| Title |
Associations Between Mistreatment by a Provider during Childbirth and Maternal Health Complications in Uttar Pradesh, India
|
|---|---|
| Published in |
Maternal and Child Health Journal, July 2017
|
| DOI | 10.1007/s10995-017-2298-8 |
| Pubmed ID | |
| Authors |
Anita Raj, Arnab Dey, Sabrina Boyce, Aparna Seth, Siddhartha Bora, Dharmendra Chandurkar, Katherine Hay, Kultar Singh, Arup Kumar Das, Amit Chakraverty, Aparajita Ramakrishnan, Mrunal Shetye, Niranjan Saggurti, Jay G. Silverman |
| Abstract |
Objectives This study assesses associations between mistreatment by a provider during childbirth and maternal complications in Uttar Pradesh, India. Methods Cross-sectional survey data were collected from women (N = 2639) who had delivered at 68 public health facilities in Uttar Pradesh, participating in a quality of care study. Participants were recruited from April to July 2015 and surveyed on demographics, mistreatment during childbirth (measure developed for this study, Cronbach's alpha = 0.70), and maternal health complications. Regression models assessed associations between mistreatment during childbirth and maternal complications, at delivery and postpartum, adjusting for demographics and pregnancy complications. Results Participants were aged 17-48 years, and 30.3% were scheduled caste/scheduled tribe. One in five (20.9%) reported mistreatment by their provider during childbirth, including discrimination and abuse; complications during delivery (e.g., obstructed labor) and postpartum (e.g., excessive bleeding) were reported by 45.8 and 41.5% of women, respectively. Health providers at delivery included staff nurses (81.8%), midwives (14.0%), and physicians (2.2%); Chi square analyses indicate that women were significantly more likely to report mistreatment when their provider was a nurse rather than a physician or midwife. Women reporting mistreatment by a provider during childbirth had higher odds of complications at delivery (AOR = 1.32; 95% CI 1.05-1.67) and postpartum (AOR = 2.12; 95% CI 1.67-2.68). Conclusions for Practice Mistreatment of women by their provider during childbirth is a pervasive health and human rights violation, and is associated with increased risk for maternal health complications in Uttar Pradesh. Efforts to improve quality of maternal care should include greater training and monitoring of providers to ensure respectful treatment of patients. |
X Demographics
The data shown below were collected from the profiles of 3 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Belgium | 1 | 33% |
| United States | 1 | 33% |
| Unknown | 1 | 33% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 2 | 67% |
| Practitioners (doctors, other healthcare professionals) | 1 | 33% |
Mendeley readers
The data shown below were compiled from readership statistics for 222 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 222 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Master | 32 | 14% |
| Student > Ph. D. Student | 31 | 14% |
| Researcher | 25 | 11% |
| Student > Doctoral Student | 19 | 9% |
| Student > Postgraduate | 9 | 4% |
| Other | 30 | 14% |
| Unknown | 76 | 34% |
| Readers by discipline | Count | As % |
|---|---|---|
| Nursing and Health Professions | 41 | 18% |
| Medicine and Dentistry | 38 | 17% |
| Social Sciences | 34 | 15% |
| Psychology | 6 | 3% |
| Economics, Econometrics and Finance | 3 | 1% |
| Other | 16 | 7% |
| Unknown | 84 | 38% |
Attention Score in Context
This research output has an Altmetric Attention Score of 3. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 28 August 2017.
All research outputs
#13,678,554
of 23,906,448 outputs
Outputs from Maternal and Child Health Journal
#1,125
of 2,039 outputs
Outputs of similar age
#152,663
of 316,473 outputs
Outputs of similar age from Maternal and Child Health Journal
#20
of 46 outputs
Altmetric has tracked 23,906,448 research outputs across all sources so far. This one is in the 42nd percentile – i.e., 42% of other outputs scored the same or lower than it.
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We're also able to compare this research output to 46 others from the same source and published within six weeks on either side of this one. This one has gotten more attention than average, scoring higher than 56% of its contemporaries.