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Risk Factors for Positive Appraisal of Mistreatment during Childbirth among Ethiopian Midwifery Students

Author

Listed:
  • Rena Bakker

    (Department of Health Sciences, Global Health, University Medical Center Groningen, University of Groningen, 9713 AV Groningen, The Netherlands)

  • Ephrem D. Sheferaw

    (Department of Health Sciences, Global Health, University Medical Center Groningen, University of Groningen, 9713 AV Groningen, The Netherlands)

  • Tegbar Yigzaw

    (Jhpiego Ethiopia, Addis Ababa, Ethiopia)

  • Jelle Stekelenburg

    (Department of Health Sciences, Global Health, University Medical Center Groningen, University of Groningen, 9713 AV Groningen, The Netherlands
    Department of Obstetrics and Gynecology, Leeuwarden Medical Centre, 8934 AD Leeuwarden, The Netherlands)

  • Marlou L. A. de Kroon

    (Department of Health Sciences, University Medical Center Groningen, University of Groningen, 9713 AV Groningen, The Netherlands)

Abstract

The maternal mortality ratio and neonatal mortality rate remain high in Ethiopia, where few births are attended by qualified healthcare staff. This is partly due to care providers’ mistreatment of women during childbirth, which creates a culture of anxiety that decreases the use of healthcare services. This study employed a cross-sectional design to identify risk factors for positive appraisal of mistreatment during childbirth. We asked 391 Ethiopian final year midwifery students to complete a paper-and-pen questionnaire assessing background characteristics, prior observation of mistreatment during education, self-esteem, stress, and mistreatment appraisal. A multivariable linear regression analysis indicated age ( p = 0.005), stress ( p = 0.019), and previous observation of mistreatment during education ( p < 0.001) to be significantly associated with mistreatment appraisal. Younger students, stressed students, and students that had observed more mistreatment during their education reported more positive mistreatment appraisal. No significant association was observed for origin ( p = 0.373) and self-esteem ( p = 0.445). Findings can be utilized to develop educational interventions that counteract mistreatment during childbirth in the Ethiopian context.

Suggested Citation

  • Rena Bakker & Ephrem D. Sheferaw & Tegbar Yigzaw & Jelle Stekelenburg & Marlou L. A. de Kroon, 2020. "Risk Factors for Positive Appraisal of Mistreatment during Childbirth among Ethiopian Midwifery Students," IJERPH, MDPI, vol. 17(8), pages 1-9, April.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:8:p:2682-:d:345226
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    References listed on IDEAS

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