A qualitative study on acceptability of the mistreatment of women during childbirth in Myanmar

• DOI: 10.1186/s12978-020-0907-2
• Publication Date: 2020-04-20T15:04:34Z
• Authors: Thae Maung Maung; Kyaw Lwin Show; Nwe Oo Mon; Özge Tunçalp; Nyein Su Aye; Yin Yin Soe; Meghan A. Bohren
• Keywords: Adult; 330; Adolescent; Attitude of Health Personnel; Health Personnel; Respectful maternity care; Myanmar; Young Adult; 03 medical and health sciences; 0302 clinical medicine; 5. Gender equality; Pregnancy; Social Norms; Humans; Maternal Health Services; 10. No inequality; Quality of Health Care; Research; Quality of care; Parturition; Gynecology and obstetrics; Middle Aged; Delivery, Obstetric; Mistreatment; 3. Good health; Social Perception; Childbirth; RG1-991; Female; Maternal health; Gender analysis

Abstract Background Improving the quality of maternal health care is critical to reduce mortality and improve women’s experiences. Mistreatment during childbirth in facilities can be an important barrier for women when considering facility-based childbirth. Therefore, this study attempted explore acceptability mistreatment Myanmar according healthcare providers, understand how gender power relations influence Methods A qualitative was conducted two townships Bago Region September 2015, among reproductive age (18–49 years), providers facility administrators. Semi-structured discussion guides were used community norms, experiences perceptions regarding mistreatment. Coding using athematic analysis approach Atlas.ti. Results interpreted a dynamics, hierarchies, inequalities are treated Women mostly unaccepting different types However, some provided justification slapping shouting at as encouragement labour. Different access resources, such financial information about pregnancy childbirth, support from family members labor might impact treated. Furthermore, social norms around relationships between shape Both informal formal rules govern aspects woman’s care, she allowed see her family, whether considered “obedient”, what type behaviors expected have interacting with providers. Conclusions This first use dynamics contribute “obey” instructions order better In way, deviation following puts place where perpetrating acts justifiable under certain conditions. Understanding structures