A Qualitative Study of Midwives' Experiences in the Provision of Respectful Maternity Care During Childbirth in Accra Metropolitan, Ghana

Abstract Respectful maternity care is recognised as essential for achieving superior quality of care for women during labour and delivery. In Nigeria, the prevalence of disrespect and abuse during childbirth is significant; midwives have been recognised as key contributors to this issue. Comprehending midwives' experiences in delivering respectful maternity care during childbirth is essential for its advancement. This study intended to explore and document midwives' experiences in delivering respectful maternity care during childbirth. This study employed a qualitative, phenomenological approach, utilising in-depth interviews with purposely selected midwives serving in the labour unit of a Nigerian hospital. Thematic analysis was employed to generate descriptive accounts of the study data, analysed with Nvivo software. Study Sample: A total of 10 nurses or midwives presently employed in the labour ward of the chosen hospital participated in the study. Midwives articulated expectations for pregnant women throughout childbirth that corresponded with their commitment to upholding patients' dignity. Furthermore, the midwives' perspective indicated that the motivation for disrespect stemmed from certain patients exhibiting behaviours and composure throughout delivery that were deemed unacceptable. Moreover, obstacles within the health system were indicated to affect the experiences of the midwives. Midwives have a positive inclination towards delivering respectful care during childbirth; nevertheless, when their expectations are unmet, the quality of treatment diminishes, compounded by systemic health constraints. Various measures may enhance midwives' experiences, encompassing systemic modifications and a collaborative shared care model between prenatal clinics and birthing wards. Keywords: Experiences, Midwives, Maternity Care, Respect, Childbirth,