Respectful maternity care

Abstract

This article describes and defines the widespread problem of disrespect and abuse of women in maternity facilities, which is a violation of their human rights. It cites global and South African studies which describe the extent of the problem and possible reasons for its occurrence. These include attitudinal or behavioural components as well as health system factors which facilitate disrespectful and abusive behaviour. Projects and initiatives to promote Respectful Maternity care are described globally and in South Africa. The patient centred maternity care initiative in the Cape Town Metro recommends a behaviour change approach and also promotes health system arrangements which enable privacy, cleanliness and good quality of care. In particular 'caring for the carers' , notably the country's midwives, and promoting birth companions for women in labour are both essential features. Respectful maternity care is not a 'soft' issue but an essential component of ensuring quality of care and promoting maternal and perinatal health. Women's lives and their birth experiences matter!