Factors associated with compassionate and respectful maternity care among laboring mothers during childbirth in Ethiopia

Abstract

Context: One of the most important facilitating elements for increasing access to quality maternity care is compassionate and respectful maternity care (CRMC). Aims: This study assessed factors associated with CRMC among laboring mothers during childbirth in Ethiopia. Settings and Design: A cross-sectional study was employed in Adama Hospital Medical College, Ethiopia from August 01 to September 30, 2020. Materials and Methods: Three hundred and ninety-nine postpartum mothers were selected using a systematic random sampling technique through a demographic, obstetric, and respectful maternity care questionnaire. Statistical Analysis Used: Frequencies, percentages, means, and standard deviation were computed. Binary logistic regressions were carried out to identify factors associated with CRMC. Results: The overall magnitude of CRMC accounts 169 (42.4%) with (95% confidence interval [CI]; 37.3–47.4). Primary and secondary level of education (adjusted odds ratio [AOR]: 5.29, 95% CI [1.92, 14.57], P = 0.028), discussion with health-care provider (HCP) on place of delivery during antenatal care (AOR: 9.13, 95% CI (4.85, 17.18), P = 0.023), multigravida (AOR: 3.75, 95% CI [1.17, 11.99], P = 0.013), history of previous institutional delivery (AOR: 3.306, 95% CI [1.026, 10.65], P = 0.001), day time (shift) of delivery (AOR: 3.52, 95% CI [1.85, 6.72], P = 0.017) asking for consent before the procedure (AOR: 3.49, 95% CI [1.821, 6.72], P = 0.000) and two or less number of health workers during labor (AOR: 4.68, 95% CI [2.495, 8.77], P = 0.002) were significant determinants of CRMC. Conclusion: The proportion of CRMC was low. As a result, we recommend that HCPs who provide maternity care give friendly treatment, abuse-free care, timely care, and discrimination-free care as the pillars for improving the low rate of institutional delivery.