BACKGROUND Quality maternal health reduces maternal and neonatal mortality and morbidity. Healthcare professionals, including midwives, are significant agents for the promotion of quality maternal health. Frequents reports of disrespect and abuse of childbearing women by midwives during intrapartum care are becoming common, suggesting that many of these agents are engaging in care practices that compromise quality maternal health. Thus, understanding midwives' descriptions and experiences of the phenomenon is critical to addressing the threat. This paper, therefore, explored the understanding of midwives on D&AC and their occurrence in professional practice in a tertiary health facility in Kumasi, Ghana. METHODS An exploratory descriptive qualitative research design using an interpretative approach was employed in the study. Data were generated through individual in-depth interviews. Data saturation was reached with fifteen interviews. The interviews were audio-recorded and transcribed verbatim. Open Code 4.03 was used to manage and analyse the data. RESULTS The midwives understood D&AC. They also confirmed meting out or witnessing colleagues engage in D&AC in their professional practice. The midwives described D&AC as the provision of inadequate care and the overlooking of patient-centred care, and verbal, physical, and psychological abuse. The themes revealed that socio-economic inequalities, provider perception and victim-blaming, and health system-related factors facilitate D&AC. It emerged that the following marginalized groups were at high risk for D&AC: the non-compliant, mentally ill, HIV/AIDs+, teenagers, poor, and childbearing women on admission at the general labour ward. CONCLUSION The midwives understood D&AC and revealed that it frequently occurred in their professional practice. Frequent in-service training on respectful maternity care and monitoring of care provision in healthcare facilities are needed to eliminate the incidence of D&AC.

中文翻译：

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“我不会打你，但你会杀死你的孩子：”探讨助产士对加纳不尊重和虐待护理的看法。


背景技术优质孕产妇保健可降低孕产妇和新生儿死亡率和发病率。包括助产士在内的医疗保健专业人员是促进优质孕产妇健康的重要推动者。关于助产士在产时护理期间不尊重和虐待育龄妇女的频繁报道越来越普遍，这表明许多助产士正在从事损害孕产妇健康质量的护理做法。因此，了解助产士对该现象的描述和经历对于解决这一威胁至关重要。因此，本文探讨了加纳库马西一家三级卫生机构助产士对 D&AC 的理解及其在专业实践中的发生情况。方法 本研究采用了使用解释方法的探索性描述性定性研究设计。数据是通过个人深度访谈生成的。十五次访谈达到数据饱和。访谈均被录音并逐字转录。使用 Open Code 4.03 来管理和分析数据。结果 助产士了解 D&AC。他们还证实在他们的专业实践中安排或见证了同事参与 D&AC。助产士将 D&AC 描述为提供不充分的护理、忽视以患者为中心的护理以及言语、身体和心理虐待。这些主题揭示了社会经济不平等、提供者的看法和受害者指责以及卫生系统相关因素促进了 D&AC。结果表明，以下边缘群体是 D&AC 的高风险人群：不听话的人、精神病患者、HIV/AIDs+、青少年、穷人和普通产房的育龄妇女。 结论 助产士了解 D&AC 并透露这在他们的专业实践中经常发生。为了消除 D&AC 的发生，需要经常进行关于尊重产妇护理的在职培训以及对医疗机构护理服务的监测。