Camacho","sequence":"additional","affiliation":[{"name":"Centro de Investigaciones, Fundaci\u00f3n Oftalmol\u00f3gica de Santander, Bucaramanga 680003, Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mar\u00eda","family":"de la Calle","sequence":"additional","affiliation":[{"name":"Obstetric and Gynecology Service, Hospital Universitario La Paz, Universidad Aut\u00f3noma de Madrid, 28049 Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Silvia M.","family":"Arribas","sequence":"additional","affiliation":[{"name":"Department of Physiology, Faculty of Medicine, Universidad Aut\u00f3noma de Madrid, 28029 Madrid, Spain"},{"name":"Instituto Universitario de Estudios de la Mujer (IUEM), Universidad Aut\u00f3noma de Madrid, 28049 Madrid, Spain"},{"name":"Grupo de Investigaci\u00f3n en Alimentaci\u00f3n, Estr\u00e9s Oxidativo y Salud Cardiovascular (FOSCH), Instituto de Investigaci\u00f3n Sanitaria, Hospital Universitario La Paz (IdiPAZ), 28046 Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eva","family":"Garrosa","sequence":"additional","affiliation":[{"name":"Department of Biological & Health Psychology, Faculty of Psychology, Universidad Aut\u00f3noma de Madrid, 28049 Madrid, Spain"},{"name":"Instituto Universitario de Estudios de la Mujer (IUEM), Universidad Aut\u00f3noma de Madrid, 28049 Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7442-1586","authenticated-orcid":false,"given":"David","family":"Ramiro-Cortijo","sequence":"additional","affiliation":[{"name":"Department of Physiology, Faculty of Medicine, Universidad Aut\u00f3noma de Madrid, 28029 Madrid, Spain"},{"name":"Instituto Universitario de Estudios de la Mujer (IUEM), Universidad Aut\u00f3noma de Madrid, 28049 Madrid, Spain"},{"name":"Grupo de Investigaci\u00f3n en Alimentaci\u00f3n, Estr\u00e9s Oxidativo y Salud Cardiovascular (FOSCH), Instituto de Investigaci\u00f3n Sanitaria, Hospital Universitario La Paz (IdiPAZ), 28046 Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2025,1,23]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"74","DOI":"10.1353\/hpu.2005.0001","article-title":"Access for pregnant women on medicaid: Variation by race and ethnicity","volume":"16","author":"Adams","year":"2005","journal-title":"Journal of Health Care for the Poor and Underserved"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"103212","DOI":"10.1016\/j.midw.2021.103212","article-title":"Obstetric violence a qualitative interview study","volume":"105","author":"Annborn","year":"2022","journal-title":"Midwifery"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"409","DOI":"10.1016\/j.aprim.2013.04.004","article-title":"Percepci\u00f3n de la transici\u00f3n a la maternidad: Estudio fenomenol\u00f3gico en la provincia de Barcelona","volume":"45","year":"2013","journal-title":"Atenci\u00f3n Primaria"},{"key":"ref_4","doi-asserted-by":"crossref","unstructured":"Blount, A. 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