International Journal of Obstetrics and Gynaecological Nursing
2023, Vol. 5, Issue 2, Part A
Midwife led maternity care: Assessment of autonomy and dignity of mothers during labour using MOR index
Sivapriya S and Sudha A Raddi
Midwifery led care can play a critical role in promoting physiological births, and reducing over medicalization. Ministry and Indian Nursing council have brought out guidelines for Midwifery services. Midwife led care is paradigm shift which can address many of the issues that our country continue to face. Measuring respectful care over the childbearing cycle requires thoughtful assessment of several domains. The Mother on Respect index is a straightforward tool to measure the experience of respect during discussions with providers about maternity care options. Mother on Respect Index (MOR) was developed through participatory research process and has been administered to women in Canada and US and is a reliable and valid measure of respectful maternity care.
Aim: To conduct a pilot study to assess Mother on Respect Index as a tool to measure autonomy and dignity of care perceived by mothers during labour.
Objectives: To assess the autonomy and dignity of maternal care perceived by mothers during labour using Mother on Respect Index
To find the association of MOR index with sociodemographic and baseline variables
Hypothesis: There is no association of MOR index with selected sociodemographic and baseline variables.
Research approach: Quantitative Non Experimental
Research Design: Cross Sectional Survey Design
Target Population: Antenatal women of Western Maharashtra
Study population: Antenatal women attending selected tertiary care hospital in Western Maharashtra
Sampling Technique: Purposive Sampling
Sample Size: 200
Tool: Mother on Respect Index
Result: 18 study subjects reported medium level of satisfaction between 37-60. Maximum 182 (91%) study subjects reported high level of satisfaction in Midwife Led Maternity Care. No association of Mother on respect index score with gravida, parity in study group at p value 0.05.There is no aassociation of Mother on respect index score with age, education, type of family, pregnancy status in study group at p value 0.05. There is a moderate positive correlation between total duration of labour and Mother on respect index score but the finding is not statistically significant as the p value calculated is 0.63. A moderate positive correlation between Modified Coopland Risk Assessment score as calculated p value <0.0001 this finding is statistically highly significant. Number of antenatal visit has shown a week positive correlation with Mother on Respect index as p value is 0.20 this finding is not statistically significant.
Conclusion: The MOR index may assist institutions and care providers to evaluate the psychosocial impact of informed consent process and patient perceptions of the respect. MORi can measure differences between their expected and actual interactions during maternity care discussions with providers. Evidence based practice of MOR index as new quality and safety indicator in maternity care centre indicate paradigm shift towards person centred care.
Sivapriya S, Sudha A Raddi. Midwife led maternity care: Assessment of autonomy and dignity of mothers during labour using MOR index. Int J Obstetrics Gynaecological Nurs 2023;5(2):28-33. DOI: 10.33545/26642298.2023.v5.i2a.122