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Abstract

Introduction: Disrespect and abuse (D&A) constitutes an impediment to the health-seeking behaviour of women. This has possibly resulted in the high rates of unsupervised home deliveries among pregnant women and indirectly contributing to the high maternal mortality indices in Nigeria. This study aimed at determining the prevalence, patterns and determinant of disrespect and abuse (D&A) during last childbirth among postpartum women studied.


Methods: We included a total of 236 women using convenience sampling technique. Data was collected using interviewer administered semi-structured questionnaires. Both univariate and multivariate logistic regression analysis were used to identify associated factors. Statistical significance was declared at a p value of < 0.05.
Results: The mean age of respondents was 31.95 ± 4.33 years. The prevalence of D&A in the study population was 60.2%. Non-dignified care (50.8%), non-confidential care (28.4%) and non-consented care (27.1%) were the three most common forms of D&A reported.


Respondent’s occupation, social class, being hospital staff or relation, route of delivery and duration of hospital admission before delivery were significantly associated with experience of D&A. Despite the high prevalence of D&A, majority (83.1%) of the respondents would still access antenatal care in the same health facility in their subsequent pregnancies.
Conclusion: The prevalence of D&A was high in this study population. Interventions need to be undertaken to educate parturient and healthcare providers of their rights and responsibilities to ensure respectful maternity care.

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