Mistreatement During Child Birth And Associated Factors Among Women Who Gave Birth In Woliso Town Health Facilities, Woliso, Ethiopia, 2022/23

Abstract

Background: Mistreatment during childbirth is a worldwide phenomenon that takes various forms, from absence of informed consent to physical harm. Evidence is required to better understand the prevalence of mistreatment to inform directions for appropriate practice. Objectives: To assess mistreatment during child birth and associated factors among women who gave birth in Woliso town health facilities from March 10 up to April 8, 2023. Methods: Facility based cross-sectional study design supported with concurrent qualitative data collection method were employed among 411 women who were selected by systematic random sampling technique from Woliso town health facilities from March 10 up to April 8, 2023. Quantitative data were collected by using structured questionnaires while interview guides were used for qualitative data. The collected data were entered into EPI info version 7.2.2.6 statistical software and exported to SPSS version 20 statistical package for analysis. Both descriptive analysis and logistic regression analysis were performed. Variables with P-value < 0.25 in bivariable analysis were entered into the multivariable logistic regressions. On multivariable logistic regression analysis variables with a p-value of <0.05 were considered to declare the statistically significant association. The qualitative data were transcribed, translated, coded, categorized, thematized and triangulated with quantitative data. Finally, the results were presented by using texts and tables. Results: All of the study participants were responds to the questionnaire by making the response rate of 100%. In this study, the magnitude of mistreatment during childbirth was (55.5%, 95% CI; 50.4, 60.3). Women who previous delivered at health center [AOR=2.7, 95%CI: (1.62, 4.50)], number of laboring women in delivery ward at a time 2-4 labouring women [AOR=3.01, 95%CI: (1.45, 6.27)] and five and above of laboring women [AOR=3.83, 95%CI: (1.67, 8.77)], were factors significantly associated with mistreatment during childbirth. Conclusion: This study concluded the overall magnitude of mistreatment during childbirth is relatively high. Previous place of delivery and number of laboring women in delivery ward at a time were the identified predictor variables with mistreatment in the study area