Correlation between respectful maternity care and childbirth experience in a tertiary care centre

Abstract

Background: Respectful maternity care (RMC) is essential for a positive childbirth experience. Disrespectful maternity practices can lead to adverse maternal and neonatal outcomes. This study evaluates the correlation between RMC and childbirth experience among women delivering at a tertiary care centre. The objectives was to study the correlation between respectful maternity care and childbirth experience. Methods: A cross-sectional study was conducted at the Department of Obstetrics and Gynaecology, Hind Institute of Medical Sciences, Safedabad, Barabanki, over 18 months (July 2023 to January 2025). A total of 150 postpartum women were enrolled using a consecutive sampling method. Data were collected using the Respectful Maternity Care (RMC) Questionnaire and the Childbirth Experience Questionnaire (CEQ). RMC was assessed across seven domains, while CEQ measured four dimensions of childbirth experience. Statistical analysis included correlation assessments between RMC and childbirth experience domains. Results: The study found a significant correlation between RMC and childbirth experience (p<0.001). Domains of physical harm and ill-treatment (r=0.734), informed consent (r=0.725), and dereliction of care (r=0.711) showed strong associations with perceived safety and decision-making. Women who experienced greater autonomy, informed consent, and respectful care reported a better childbirth experience. The analysis also found that family structure influenced RMC, with joint family participants reporting significantly higher dignity scores (p=0.032). However, economic and educational status did not significantly impact RMC or childbirth experience. Conclusions: The study highlights the critical role of respectful maternity care in shaping a positive childbirth experience. Improving patient autonomy, informed consent, and professional support can enhance maternal satisfaction and reduce negative childbirth experiences. Targeted interventions are needed to reinforce respectful maternity care practices in tertiary care settings.